Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Analysis of the Correlation between Activity of the Suprahyoid Muscles, Infrahyoid Muscles and the New VFSS Scale in Stroke Patients with Dysphagia

  • Received : 2018.07.04
  • Accepted : 2018.08.22
  • Published : 2018.11.30
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Abstract

PURPOSE: This study was conducted to investigate the correlation between the activity of suprahyoid muscles, infrahyoid muscles and swallowing ability in stroke patients with dysphagia. METHODS: The subjects of this study were 120 patients who were diagnosed with CT or MRI stroke and had swallowing disorder at Daegu Metropolitan General Hospital from August 2014 to February 2017. The suprahyoid and infrahyoid muscle activity was measured in patients with dysphagia and the new videofluoroscopy swallowing studies scale (new VFSS scale) was used for evaluation of swallowing function. Correlation analysis was conducted using the measured data. RESULTS: The activities of suprahyoid muscles were 325.8 (%RVC) on average, while the average infrahyoid muscle activity was 302.65 (%RVC) and the average value of the new VFSS scale was 31.52. The total for oral organs was 3.62 on average and that for pharynx organs was 28.30 on average. The activity of the suprahyoid muscles showed a significant positive correlation with the activity of the infrahyoid muscles, but a significant negative correlation with the total oral phase, total pharyngeal phase and total new VFSS scale (p<.01). The activity of the infrahyoid muscles showed a significant negative correlation with the total oral phase, total pharyngeal phase, and total new VFSS (p<.01). CONCLUSION: Based on the results of this study, it is necessary for researchers to consider the infrahyoid and suprahyoid muscles when conducting swallowing rehabilitation.

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References

  1. Adler SS, Beckers D, Buck M, et al. PNF in Practice. Springer. 2000.
  2. Easterling C, Kern M, Nitschke T, et al. Restoration of oral feeding in 17 tube fed patients by the Shaker Exercise. Dysphagia. 2000;15(2):105-9.
  3. Eun SJ, Kim SG, Hong JR. The Usefulness of Video Fluoroscopic Swallowing Study in Post-Stroke Dysphagia Patients. Journal of the Korean Society of Radiology. 2010;4(3):19-25. https://doi.org/10.7742/JKSR.2010.4.3.019
  4. Freed ML, Freed L, Chatburn RL, et al. Electrical stimulation for swallowing disorders caused by stroke. Respiratory care. 2001;46(5):466-74.
  5. Hong DK, Kyoung KS, Yu DH. The effect of Shaker exercise on swallowing function of stroke patients. Journal of Korean Society of Occupational Therapy. 2012; 20(3):55-66.
  6. Jung SH, Lee KJ, Hong JB, et al. Validation of clinical dysphagia scale: based on videofluoroscopic swallowing study. Journal of Korean Academy of Rehabilitation Medicine. 2005;29(4):343-50.
  7. Kawashima K, Motohashi Y, Fujishima I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia. 2004;19(4):266-71. https://doi.org/10.1007/s00455-004-0013-6
  8. Kim DK, Lee SJ. The Effects of Shaker Exercise and Electrical Stimulation on Swallowing Ability ofthe Stroke Patients with Dysphagia caused by Failure of Upper Esophageal Sphincter Relaxation : Case Report. the Journal of Korean Academy of Dysphagia Rehabilitation. 2009;1(1):55-60.
  9. Kim KD. The effect of PNF neck-flexion exercise on swallowing function of chronic stroke patients. Doctor's Degree. Daegu university. 2015.
  10. Lee MH. The effect of cervical stabilization exercise on respiration function of stroke patients. Doctor's Degree. Daegu university. 2014.
  11. Logemann JA. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery. 1998;6(6):395-400. https://doi.org/10.1097/00020840-199812000-00008
  12. Mun TH. The effects of shaker exercise and neuromuscular electrical stimulation therapy on the swallowing function: on the post-stroke patients with dysphasia. Master's Degree. inje university. 2013.
  13. Robbins J, Gangnon RE, Theis SM, et al. The effects of lingual exercise on swallowing in older adults. Journal of the American Geriatrics Society. 2005;53(9):1483-9. https://doi.org/10.1111/j.1532-5415.2005.53467.x
  14. Shaker R, Easterling C, Kern M, et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122(5):1314-21. https://doi.org/10.1053/gast.2002.32999
  15. Shaker R, Kern M, Bardan E, et al. Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. American Journal of Physiology. 1997; 272(6):1518-22. https://doi.org/10.1152/ajpgi.1997.272.6.G1518
  16. Valenzuela S, Baeza M, Miralles R, et al. Laterotrusive occulusal schemes and their effect on supra- and infrahyoid electromyographic activity. The Angel Orthodontist. 2006;76(4):585-90.
  17. Won YS. The effects of oropharyngeal exercise combined with tongue pressure training protocol on swallowing function in stroke patients with dysphagia. Journal of Special Education & Rehabilitation Science. 2012;51(2):57-71.