Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury

Catriona M. Steele, Gemma L. Bailey, Rebecca E.Cliffe Polacco, Sarah F. Hori, Sonja M. Molfenter, Mohamed Oshalla, Erin M. Yeates

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to measure treatment outcomes in a group of six adults with chronic dysphagia following acquired brain injury, who each completed 24 sessions of tongue-pressure resistance training, over a total of 11-12 weeks. The treatment protocol emphasized both strength and accuracy. Biofeedback was provided using the Iowa Oral Performance Instrument. Amplitude accuracy targets were set between 20-90% of the patient's maximum isometric pressure capacity. Single subject methods were used to track changes in tongue strength (maximum isometric pressures), with functional swallowing outcomes measured using blinded ratings of a standard pre- and post-treatment videofluoroscopy protocol. Improvements were seen in post-treatment measures of tongue pressure and penetration-aspiration. No improvements were seen in pharyngeal residues, indeed worsening residue was seen in some patients.

Original languageEnglish (US)
Pages (from-to)492-502
Number of pages11
JournalInternational Journal of Speech-Language Pathology
Volume15
Issue number5
DOIs
StatePublished - Oct 2013

Keywords

  • Deglutition
  • Intervention
  • Manometry
  • Rehabilitation
  • Speech-language pathology.
  • Swallowing
  • Tongue
  • Treatment

ASJC Scopus subject areas

  • Research and Theory
  • Otorhinolaryngology
  • Language and Linguistics
  • LPN and LVN
  • Speech and Hearing

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