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 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

Fingerprint

Resistance Training
Deglutition Disorders
Tongue
Brain Injuries
Pressure
Clinical Protocols
Deglutition
Dysphagia
Brain Injury
Therapeutics

Keywords

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

ASJC Scopus subject areas

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

Cite this

Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury. / Steele, Catriona M.; Bailey, Gemma L.; Polacco, Rebecca E Cliffe; Hori, Sarah F.; Molfenter, Sonja; Oshalla, Mohamed; Yeates, Erin M.

In: International Journal of Speech-Language Pathology, Vol. 15, No. 5, 10.2013, p. 492-502.

Research output: Contribution to journalArticle

Steele, Catriona M. ; Bailey, Gemma L. ; Polacco, Rebecca E Cliffe ; Hori, Sarah F. ; Molfenter, Sonja ; Oshalla, Mohamed ; Yeates, Erin M. / Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury. In: International Journal of Speech-Language Pathology. 2013 ; Vol. 15, No. 5. pp. 492-502.
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