Pressure profile similarities between tongue resistance training tasks and liquid swallows

Catriona M. Steele, Gemma L. Bailey, Sonja Molfenter, Erin M. Yeates, Karen Grace-Martin

Research output: Contribution to journalArticle

Abstract

Tongue-pressure resistance training is known to increase tongue strength in seniors and individuals with stroke-related dysphagia. However, evidence of associated functional improvements in swallowing is equivocal. We investigated similarities in pressure waveform profiles between swallowing and several tongue-palate pressure tasks to identify tasks that may be best suited for inclusion in tongue-pressure resistance training protocols for patients who are unable to safely perform real bolus swallows in treatment. Tongue-palate pressures were recorded in 20 healthy young adults. Participants performed water and nectar-thick juice swallows, effortful and noneffortful saliva swallows, and "half-maximum" tongue-palate partial-pressure tasks emphasizing either anterior or posterior tongue-palate contact at different speeds. Pressure slopes (amplitude change over time) during the pressure application (rise) and withdrawal (release) phases were analyzed. A subset of four tasks with the greatest similarity in slope characteristics to those seen in bolus swallows was identified: anterior-emphasis half-maximum tongue-palate presses, posterior-emphasis maximum isometric tongue-palate presses, posterior-emphasis half-maximum slow tongue-palate presses, and effortful saliva swallows. We propose that future research should explore the degree to which swallowing improvements are obtained from treatment protocols that emphasize these tasks.

Original languageEnglish (US)
Pages (from-to)651-660
Number of pages10
JournalJournal of Rehabilitation Research and Development
Volume47
Issue number7
DOIs
StatePublished - 2010

Fingerprint

Swallows
Resistance Training
Tongue
Palate
Pressure
Deglutition
Saliva
Plant Nectar
Partial Pressure
Deglutition Disorders
Clinical Protocols
Young Adult
Stroke

Keywords

  • Dysphagia
  • Exercise
  • Oral-motor
  • Pressure
  • Rehabilitation
  • Resistance
  • Speech-language pathology
  • Swallowing
  • Tongue
  • Tongue resistance training

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Pressure profile similarities between tongue resistance training tasks and liquid swallows. / Steele, Catriona M.; Bailey, Gemma L.; Molfenter, Sonja; Yeates, Erin M.; Grace-Martin, Karen.

In: Journal of Rehabilitation Research and Development, Vol. 47, No. 7, 2010, p. 651-660.

Research output: Contribution to journalArticle

Steele, Catriona M. ; Bailey, Gemma L. ; Molfenter, Sonja ; Yeates, Erin M. ; Grace-Martin, Karen. / Pressure profile similarities between tongue resistance training tasks and liquid swallows. In: Journal of Rehabilitation Research and Development. 2010 ; Vol. 47, No. 7. pp. 651-660.
@article{a1980f2ad1c84e71899ab977c3d15d9f,
title = "Pressure profile similarities between tongue resistance training tasks and liquid swallows",
abstract = "Tongue-pressure resistance training is known to increase tongue strength in seniors and individuals with stroke-related dysphagia. However, evidence of associated functional improvements in swallowing is equivocal. We investigated similarities in pressure waveform profiles between swallowing and several tongue-palate pressure tasks to identify tasks that may be best suited for inclusion in tongue-pressure resistance training protocols for patients who are unable to safely perform real bolus swallows in treatment. Tongue-palate pressures were recorded in 20 healthy young adults. Participants performed water and nectar-thick juice swallows, effortful and noneffortful saliva swallows, and {"}half-maximum{"} tongue-palate partial-pressure tasks emphasizing either anterior or posterior tongue-palate contact at different speeds. Pressure slopes (amplitude change over time) during the pressure application (rise) and withdrawal (release) phases were analyzed. A subset of four tasks with the greatest similarity in slope characteristics to those seen in bolus swallows was identified: anterior-emphasis half-maximum tongue-palate presses, posterior-emphasis maximum isometric tongue-palate presses, posterior-emphasis half-maximum slow tongue-palate presses, and effortful saliva swallows. We propose that future research should explore the degree to which swallowing improvements are obtained from treatment protocols that emphasize these tasks.",
keywords = "Dysphagia, Exercise, Oral-motor, Pressure, Rehabilitation, Resistance, Speech-language pathology, Swallowing, Tongue, Tongue resistance training",
author = "Steele, {Catriona M.} and Bailey, {Gemma L.} and Sonja Molfenter and Yeates, {Erin M.} and Karen Grace-Martin",
year = "2010",
doi = "10.1682/JRRD.2009.05.0068",
language = "English (US)",
volume = "47",
pages = "651--660",
journal = "Journal of rehabilitation R&D",
issn = "0748-7711",
publisher = "Rehabilitation Research and Development Service",
number = "7",

}

TY - JOUR

T1 - Pressure profile similarities between tongue resistance training tasks and liquid swallows

AU - Steele, Catriona M.

AU - Bailey, Gemma L.

AU - Molfenter, Sonja

AU - Yeates, Erin M.

AU - Grace-Martin, Karen

PY - 2010

Y1 - 2010

N2 - Tongue-pressure resistance training is known to increase tongue strength in seniors and individuals with stroke-related dysphagia. However, evidence of associated functional improvements in swallowing is equivocal. We investigated similarities in pressure waveform profiles between swallowing and several tongue-palate pressure tasks to identify tasks that may be best suited for inclusion in tongue-pressure resistance training protocols for patients who are unable to safely perform real bolus swallows in treatment. Tongue-palate pressures were recorded in 20 healthy young adults. Participants performed water and nectar-thick juice swallows, effortful and noneffortful saliva swallows, and "half-maximum" tongue-palate partial-pressure tasks emphasizing either anterior or posterior tongue-palate contact at different speeds. Pressure slopes (amplitude change over time) during the pressure application (rise) and withdrawal (release) phases were analyzed. A subset of four tasks with the greatest similarity in slope characteristics to those seen in bolus swallows was identified: anterior-emphasis half-maximum tongue-palate presses, posterior-emphasis maximum isometric tongue-palate presses, posterior-emphasis half-maximum slow tongue-palate presses, and effortful saliva swallows. We propose that future research should explore the degree to which swallowing improvements are obtained from treatment protocols that emphasize these tasks.

AB - Tongue-pressure resistance training is known to increase tongue strength in seniors and individuals with stroke-related dysphagia. However, evidence of associated functional improvements in swallowing is equivocal. We investigated similarities in pressure waveform profiles between swallowing and several tongue-palate pressure tasks to identify tasks that may be best suited for inclusion in tongue-pressure resistance training protocols for patients who are unable to safely perform real bolus swallows in treatment. Tongue-palate pressures were recorded in 20 healthy young adults. Participants performed water and nectar-thick juice swallows, effortful and noneffortful saliva swallows, and "half-maximum" tongue-palate partial-pressure tasks emphasizing either anterior or posterior tongue-palate contact at different speeds. Pressure slopes (amplitude change over time) during the pressure application (rise) and withdrawal (release) phases were analyzed. A subset of four tasks with the greatest similarity in slope characteristics to those seen in bolus swallows was identified: anterior-emphasis half-maximum tongue-palate presses, posterior-emphasis maximum isometric tongue-palate presses, posterior-emphasis half-maximum slow tongue-palate presses, and effortful saliva swallows. We propose that future research should explore the degree to which swallowing improvements are obtained from treatment protocols that emphasize these tasks.

KW - Dysphagia

KW - Exercise

KW - Oral-motor

KW - Pressure

KW - Rehabilitation

KW - Resistance

KW - Speech-language pathology

KW - Swallowing

KW - Tongue

KW - Tongue resistance training

UR - http://www.scopus.com/inward/record.url?scp=78149487876&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78149487876&partnerID=8YFLogxK

U2 - 10.1682/JRRD.2009.05.0068

DO - 10.1682/JRRD.2009.05.0068

M3 - Article

VL - 47

SP - 651

EP - 660

JO - Journal of rehabilitation R&D

JF - Journal of rehabilitation R&D

SN - 0748-7711

IS - 7

ER -