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Effect of Suprahyoid Muscle Resistance Exercise Using Kinesio Taping on Suprahyoid Muscle Thickness in Patients with Dysphagia after Subacute Stroke 원문보기

Journal of international academy of physical therapy research, v.11 no.3, 2020년, pp.2135 - 2139  

Lee, Myunglyeol (Department of Emergency Medical Services, Kyungdong University) ,  Kim, Jinuk (Department of Emergency Medical Services, Kyungdong University) ,  Oh, Donghwan (Department of Occuptional Therapy, Kyungdong University) ,  Lee, Kuija (Department of Emergency Medical Services, Kyungdong University)

Abstract AI-Helper 아이콘AI-Helper

Background: Recently, a new method of dysphagia rehabilitation using Kinesio taping (KT) has been attempted and demonstrated an immediate increase in the activation of the suprahyoid muscle during swallowing in healthy adults. Objectives: To investigate the effect of dysphagia rehabilitation using K...

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제안 방법

  • In particular, the experimental group monitored the tape's firm adhesion to provide continuous resistance during the experiment. Both groups received traditional swallowing rehabilitation treatment for 30 min daily, five times weekly, for 4 weeks by an occupational therapist.
  • Therefore, a strong contraction of the suprahyoid muscle is important for safe swallowing.13 In this study, a tape was attached to the hyoid bone to provide resistance to the suprahyoid muscle, pulled downward, and then attached to the sternum and both clavicles. It acts in the opposite direction to the upward movement of the hyoid bone during normal swallowing, and the patient requires effortful swallowing to overcome this resistance.
  • In this study, a total of 20 participants were randomly assigned to the experimental and control groups using randomly selected envelopes containing a code specifying the group. The experimental group applied Kinesio taping (KT) (BB Tape; WETAPE Inc.
  • This study used a portable ultrasound device (SONON 300L, Healcerion, Seoul, Korea) with a 10 MHz linear- and convex-array transducer to measure the suprahyoid muscle thickness. The evaluations were performed by a radiological technician with more than 5 years of clinical experience and were repeated 3 times, and the mean value was calculated to represent the suprahyoid muscle thickness for each subject. The participants were asked to sit upright in a chair with the Frankfurt plane parallel to the floor and without head support.
  • In this study, a total of 20 participants were randomly assigned to the experimental and control groups using randomly selected envelopes containing a code specifying the group. The experimental group applied Kinesio taping (KT) (BB Tape; WETAPE Inc., Seoul, Korea) to the front of the neck to perform repeated swallowing exercises against the elongation of the tape, while the control group performed repeated dry swallowing without applying KT. Both groups performed spontaneous swallowing 5 times in a row and provided rest for 10 seconds.
  • This study was conducted at a rehabilitation hospital in Seoul, Korea. The inclusion criteria were as follows: within 6 months after stroke onset, those who have been diagnosed with oropharyngeal dysphagia by videofluoroscopic swallowing study (VFSS), those who overcome the resistance of taping and are able to swallow voluntarily, and those who have a Korean Mini Mental Status Examination (K-MMSE) score of 22 or higher without cognitive problems. The Penetration-aspiration scale is more than 4 points.
  • Therefore, the effect of the swallowing rehabilitation method using taping is still not clear. Therefore, this study investigated the effect of dysphagia rehabilitation using taping for 4 weeks on the change in suprahyoid muscle thickness in patients with dysphagia after stroke.
  • However, since only the surface electromyography (sEMG) was used to measure the activation of the suprahyoid muscle, evidence of its therapeutic effect is still unclear. Therefore, this study investigated the effect of suprahyoid muscle resistance exercise using KT on suprahyoid muscle thickness in patients with dysphagia after stroke.
  • This study used a portable ultrasound device (SONON 300L, Healcerion, Seoul, Korea) with a 10 MHz linear- and convex-array transducer to measure the suprahyoid muscle thickness. The evaluations were performed by a radiological technician with more than 5 years of clinical experience and were repeated 3 times, and the mean value was calculated to represent the suprahyoid muscle thickness for each subject.

대상 데이터

  • A total of 20 people were enrolled in this study, and their general characteristics are shown in Table 1. There was no dropout until the completion of the study with all the subjects performing intervention according to the planned schedule.
  • In this study, 20 patients with dysphagia after stroke were enrolled. This study was conducted at a rehabilitation hospital in Seoul, Korea.
  • In this study, 20 patients with dysphagia after stroke were enrolled. This study was conducted at a rehabilitation hospital in Seoul, Korea. The inclusion criteria were as follows: within 6 months after stroke onset, those who have been diagnosed with oropharyngeal dysphagia by videofluoroscopic swallowing study (VFSS), those who overcome the resistance of taping and are able to swallow voluntarily, and those who have a Korean Mini Mental Status Examination (K-MMSE) score of 22 or higher without cognitive problems.

이론/모형

  • The Mann–Whitney U test was used to compare intergroup changes in outcome measurements.
  • The Shapiro–Wilk test was used to check the normality of the outcome variables.
  • The Shapiro–Wilk test was used to check the normality of the outcome variables. The Wilcoxon signed-rank test was used to compare pre-and post-intervention measures in each group to evaluate the intervention effects. The Mann–Whitney U test was used to compare intergroup changes in outcome measurements.
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참고문헌 (15)

  1. Lim KB, Lee HJ, Yoo J, Kwon YG. Effect of low-frequency rTMS and NMES on subacute unilateral hemispheric stroke with dysphagia. Ann Rehabil Med. 2014;38(5):592-602. 

  2. Robbins J, Kays SA, Gangnon RE, et al. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007;88(2):150-158. 

  3. Kang BS, Oh BM, Kim IS, Chung SG, Kim SJ, Han TR. Influence of aging on movement of the hyoid bone and epiglottis during normal swallowing: a motion analysis. Gerontology. 2010;56(5):474-482. 

  4. Cook IJ, Dodds WJ, Dantas RO, et al. Opening mechanisms of the human upper esophageal sphincter. Am J Physiol. 1989;257(5pt1):748-759. 

  5. Hong J, Oh D, Park J, Jung Y. Effect of Kinesiology Taping on Hyolaryngeal Complex Movement in Stroke Patient with Dysphagia. J Int Acad Phys Ther Res. 2020;11(2):2052-2059. 

  6. Oh D, Park J, Kim J. Effect of Kinesiology Taping for Ankle Instability in Stroke Patients. J Int Acad Phys Ther Res. 2020;11(1):1950-1953. 

  7. Park JS, Jung YJ, Kim HH, Lee G. A Novel Method Using Kinesiology Taping for the Activation of Suprahyoid Muscles in Healthy Adults: A Preliminary Research. Dysphagia. 2020;35(4):636-642. 

  8. Park JS, Lee SH, Jung SH, Choi JB, Jung YJ. Tongue strengthening exercise is effective in improving the oropharyngeal muscles associated with swallowing in community-dwelling older adults in South Korea: A randomized trial. Medicine. 2019;98(40):e17304. 

  9. Park JS, Hwang NK, Kim HH, Choi JB, Chang MY, Jung YJ. Effects of lingual strength training on oropharyngeal muscles in South Korean adults. J Oral Rehabil. 2019;46(11):1036-1041. 

  10. Steele CM, Bayley MT, Peladeau-Pigeon M, et al. A randomized trial comparing two tongue-pressure resistance training protocols for post-stroke dysphagia. Dysphagia. 2016;31(3):452-461. 

  11. Borde R, Hortobagyi T, Granacher U. Dose-response relationships of resistance training in healthy old adults: a systematic review and meta-analysis. Sports Med. 2015;45(12):1693-1720. 

  12. Chen FT, Etnier JL, Chan KH, Chiu PK, Hung TM, Chang YK. Effects of Exercise Training Interventions on Executive Function in Older Adults: A Systematic Review and Meta-Analysis. Sports Med. 2020;50(8):1451-1467. 

  13. Wheeler KM, Chiara T, Sapienza CM. Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks. Dysphagia. 2007;22(2):108-116. 

  14. Park JS, Oh DH, Chang MY, Kim KM. Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial. J Oral Rehabil. 2016;43(5):364-372. 

  15. Farina D, Merletti R, Enoka RM. The extraction of neural strategies from the surface EMG. J Appl Physiol. 2004;96(4):1486-1495. 

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