{"title":"Application of Action Observation Therapy in Swallowing Rehabilitation: A Randomised Controlled Study.","authors":"Arzucan Toksal Uçar, Bilge Piri Çınar, Banu Alıcıoğlu, Geylan Bostan, Sevil Bilgin","doi":"10.1111/joor.13902","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Action Observation Therapy (AOT) has emerged as a potential neurorehabilitation therapy to promote motor control for individuals with neurological dysphagia (ND), facilitating neural plasticity through activation of the mirror nervous system.</p><p><strong>Objective: </strong>The aim of this study was to investigate the effect of AOT-based dysphagia rehabilitation on suprahyoid (SH) muscle activation, swallowing difficulties, swallowing function, depressive symptom and quality of life in ND patients.</p><p><strong>Methods: </strong>Thirty-four participants with ND were randomly allocated to the AOT group (n = 17) or control group (n = 17). All participants underwent a 4-week (5 sessions per week) conventional swallowing therapy. The AOT group watched exercise videos before doing these exercises, and the control group performed the same exercises without the videos. Surface electromyographic (sEMG) activation of suprahyoid muscles, Eating Assessment Tool 10 Turkish Version (T-EAT 10) and Swallowing Ability and Function Evaluation (SAFE) for swallowing difficulties and swallowing function, Swallow Quality of Life Questionnaire (SWAL-QOL) and Beck Depression Inventory (BDI) for quality of life and depressive symptom severity were evaluated.</p><p><strong>Results: </strong>Post-treatment SH amplitude level and T-EAT-10 scores were significantly lower in the AOT group compared to the control group (p = 0.001, p = 0.012). There was a significant improvement in SAFE after treatment in the AOT group (p < 0.05); however, there was no significant difference between the two groups (p > 0.05). Both groups showed similar improvement in quality of life and depression.</p><p><strong>Conclusion: </strong>This study showed that AOT can be a good option for improving the SH muscle activation and dysphagia difficulties in ND patients.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT05782790.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.13902","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Action Observation Therapy (AOT) has emerged as a potential neurorehabilitation therapy to promote motor control for individuals with neurological dysphagia (ND), facilitating neural plasticity through activation of the mirror nervous system.
Objective: The aim of this study was to investigate the effect of AOT-based dysphagia rehabilitation on suprahyoid (SH) muscle activation, swallowing difficulties, swallowing function, depressive symptom and quality of life in ND patients.
Methods: Thirty-four participants with ND were randomly allocated to the AOT group (n = 17) or control group (n = 17). All participants underwent a 4-week (5 sessions per week) conventional swallowing therapy. The AOT group watched exercise videos before doing these exercises, and the control group performed the same exercises without the videos. Surface electromyographic (sEMG) activation of suprahyoid muscles, Eating Assessment Tool 10 Turkish Version (T-EAT 10) and Swallowing Ability and Function Evaluation (SAFE) for swallowing difficulties and swallowing function, Swallow Quality of Life Questionnaire (SWAL-QOL) and Beck Depression Inventory (BDI) for quality of life and depressive symptom severity were evaluated.
Results: Post-treatment SH amplitude level and T-EAT-10 scores were significantly lower in the AOT group compared to the control group (p = 0.001, p = 0.012). There was a significant improvement in SAFE after treatment in the AOT group (p < 0.05); however, there was no significant difference between the two groups (p > 0.05). Both groups showed similar improvement in quality of life and depression.
Conclusion: This study showed that AOT can be a good option for improving the SH muscle activation and dysphagia difficulties in ND patients.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
