Effects of Multidirectional Head Lift Exercise Based on Proprioceptive Neuromuscular Facilitation Techniques on Oropharyngeal Swallowing Muscles in Community-Dwelling Older Adults With Oral Frailty.
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引用次数: 0
Abstract
Background: Dysphagia rehabilitation using proprioceptive neuromuscular facilitation (PNF) was recently introduced. However, the clinical evidence for this technique remains unclear.
Objective: This study aimed to investigate the effects of multidirectional head-lift exercise using PNF techniques for the oropharyngeal swallowing muscles in older adults with oral frailty.
Methods: Older adults with oral frailty were enrolled in this study and randomly assigned to the experimental or control group. The experimental group performed multidirectional head-lift exercises based on PNF techniques, whereas the control group performed conventional head-lift exercises (90 times/day, 5 days/week for 6 weeks). Tongue strength and thickness were measured using an Iowa Oral Performance Instrument and ultrasonography, respectively. Additionally, suprahyoid muscle activation and thickness were measured using surface electromyography and ultrasonography, respectively.
Results: The experimental group showed significant improvements in tongue strength and thickness compared to the control group, as well as significant improvements in suprahyoid muscle activation and thickness (all, p < 0.05).
Conclusion: This study demonstrates that multidirectional head-lift exercise based on PNF techniques is more effective than conventional head-lift exercise in increasing the strength and thickness of the oropharyngeal muscles related to swallowing in older adults.
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.
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