{"title":"结构化运动对宫颈源性吞咽困难患者吞咽和肺功能的影响：一项随机对照试验。","authors":"Ashraf Abdelaal Mohamed Abdelaal","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cervicogenic dysphagia (CD) is a swallowing difficulty caused by cervical problems, typically impacting swallowing function (SF) and pulmonary function (PF).</p><p><strong>Objectives: </strong>To explore the effect of a structured exercise program comprising cervical stretching, strengthening, and stabilizing exercises on the SF and PF in patients with CD.</p><p><strong>Participants: </strong>32 patients (age 35-50 years) with CD were randomly allocated into a study group (n = 17) and a control group (n = 15). All participants received three sessions/week for 8 weeks.</p><p><strong>Intervention: </strong>The study group received the structured exercise program and the swallow resistance exercise (SRE), while the control group received the SRE only.</p><p><strong>Outcome measures: </strong>The craniovertebral angle (CVA), SF (using the swallow-difficulty questionnaire \"SDQ\"), and PF (including forced vital capacity \"FVC\" and forced expiratory volume in one second \"FEV1\") were evaluated pre-study and post-study. Statistical comparisons were done using paired t-tests (within groups) and one-way ANOVA (between groups).</p><p><strong>Results: </strong>Within the study group, significant reductions in the SDQ scores were observed (by -68.31%, P < .0001), along with a statistically significant increase in CVA (by 20.66%, P < .0001), FVC (by 8.16%, P < .0001), and FEV1 (by 6.69%, P = .02). The control group showed a significant reduction in SDQ (by -37.01%, P < .0001), along with a non-significant increase in CVA (by 1.43%, P = .24), FVC (by 0.22%, P = .34), and FEV1 (by 0.62%, P = .1). Between groups, the analysis revealed significant differences in SDQ (P < .0001), CVA (P < .0001), FVC (P < .0001), and FEV1 (P = .01), all in favor of the study group.</p><p><strong>Conclusion: </strong>A structured exercise program can effectively improve both swallowing function and pulmonary function in patients with cervicogenic dysphagia.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":"12-17"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Structured Exercise on Swallowing and Pulmonary Functions in Cervicogenic Dysphagia: A Randomized Controlled Trial.\",\"authors\":\"Ashraf Abdelaal Mohamed Abdelaal\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Cervicogenic dysphagia (CD) is a swallowing difficulty caused by cervical problems, typically impacting swallowing function (SF) and pulmonary function (PF).</p><p><strong>Objectives: </strong>To explore the effect of a structured exercise program comprising cervical stretching, strengthening, and stabilizing exercises on the SF and PF in patients with CD.</p><p><strong>Participants: </strong>32 patients (age 35-50 years) with CD were randomly allocated into a study group (n = 17) and a control group (n = 15). All participants received three sessions/week for 8 weeks.</p><p><strong>Intervention: </strong>The study group received the structured exercise program and the swallow resistance exercise (SRE), while the control group received the SRE only.</p><p><strong>Outcome measures: </strong>The craniovertebral angle (CVA), SF (using the swallow-difficulty questionnaire \\\"SDQ\\\"), and PF (including forced vital capacity \\\"FVC\\\" and forced expiratory volume in one second \\\"FEV1\\\") were evaluated pre-study and post-study. Statistical comparisons were done using paired t-tests (within groups) and one-way ANOVA (between groups).</p><p><strong>Results: </strong>Within the study group, significant reductions in the SDQ scores were observed (by -68.31%, P < .0001), along with a statistically significant increase in CVA (by 20.66%, P < .0001), FVC (by 8.16%, P < .0001), and FEV1 (by 6.69%, P = .02). The control group showed a significant reduction in SDQ (by -37.01%, P < .0001), along with a non-significant increase in CVA (by 1.43%, P = .24), FVC (by 0.22%, P = .34), and FEV1 (by 0.62%, P = .1). Between groups, the analysis revealed significant differences in SDQ (P < .0001), CVA (P < .0001), FVC (P < .0001), and FEV1 (P = .01), all in favor of the study group.</p><p><strong>Conclusion: </strong>A structured exercise program can effectively improve both swallowing function and pulmonary function in patients with cervicogenic dysphagia.</p>\",\"PeriodicalId\":7571,\"journal\":{\"name\":\"Alternative therapies in health and medicine\",\"volume\":\" \",\"pages\":\"12-17\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alternative therapies in health and medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Efficacy of Structured Exercise on Swallowing and Pulmonary Functions in Cervicogenic Dysphagia: A Randomized Controlled Trial.
Background: Cervicogenic dysphagia (CD) is a swallowing difficulty caused by cervical problems, typically impacting swallowing function (SF) and pulmonary function (PF).
Objectives: To explore the effect of a structured exercise program comprising cervical stretching, strengthening, and stabilizing exercises on the SF and PF in patients with CD.
Participants: 32 patients (age 35-50 years) with CD were randomly allocated into a study group (n = 17) and a control group (n = 15). All participants received three sessions/week for 8 weeks.
Intervention: The study group received the structured exercise program and the swallow resistance exercise (SRE), while the control group received the SRE only.
Outcome measures: The craniovertebral angle (CVA), SF (using the swallow-difficulty questionnaire "SDQ"), and PF (including forced vital capacity "FVC" and forced expiratory volume in one second "FEV1") were evaluated pre-study and post-study. Statistical comparisons were done using paired t-tests (within groups) and one-way ANOVA (between groups).
Results: Within the study group, significant reductions in the SDQ scores were observed (by -68.31%, P < .0001), along with a statistically significant increase in CVA (by 20.66%, P < .0001), FVC (by 8.16%, P < .0001), and FEV1 (by 6.69%, P = .02). The control group showed a significant reduction in SDQ (by -37.01%, P < .0001), along with a non-significant increase in CVA (by 1.43%, P = .24), FVC (by 0.22%, P = .34), and FEV1 (by 0.62%, P = .1). Between groups, the analysis revealed significant differences in SDQ (P < .0001), CVA (P < .0001), FVC (P < .0001), and FEV1 (P = .01), all in favor of the study group.
Conclusion: A structured exercise program can effectively improve both swallowing function and pulmonary function in patients with cervicogenic dysphagia.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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