Is the proprioceptive neuromuscular facilitation technique superior to Shaker exercises in swallowing rehabilitation?
Purpose This prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior to Shaker exercises in improving the function of swallowing muscles. Methods Fifty individuals (30 females and 20 males; mean age 68 ± 3.89...
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Published in | European archives of oto-rhino-laryngology Vol. 277; no. 2; pp. 497 - 504 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.02.2020
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Abstract | Purpose
This prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior to Shaker exercises in improving the function of swallowing muscles.
Methods
Fifty individuals (30 females and 20 males; mean age 68 ± 3.89 years) with swallowing difficulties were separated into two groups randomly. The treatment groups were Shaker and PNF groups, which performed these exercises three times in a week for6 weeks. Swallowing difficulties were determined with the Turkish version of the eating assessment tool (T-EAT-10). The 100 ml-water swallow test was used to measure capacity, volume, and speed of swallowing. Contraction amplitude changes used as a universal measurement of motor unit activity during the muscle action were measured with superficial electromyography.
Result
After 6 weeks of exercise training, T-EAT-10 scores decreased in both groups (
p
< 0.001). Water swallowing capacity and volume improved in both groups (
p
< 0.001). There was no change in swallowing speed in both groups (
p
> 0.05). Maximal voluntary contraction values of suprahyoid muscles were higher in PNF than the Shaker group (
p
< 0.05).
Conclusion
Both the types of exercise can be used in the rehabilitation of swallowing difficulties. However, the PNF technique increased the contraction amplitude values that occur during maximum contraction more than the Shaker exercises. Different functional evaluations are needed to determine the effectiveness of PNF on swallowing difficulty. |
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AbstractList | Purpose
This prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior to Shaker exercises in improving the function of swallowing muscles.
Methods
Fifty individuals (30 females and 20 males; mean age 68 ± 3.89 years) with swallowing difficulties were separated into two groups randomly. The treatment groups were Shaker and PNF groups, which performed these exercises three times in a week for6 weeks. Swallowing difficulties were determined with the Turkish version of the eating assessment tool (T-EAT-10). The 100 ml-water swallow test was used to measure capacity, volume, and speed of swallowing. Contraction amplitude changes used as a universal measurement of motor unit activity during the muscle action were measured with superficial electromyography.
Result
After 6 weeks of exercise training, T-EAT-10 scores decreased in both groups (
p
< 0.001). Water swallowing capacity and volume improved in both groups (
p
< 0.001). There was no change in swallowing speed in both groups (
p
> 0.05). Maximal voluntary contraction values of suprahyoid muscles were higher in PNF than the Shaker group (
p
< 0.05).
Conclusion
Both the types of exercise can be used in the rehabilitation of swallowing difficulties. However, the PNF technique increased the contraction amplitude values that occur during maximum contraction more than the Shaker exercises. Different functional evaluations are needed to determine the effectiveness of PNF on swallowing difficulty. This prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior to Shaker exercises in improving the function of swallowing muscles. Fifty individuals (30 females and 20 males; mean age 68 ± 3.89 years) with swallowing difficulties were separated into two groups randomly. The treatment groups were Shaker and PNF groups, which performed these exercises three times in a week for6 weeks. Swallowing difficulties were determined with the Turkish version of the eating assessment tool (T-EAT-10). The 100 ml-water swallow test was used to measure capacity, volume, and speed of swallowing. Contraction amplitude changes used as a universal measurement of motor unit activity during the muscle action were measured with superficial electromyography. After 6 weeks of exercise training, T-EAT-10 scores decreased in both groups (p < 0.001). Water swallowing capacity and volume improved in both groups (p < 0.001). There was no change in swallowing speed in both groups (p > 0.05). Maximal voluntary contraction values of suprahyoid muscles were higher in PNF than the Shaker group (p < 0.05). Both the types of exercise can be used in the rehabilitation of swallowing difficulties. However, the PNF technique increased the contraction amplitude values that occur during maximum contraction more than the Shaker exercises. Different functional evaluations are needed to determine the effectiveness of PNF on swallowing difficulty. PURPOSEThis prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior to Shaker exercises in improving the function of swallowing muscles. METHODSFifty individuals (30 females and 20 males; mean age 68 ± 3.89 years) with swallowing difficulties were separated into two groups randomly. The treatment groups were Shaker and PNF groups, which performed these exercises three times in a week for6 weeks. Swallowing difficulties were determined with the Turkish version of the eating assessment tool (T-EAT-10). The 100 ml-water swallow test was used to measure capacity, volume, and speed of swallowing. Contraction amplitude changes used as a universal measurement of motor unit activity during the muscle action were measured with superficial electromyography. RESULTAfter 6 weeks of exercise training, T-EAT-10 scores decreased in both groups (p < 0.001). Water swallowing capacity and volume improved in both groups (p < 0.001). There was no change in swallowing speed in both groups (p > 0.05). Maximal voluntary contraction values of suprahyoid muscles were higher in PNF than the Shaker group (p < 0.05). CONCLUSIONBoth the types of exercise can be used in the rehabilitation of swallowing difficulties. However, the PNF technique increased the contraction amplitude values that occur during maximum contraction more than the Shaker exercises. Different functional evaluations are needed to determine the effectiveness of PNF on swallowing difficulty. |
Author | Sayaca, Cetin Serel-Arslan, Selen Kaya, Defne Somay, Goksel Karaduman, Ayse Demir, Numan Sayaca, Nurhan |
Author_xml | – sequence: 1 givenname: Cetin orcidid: 0000-0002-6731-1677 surname: Sayaca fullname: Sayaca, Cetin email: cetin.sayaca@uskudar.edu.tr organization: Uskudar University Faculty of Healty Science Physical Therapy and Rehabilitation – sequence: 2 givenname: Selen surname: Serel-Arslan fullname: Serel-Arslan, Selen organization: Faculty of Physical Therapy and Rehabilitation, Hacettepe University – sequence: 3 givenname: Nurhan surname: Sayaca fullname: Sayaca, Nurhan organization: Ministry of Health Istanbul Provincial Health Directorate Istanbul Kartal Dr. Lutfi Kirdar Education and Research Hospital – sequence: 4 givenname: Numan surname: Demir fullname: Demir, Numan organization: Faculty of Physical Therapy and Rehabilitation, Hacettepe University – sequence: 5 givenname: Goksel surname: Somay fullname: Somay, Goksel organization: Okan University Vocational School of Health Services Electroneurophysiology Program – sequence: 6 givenname: Defne surname: Kaya fullname: Kaya, Defne organization: Uskudar University Faculty of Healty Science Physical Therapy and Rehabilitation – sequence: 7 givenname: Ayse surname: Karaduman fullname: Karaduman, Ayse organization: Faculty of Physical Therapy and Rehabilitation, Hacettepe University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31873776$$D View this record in MEDLINE/PubMed |
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Keywords | Shaker exercises Electromyography Deglutition disorders Proprioceptive neuromuscular facilitation |
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This prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is... This prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior to... PURPOSEThis prospective study was planned to investigate whether the combined isotonic technique of proprioceptive neuromuscular facilitation (PNF) is superior... |
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SubjectTerms | Aged Deglutition - physiology Deglutition Disorders - physiopathology Deglutition Disorders - rehabilitation Electromyography - methods Exercise Therapy - methods Female Head and Neck Surgery Humans Laryngology Male Medicine Medicine & Public Health Muscle Stretching Exercises - physiology Neck Muscles - physiology Neurosurgery Otorhinolaryngology Prospective Studies |
Title | Is the proprioceptive neuromuscular facilitation technique superior to Shaker exercises in swallowing rehabilitation? |
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