Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy
Dysphagia is the main impairment arising from glossectomy for tongue cancer treatment. The study aimed to determine if an eight-week training protocol paired with accuracy tasks and swallowing exercises is effective and can improve tongue strength and swallowing in patients after tongue resection. M...
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MDPI AG
2023-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/17/5613 |
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| author | Elena Pavlidou Athanasios Kyrgidis Konstantinos Vachtsevanos Jannis Constantinidis Stefanos Triaridis Athanasia Printza |
| author_facet | Elena Pavlidou Athanasios Kyrgidis Konstantinos Vachtsevanos Jannis Constantinidis Stefanos Triaridis Athanasia Printza |
| author_sort | Elena Pavlidou |
| collection | DOAJ |
| description | Dysphagia is the main impairment arising from glossectomy for tongue cancer treatment. The study aimed to determine if an eight-week training protocol paired with accuracy tasks and swallowing exercises is effective and can improve tongue strength and swallowing in patients after tongue resection. Maximum isometric pressures, tongue endurance, swallowing pressures, mealtime duration, and oropharyngeal swallow function were studied in patients with moderate to severe dysphagia after glossectomy. Twenty-five (25) patients and thirty-one (31) healthy participants were enrolled in the study. The therapy group (TG) consisted of seventeen (17) patients who followed an 8-week treatment protocol and had multiple measurements. The follow-up control group (FUG) consisted of eight non-treated patients who had a baseline and an 8-week follow-up examination. Healthy participants served as the reference group (RF). Maximum isometric pressures, endurance, and swallowing pressures increased significantly in the TG versus the FUG. Significant improvement was documented in the TG regarding the EAT-10 questionnaire, the Penetration-Aspiration Scale scores at thickened and solid boluses, and post-swallow residues at thickened and solid boluses. The treatment protocol with tongue strength exercises combined with accuracy tasks and swallowing exercises improves the post-operative swallowing function in patients after glossectomy. Patients in the TG had more significant and quicker improvement in pressures and endurance compared to FUG. |
| first_indexed | 2024-03-10T23:19:10Z |
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| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:19:10Z |
| publishDate | 2023-08-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-11c686ab64a7403abaf6fe58dc99ab7a2023-11-19T08:23:02ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011217561310.3390/jcm12175613Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after GlossectomyElena Pavlidou0Athanasios Kyrgidis1Konstantinos Vachtsevanos2Jannis Constantinidis3Stefanos Triaridis4Athanasia Printza51st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDysphagia is the main impairment arising from glossectomy for tongue cancer treatment. The study aimed to determine if an eight-week training protocol paired with accuracy tasks and swallowing exercises is effective and can improve tongue strength and swallowing in patients after tongue resection. Maximum isometric pressures, tongue endurance, swallowing pressures, mealtime duration, and oropharyngeal swallow function were studied in patients with moderate to severe dysphagia after glossectomy. Twenty-five (25) patients and thirty-one (31) healthy participants were enrolled in the study. The therapy group (TG) consisted of seventeen (17) patients who followed an 8-week treatment protocol and had multiple measurements. The follow-up control group (FUG) consisted of eight non-treated patients who had a baseline and an 8-week follow-up examination. Healthy participants served as the reference group (RF). Maximum isometric pressures, endurance, and swallowing pressures increased significantly in the TG versus the FUG. Significant improvement was documented in the TG regarding the EAT-10 questionnaire, the Penetration-Aspiration Scale scores at thickened and solid boluses, and post-swallow residues at thickened and solid boluses. The treatment protocol with tongue strength exercises combined with accuracy tasks and swallowing exercises improves the post-operative swallowing function in patients after glossectomy. Patients in the TG had more significant and quicker improvement in pressures and endurance compared to FUG.https://www.mdpi.com/2077-0383/12/17/5613dysphagiaglossectomyswallowinghead and neck cancertongue pressuretongue endurance |
| spellingShingle | Elena Pavlidou Athanasios Kyrgidis Konstantinos Vachtsevanos Jannis Constantinidis Stefanos Triaridis Athanasia Printza Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy Journal of Clinical Medicine dysphagia glossectomy swallowing head and neck cancer tongue pressure tongue endurance |
| title | Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy |
| title_full | Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy |
| title_fullStr | Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy |
| title_full_unstemmed | Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy |
| title_short | Efficacy of High-Intensity Training in Patients with Moderate to Severe Dysphagia after Glossectomy |
| title_sort | efficacy of high intensity training in patients with moderate to severe dysphagia after glossectomy |
| topic | dysphagia glossectomy swallowing head and neck cancer tongue pressure tongue endurance |
| url | https://www.mdpi.com/2077-0383/12/17/5613 |
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