Amy Speech & Language Therapy, Inc.
  • Home
  • Speech Therapy Materials Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & Cranial Nerves
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Hydration
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • AAC
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Speech & Language Therapy Treatment Materials
    • Speech Therapy Material Links >
      • AAC
      • Speech Therapy APPS
  • Resources
  • Blog/News
  • Patient Advance Directives
  • The Speech & Swallow Clinic of South Florida
    • Speech and Language Services & Payment Options
    • Client History Forms
    • About Us >
      • Contact Us
      • Sponsorship & Collaboration
  • Contact Us
  • Speech Store

NEW Dysphagia Exercise

12/13/2013

 
Wada, S., Tohara, H., Iida, T., Inoue, M., Sato, M., & Ueda, K. (2012). Jaw-Opening exercise for insufficient opening of upper esophageal sphincter. Archives of Physical Medicine and Rehabilitation, 93(11), 1995-1999.

The outcome of this no named new Dysphagia exercise is increasing hyoid elevation, Upper Esophageal Sphincter (UES) opening, pharynx passage time, and decreasing pharyngeal residue after swallowing at preexercise and postexercise evidenced by VFSS.

As per Dr. James Coyle this exercise is also designed to increase UES opening by using strengthening the anterior muscles of the floor of the mouth (submandibular suprahyoid) muscles. It exercises these muscles by depressing the mandible. We do it with gentle resistance and use the same schedule that is published in the studies on tongue strengthening. Coyle


During a swallow, the UES is open, and works closely b/c of the location of the cricopharyngeal muscle. The cricopharyngeal muscle is attached to the cricoid cartilage and is relaxed upon swallowing as it is pulled by the hyoid laryingeal structures. "The UES does not open automatically. Successful opening of the UES requires an anterior-superior traction of the hyoid and larynx and further UES relaxation and hyoid traction on the larynx precedes UES opening" Wade.   Further described, when the hyoid decreases laryngeal elevation can cause dysphagia resulting from UES opening.


This exercise involves jaw opening and multiple muscles therefore during ones' Oral Periphieral Exam Jaw as well as Labial muscles must be assessed for this exercise. It doesn't mean they have to have within normal limits, but it must be documented. The suprahyoid muscle group including mylohiyoid muscle, the anterior belly of the digastric muscles and the geniohyoid muscles are also involved in hyoid elevation and some in jaw opening. These muscles include the mylohyoid muscle, the anterior belly of the digastric muscles, and the geniohyoid muscle.

Given the above mechanisms, the authors performed a jaw-opening/strenghening exercise among patients with UES dysfunction and assessed the effect of this exercise on swallowing function with a videofluorographic swallowing study (VFSS).

Evidence has shown that there was significant improvements when you compare swallow functions pre-exercise and post-exercise.  Advances were demonstrated in the extent of upward movement of the hyoid bone, the amount of UES opening, and the timing of pharyeal passage.  Four (4) weeks after initiating the exercise. Some subjects evidenced decreased pharyngeal residue. No increases were noted in any subjects.

The conclusion demonstrated that this jaw-opening exercise is an effective treatment for dysphagia; caused by dysfunction of hyoid elevation and UES opening.

hang le link
11/26/2015 04:59:56 pm

I really need more in formation such as the step by step of new dysphagia exercise. Please send help because it is for my mom

Amy Reinstein
11/27/2015 01:00:48 pm

I'm very sorry about your mother. Please see your physician so they can refer you to a local Speech Language Pathologist who can provide your mother with the appropriate swallowing treatment. Let me know if you still need help finding a therapist in your area.


Comments are closed.
    Amy Speech & Language Therapy, Inc

    RSS Feed

    View my profile on LinkedIn

    Amy Reinstein, M.S., CCC - SLP
    SIG 13 Affiliate

    Passion for all things Speech and learning to be a techie too!  Would love to hear feedback from viewers and if you have things you would like to see on the website, please contact me and I would be happy to oblige!


    Archives

    April 2015
    March 2015
    July 2014
    June 2014
    May 2014
    April 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    March 2013
    February 2013
    January 2013
    September 2012
    August 2012
    July 2012
    June 2012
    May 2012
    April 2012
    March 2012
    February 2012
    December 2011

    Categories

    All
    Alzheimers
    Applied Behavior Analysis (ABA)
    Autism
    CEU's
    Developmentally Delayed
    Dysphagia
    Hearing Loss
    Language Development
    Media
    Pediatrics
    Resources: Disabilities
    Resources: Disabilities
    Sensorimotor
    Skilled Nursing Facility
    Social Media
    Treatment


Amy Speech & Language Therapy, Inc.
amyreinsteinslp@gmail.com
​
ph: 561-739-2024



Copyright © 2020 Amy Speech Language Therapy. All Rights Reserved.
  • Home
  • Speech Therapy Materials Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & Cranial Nerves
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Hydration
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • AAC
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Speech & Language Therapy Treatment Materials
    • Speech Therapy Material Links >
      • AAC
      • Speech Therapy APPS
  • Resources
  • Blog/News
  • Patient Advance Directives
  • The Speech & Swallow Clinic of South Florida
    • Speech and Language Services & Payment Options
    • Client History Forms
    • About Us >
      • Contact Us
      • Sponsorship & Collaboration
  • Contact Us
  • Speech Store