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Article

Original Article

J Korean Dysphagia Soc 2020; 10(2): 159-166

Published online July 30, 2020 https://doi.org/10.34160/jkds.2020.10.2.003

Copyright © The Korean Dysphagia Society.

Effects of Head Lift Exercise on Oropharyngeal Swallowing Function and Dropout Rate According to Reclining Angle in Patients with Dysphagia after Stroke: A Randomized Trial

Joo-Young Lee, M.D.1, Dong-Goo Kim, M.D.1, Hyo-Jeong Lee, B.H.Sc.2, Ji-Su Park, Ph.D.3, Tae-Hyung Yoon, Ph.D.4, Young-Jin Jung, Ph.D.5, Jun-Yong Hong, R.T.6, Na-Kyoung Hwang, M.S.1

1Rehabilitation Medical Center, Seoul North Municipal Hospital, Seoul, 2Department of Occupational Therapy, Busan National University Yangsan Hospital, Yangsan, 3Advanced Human Resource Development Project Group for Health Care in Aging Friendly Industry, Dongseo University, Busan, 4Department of Occupational Therapy, Division of Health Sciences, Dongseo University, Busan, 5Department of Radiological Science, Health Sciences Division, Dongseo University, Busan, 6Department of Multidisciplinary Radiological Science, Graduate School, Dongseo University, Busan, Korea

Correspondence to:Na-Kyoung Hwang, Rehabilitation Medical Center, Seoul North Municipal Hospital, 38 Yangwonyeok-ro, Jungnang-gu, Seoul 02062, Korea
Tel: +82-2-2036-0273, Fax: +82-2-2036-0278
E-mail: occupation81@gmail.com

Received: March 6, 2020; Revised: March 11, 2020; Accepted: April 10, 2020

Abstract

Objective: Although the effects of head lift exercise (HLE) in the reclining position have been reported, there is insufficient clinical evidence of the effects. This study compared the effects of HLE in the 0° supine position and 45° reclining position on the swallowing function and the compliance of patients with dysphagia after stroke after both exercises.
Methods: This was a randomized, assessor-blinded clinical trial. Thirty-five patients with stroke and dysphagia were assigned randomly to HLE in the 0° supine group (n=18) or HLE in the 45° reclining group (n=17). Patients in both groups performed HLE five days a week for four weeks and received the same conventional dysphagia therapy. The videofluoroscopic dy sphagia scale (VDS) was used to evaluate the swallowing function. The dropout rate and subjective feedback related to compliance with the two exercises were monitored.
Results: No significant differences in the baseline characteristics were observed between the two groups. Patients in both groups showed significant improvement in the oral and pharyngeal phases of VDS (P<0.05). After the intervention, no significant differences were observed between the groups (P>0.05). Dropout rates of 22% and 6% owing to neck discomfort or fatigue were observed in the HLE in 0° supine group and the HLE in 45° reclining group, respectively.
Conclusion: HLE in the 45° reclining position has a similar effect on the swallowing function in patients with dysphagia after stroke to that of HLE in the 0° supine position and is associated with better exercise compliance.

Keywords: Dysphagia, Head lift exercise, Compliance, Reclining position, Videofluoroscopic dysphagia scale

Article

Original Article

J Korean Dysphagia Soc 2020; 10(2): 159-166

Published online July 30, 2020 https://doi.org/10.34160/jkds.2020.10.2.003

Copyright © The Korean Dysphagia Society.

Effects of Head Lift Exercise on Oropharyngeal Swallowing Function and Dropout Rate According to Reclining Angle in Patients with Dysphagia after Stroke: A Randomized Trial

Joo-Young Lee, M.D.1, Dong-Goo Kim, M.D.1, Hyo-Jeong Lee, B.H.Sc.2, Ji-Su Park, Ph.D.3, Tae-Hyung Yoon, Ph.D.4, Young-Jin Jung, Ph.D.5, Jun-Yong Hong, R.T.6, Na-Kyoung Hwang, M.S.1

1Rehabilitation Medical Center, Seoul North Municipal Hospital, Seoul, 2Department of Occupational Therapy, Busan National University Yangsan Hospital, Yangsan, 3Advanced Human Resource Development Project Group for Health Care in Aging Friendly Industry, Dongseo University, Busan, 4Department of Occupational Therapy, Division of Health Sciences, Dongseo University, Busan, 5Department of Radiological Science, Health Sciences Division, Dongseo University, Busan, 6Department of Multidisciplinary Radiological Science, Graduate School, Dongseo University, Busan, Korea

Correspondence to:Na-Kyoung Hwang, Rehabilitation Medical Center, Seoul North Municipal Hospital, 38 Yangwonyeok-ro, Jungnang-gu, Seoul 02062, Korea
Tel: +82-2-2036-0273, Fax: +82-2-2036-0278
E-mail: occupation81@gmail.com

Received: March 6, 2020; Revised: March 11, 2020; Accepted: April 10, 2020

Abstract

Objective: Although the effects of head lift exercise (HLE) in the reclining position have been reported, there is insufficient clinical evidence of the effects. This study compared the effects of HLE in the 0° supine position and 45° reclining position on the swallowing function and the compliance of patients with dysphagia after stroke after both exercises.
Methods: This was a randomized, assessor-blinded clinical trial. Thirty-five patients with stroke and dysphagia were assigned randomly to HLE in the 0° supine group (n=18) or HLE in the 45° reclining group (n=17). Patients in both groups performed HLE five days a week for four weeks and received the same conventional dysphagia therapy. The videofluoroscopic dy sphagia scale (VDS) was used to evaluate the swallowing function. The dropout rate and subjective feedback related to compliance with the two exercises were monitored.
Results: No significant differences in the baseline characteristics were observed between the two groups. Patients in both groups showed significant improvement in the oral and pharyngeal phases of VDS (P<0.05). After the intervention, no significant differences were observed between the groups (P>0.05). Dropout rates of 22% and 6% owing to neck discomfort or fatigue were observed in the HLE in 0° supine group and the HLE in 45° reclining group, respectively.
Conclusion: HLE in the 45° reclining position has a similar effect on the swallowing function in patients with dysphagia after stroke to that of HLE in the 0° supine position and is associated with better exercise compliance.

Keywords: Dysphagia, Head lift exercise, Compliance, Reclining position, Videofluoroscopic dysphagia scale

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Journal of the Korean Dysphagia Society 2020; 10: 159-166https://doi.org/10.34160/jkds.2020.10.2.003

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