Strength-Training Exercise in Dysphagia Rehabilitation: Principles,Procedures, and Directions for Future Research |
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| Authors: | Lori M. Burkhead Christine M. Sapienza John C. Rosenbek |
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| Affiliation: | (1) Department of Communicative Disorders, University of Florida, Gainesville, Florida, USA;(2) Department of Communication Sciences and Disorders, University of Florida, Gainesville, Florida, USA;(3) Brain Rehabilitation Research Center of Excellence, Malcom Randall VA Medical Center, Gainesville, Florida, USA;(4) Department of Otolaryngology, Division of Laryngology, Medical College of Georgia, 1120 15th Street, Suite BP 4109, Augusta, GA 30912-4060, USA |
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| Abstract: | Dysphagia rehabilitation, historically, has focused a great deal on various compensations during swallowing to prevent aspiration and/or improve safety and efficiency. Exercise, in general, has been a part of the dysphagia rehabilitation landscape. However, heightened discussions in the field regarding best practices for exercise training, particularly strengthening, raise more questions than answers. The intent of this paper is to (1) explore the overriding principles of neuromuscular plasticity with regard to strength training, (2) evaluate how current exercise-training interventions in dysphagia rehabilitation correspond to these principles, and (3) postulate directions for future study of normal and disordered swallowing and determine how to incorporate these principles into dysphagia rehabilitation. |
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| Keywords: | Deglutition Deglutition disorders Dysphagia Swallowing Exercise Strengthening Muscle |
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