Effects of game-based chin tuck against resistance exercise vs head-lift exercise in patients with dysphagia after stroke: An assessor-blind, randomized controlled trial
DOI:
https://doi.org/10.2340/16501977-2603Keywords:
stroke, dysphagia, videofluoroscopic swallowing study, head-lift exercise, chin-tuck against resistance, game.Abstract
Objective: To compare the effects of game-based chin-tuck against resistance exercise and head-lift exercise on swallowing function and compliance of patients with dysphagia after stroke. Patients and methods: A total of 37 patients with stroke were randomly assigned to 2 groups. The experimental group performed game-based chin tuck against resistance exercise, whereas the control group performed traditional head-lift exercise. The videofluoroscopic dysphagia scale (VDS) and penetration-aspiration scale (PAS) were used to evaluate swallowing function. In addition, the functional oral intake scale (FOIS) was used for dietary assessment. Finally, the numerical rating self-report scale was used to assess compliance (motivation, interest/enjoyment, physical effort needed, muscle fatigue) with the 2 exercises. Results: After intervention, there was no significant difference in VDS, PAS, and FOIS between the 2 groups. Comparing the compliance with the 2 exercises, the scores for motivation and interest/enjoyment items were significantly higher, and the scores for physical effort needed and muscle fatigue were significantly lower, in the experimental group than in the control group. Conclusion: Game-based chin-tuck against resistance exercise not only has a similar effect to head-lift exercise on swallowing function of patients with dysphagia, but is also a less strict and more enjoyable and interesting method.Downloads
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Copyright (c) 2019 Ji-Su Park, Gihyoun Lee, Young-Jin Jung
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