The effects of lingual exercise on swallowing in older adults

JoAnne Robbins, Ronald E. Gangnon, Shannon Theis, Stephanie A. Kays, Angela L. Hewitt, Jacqueline A. Hind

Research output: Contribution to journalArticle

221 Citations (Scopus)

Abstract

OBJECTIVES: To determine the effects of an 8-week progressive lingual resistance exercise program on swallowing in older individuals, the most "at risk" group for dysphagia. DESIGN: Prospective cohort intervention study. SETTING: Subjects were recruited from the community at large. PARTICIPANTS: Ten healthy men and women aged 70 to 89. INTERVENTION: Each subject performed an 8-week lingual resistance exercise program consisting of compressing an air-filled bulb between the tongue and hard palate. MEASUREMENTS: At baseline and Week 8, each subject completed a videofluoroscopic swallowing evaluation for kinematic and bolus flow assessment of swallowing. Swallowing pressures and isometric pressures were collected at baseline and Weeks 2, 4, and 6. Four of the subjects also underwent oral magnetic resonance imaging (MRI) to measure lingual volume. RESULTS: All subjects significantly increased their isometric and swallowing pressures. All subjects who had the MRI demonstrated increased lingual volume of an average of 5.1%. CONCLUSION: The findings indicate that lingual resistance exercise is promising not only for preventing dysphagia due to sarcopenia, but also as a treatment strategy for patients with lingual weakness and swallowing disability due to frailty or other age-related conditions. The potential effect of lingual exercise on reducing dysphagia-related comorbidities (pneumonia, malnutrition, and dehydration) and healthcare costs while improving quality of life is encouraging.

Original languageEnglish (US)
Pages (from-to)1483-1489
Number of pages7
JournalJournal of the American Geriatrics Society
Volume53
Issue number9
DOIs
StatePublished - Sep 2005
Externally publishedYes

Fingerprint

Deglutition
Tongue
Exercise
Deglutition Disorders
Pressure
Magnetic Resonance Imaging
Compressed Air
Sarcopenia
Hard Palate
Dehydration
Biomechanical Phenomena
Malnutrition
Health Care Costs
Comorbidity
Pneumonia
Cohort Studies
Quality of Life

Keywords

  • Deglutition
  • Exercise
  • Prevention
  • Therapeutics
  • Tongue

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

The effects of lingual exercise on swallowing in older adults. / Robbins, JoAnne; Gangnon, Ronald E.; Theis, Shannon; Kays, Stephanie A.; Hewitt, Angela L.; Hind, Jacqueline A.

In: Journal of the American Geriatrics Society, Vol. 53, No. 9, 09.2005, p. 1483-1489.

Research output: Contribution to journalArticle

Robbins, JoAnne ; Gangnon, Ronald E. ; Theis, Shannon ; Kays, Stephanie A. ; Hewitt, Angela L. ; Hind, Jacqueline A. / The effects of lingual exercise on swallowing in older adults. In: Journal of the American Geriatrics Society. 2005 ; Vol. 53, No. 9. pp. 1483-1489.
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