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Effects of Tongue Strength and Accuracy Training on Tongue Strength, Swallowing Function, and Quality of Life in Chronic Stroke Patients with Dysphagia

혀 근력 및 정확도 훈련이 삼킴장애가 있는 만성 뇌졸중 환자의 혀 근력, 삼킴기능, 삶의 질에 미치는 효과

  • 문종훈 (가천대학교 대학원 작업치료학 전공) ;
  • 김희진 (가천대학교 대학원 작업치료학 전공) ;
  • 강민규 (휴앤유 병원 작업치료실) ;
  • 원영식 (신성대학교 작업치료과)
  • Received : 2016.08.01
  • Accepted : 2016.08.25
  • Published : 2016.11.28

Abstract

This study was investigated to effect of tongue strength and accuracy training (TSAT) on tongue strength, swallowing function, quality of life in chronic stroke patients with dysphagia. Eighteen chronic stroke patients with dysphagia participated in this study, and were allocated randomly to experimental(n=9) and control group(n=9). both group conducted to traditional dysphagia therapy, and experimental group was carried out additionally TSAT. TSAT performed using Iowa Oral Performance Instrument(IOPI), and was set up to 50%, 75%, 100% of maximum isometric tongue strength. Two groups received the treatment for five per weeks, eight weeks. Outcome measurements performed that Maximum Isometric Strength(MIS) was assessed by using IOPI for measure the tongue strength, and Swallowing Function Test(SFT) was used to assess the swallowing function. Swallowing-Quality of Life(SWAL-QOL) was used to evaluate quality of life related to swallow. In results of study, experimental group in comparison of change score between two group significantly improve than control group in anterior and posterior MIS, and SFT. SWAL-QOL was not significantly difference in both group. Based on thin study results, TSAT may be a effective intervention to improve on tongue strength, and swallowing function in chronic stroke patients with dysphagia.

Keywords

Tongue Strength and Accuracy Training;Dysphagia;Stroke;Tongue Strength

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