Influence of lip force on swallowing capacity in stroke patients and in healthy subjects.

Conclusion: In spite of no clinical signs of facial paresis, a pathological lip force (LF) will strongly influence swallowing capacity (SC). Stroke patients with impaired SC suffer a subclinical facial paresis. The results support earlier findings that LF training can be used to treat dysphagia. Obj...

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Publicado en:Acta Oto-Laryngologica Vol. 130; no. 11; pp. 1204 - 1209
Autores principales: Hägg M, Anniko M
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2010
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      pub: Taylor & Francis Ltd
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        atl: Influence of lip force on swallowing capacity in stroke patients and in healthy subjects.
      aug:
        au:
          Hägg M
          Anniko M
        affil: Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital, Uppsala, Sweden
      sug:
        subj:
          Stroke
          Deglutition
          Facial Paralysis
          Human
          Deglutition Disorders
          Prospective Studies
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Pearson's Correlation Coefficient
          T-Tests
          Data Analysis Software
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Conclusion: In spite of no clinical signs of facial paresis, a pathological lip force (LF) will strongly influence swallowing capacity (SC). Stroke patients with impaired SC suffer a subclinical facial paresis. The results support earlier findings that LF training can be used to treat dysphagia. Objectives: Lip muscle training with an oral screen can improve both LF and SC in stroke patients, irrespective of the presence or absence of facial palsy. The aim was therefore to study the influence of LF on SC. Methods: This prospective study included 22 stroke patients, aged 38-90 years, with dysphagia, 12 with initial unilateral facial paresis and 45 healthy subjects, aged 25-87 years. All were investigated with a Lip Force Meter (LF100), and with an SC test. Results: A significant correlation was found between LF/SC ( p = 0.012) in stroke patients but not in healthy subjects. LF/SC was not age-related in stroke patients. LF was not age-dependent in healthy subjects, but SC decreased with increasing age ( p < 0.0001). However, SC did not reach a pathological value and a regression analysis showed that 73% of the variation in SC is attributable to LF and age.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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