A COMPARISON OF ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS.

Purpose: The most crucial airway protection mechanism during swallowing is adequate laryngeal elevation. Suprahyoid muscles are responsible for laryngeal elevation. Our study aimed to compare the effects of three different exercises, Shaker, resistance chin tuck (CTAR) exercise, and chin tuck exerci...

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Publicado en:Turkish Journal of Physiotherapy Rehabilitation Vol. 30; no. 1; pp. 48 - 55
Autores principales: KILINÇ, Hasan Erkan, YAŞAROĞLU, Ömer Faruk, SEREL ARSLAN, Selen, DEMİR, Numan, TOPÇUĞLU, Mehmet Akif, KARADUMAN, Ayşe
Formato: pictorial research tables/charts Journal Article
Publicado: Turkish Journal of Physiotherapy & Rehabilitation 2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019
      vid: 30
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      pub: Turkish Journal of Physiotherapy & Rehabilitation
      place: Kizilay/ Ankara, <Blank>
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        atl: A COMPARISON OF ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS.
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        au:
          KILINÇ, Hasan Erkan
          YAŞAROĞLU, Ömer Faruk
          SEREL ARSLAN, Selen
          DEMİR, Numan
          TOPÇUĞLU, Mehmet Akif
          KARADUMAN, Ayşe
        affil: Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey
      sug:
        subj:
          Exercise Physiology
          Hyoid Bone
          Exercise
          Human
          Deglutition Disorders
          Electromyography
          Adolescence
          Adult
          Male
          Female
          Descriptive Statistics
          Questionnaires
          Data Analysis Software
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab:
        Purpose: The most crucial airway protection mechanism during swallowing is adequate laryngeal elevation. Suprahyoid muscles are responsible for laryngeal elevation. Our study aimed to compare the effects of three different exercises, Shaker, resistance chin tuck (CTAR) exercise, and chin tuck exercise with theraband, on suprahyoid muscles activity responsible for laryngeal elevation. Methods: Forty-two healthy subjects with a mean age of 27.92±5.02 years (18-40 years), of which 50% were male were included. All individuals were divided into three groups with computerized randomization. Surface Electromyography (EMG) evaluation was performed to determine electrical activity of the suprahyoid muscles (geniohyoid, mylohyoid, anterior belly of digastric, thyrohyoid, stylohyoid muscles) during maximal voluntary isometric contraction and during performing CTAR, Shaker exercise and chin tuck with theraband. Normalized suprahyoid muscle activations were calculated as the recorded maximum electrical activity during exercise (mV)/recorded maximum electrical activity during maximum isometric contraction (mV). Results: A statistically significant difference was found between three groups regarding normalized suprahyoid muscle activation (p<0.001). The difference between the three groups was caused by the difference between CTAR and Shaker (p<0.001) and between CTAR and theraband (p=0.040) in favor of CTAR. No difference was found between Shaker and theraband (p=0.104). Conclusion: Primarily CTAR exercise should be included in rehabilitation to increase the suprahyoid muscle activation. In addition, chin tuck exercise with theraband can also be considered as an alternative to CTAR.
        Amaç: Yutma esnasında en önemli havayolu koruması, yeterli laringeal elevasyondur. Laringeal elevasyondan suprahyoid kaslar sorumludur. Çalışmamızın amacı, üç farklı egzersizin; Shaker, dirençli chin tuck (CTAR) egzersizi ve theraband ile yapılan chin tuck egzersizlerin laringeal elevasyondan sorumlu olan suprahyoid kaslarının aktivasyonu üzerine etkilerini karşılaştırmaktı. Yöntem: Yaş ortalaması 27,92±5,02 yıl (18-40 yıl), % 50'si erkek olmak üzere 42 sağlıklı gönüllü çalışmaya dahil edildi. Maksimum istemli izometrik kontraksiyon ve CTAR, Shaker ve theraband ile chin tuck egzersizleri sırasında suprahyoid kasların elektriksel aktivitelerini belirlemek için yüzeyel elektromyografi (EMG) değerlendirilmesi yapıldı. Normalize edilmiş suprahyoid kas aktivasyonları: egzersiz esnasında kaydedilen maksimum elektriksel aktivite (mV)/maksimum izometrik kontraksiyon esnasında kaydedilen maksimum elektriksel aktivite (mV) formülü ile hesaplandı. Sonuçlar: Üç grup arasında normalize edilmiş suprahyoid kas aktivasyonları açısından istatistiksel olarak anlamlı bir fark bulundu (p<0,001). Bu farkın CTAR grubu lehine, CTAR ile Shaker (p<0,001) ve CTAR ile Theraband grupları (p=0,040) arasındaki farklardan kaynaklandığı görüldü. Theraband ve Shaker arasında istatistiksel olarak anlamlı bir fark bulunamadı. Tartışma: Suprahyoid kas aktivasyonunu artırmak için CTAR egzersizi rehabilitasyona birincil olarak dahil edilmelidir. Ayrıca, theraband ile chin tuck egzersizi de CTAR egzersizine alternatif olarak düşünülebilir.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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