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
Ji-Su Park, Gihyoun Lee, Young-Jin Jung
Advanced Human Resource Development Project Group for Health Care in Aging Friendly, DongSeo university, Korea
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.
This study compared the effects of game-based chin-tuck against resistance exercise and traditional head-lift exercise on swallowing function and compliance of patients with dysphagia after stroke. There was no significant difference between the 2 exercises in terms of videofluoroscopic dysphagia scale, penetration-aspiration scale and functional oral intake scale, suggesting that both therapeutic methods have similar effects in patients with dysphagia after stroke. However, on comparing the compliance of the 2 exercises, it was found that game-based chin-tuck against resistance exercise is not only more interesting and exciting than head-lift exercise, but also less physically demanding. Therefore, these results suggest that game-based chin-tuck against resistance exercise is less restrictive for patients with post-stroke dysphagia and is a therapeutic exercise that provides enjoyment and excitement.
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