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A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study.

Jeri A Logemann1, Alfred Rademaker, Barbara Roa Pauloski

  • 1Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL 60208, USA. j-logemann@northwestern.edu

Dysphagia
|May 28, 2009
PubMed
Summary
This summary is machine-generated.

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The Shaker exercise significantly reduced aspiration in patients with oropharyngeal dysphagia. While both therapies improved swallowing physiology and upper esophageal sphincter opening, the Shaker group showed superior results in reducing aspiration.

Area of Science:

  • Clinical Medicine
  • Swallowing Disorders
  • Otolaryngology

Background:

  • Oropharyngeal dysphagia is a condition affecting swallowing.
  • Aspiration is a common complication, leading to significant health risks.
  • Videofluorography (VFG) is a key diagnostic tool for evaluating swallowing function.

Purpose of the Study:

  • To compare the efficacy of traditional swallowing therapy versus the Shaker exercise in patients with oropharyngeal dysphagia.
  • To assess the impact of these therapies on aspiration, residue, laryngeal/hyoid movement, and upper esophageal sphincter (UES) opening.

Main Methods:

  • A randomized clinical trial involving 19 patients with oropharyngeal dysphagia and a history of aspiration.
  • Patients were assigned to either traditional therapy or the Shaker exercise for 6 weeks.

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  • Pre- and post-therapy videofluorography (VFG) studies were conducted to measure swallowing parameters.

    • Main Results:

    • The Shaker exercise group demonstrated significantly less aspiration post-therapy compared to the traditional therapy group.
    • Both therapies led to significant improvements in upper esophageal sphincter (UES) opening width.
    • Traditional therapy showed significant improvements in laryngeal and hyoid movement.

    Conclusions:

    • The Shaker exercise is an effective intervention for reducing aspiration in patients with oropharyngeal dysphagia.
    • Both traditional swallowing therapy and the Shaker exercise can improve swallowing physiology and upper esophageal sphincter function.
    • Further research may explore long-term outcomes and patient adherence.