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COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS

Yıl 2019, Cilt: 30 Sayı: 1, 48 - 57, 16.04.2019
https://doi.org/10.21653/tfrd.450812

Öz

Purpose:The most
important airway protection mechanism during swallowing is adequate laryngeal
elevation.
Suprahyoid muscles are responsible for laryngeal elevation. The
aim of our study was to compare the effects of 
three different exercises including Shaker,  CTAR 
and a new method Chin Tuck with TheraBand Exercises on suprahyoid
muscles activity.










Methods:Forty-two
healthy subjects with a mean age of  27.92
±5.02 years (min=18, max=40), of which 50% were
male were included. All  individuals  were divided into three groups; Chin Tuck
Against Resistance (CTAR); Group 1, Shaker exercise; Group 2, Chin Tuck
Exercise with Theraband (Theraband); Group 3, with computerized randomization. Surface
EMG evaluation was performed to determine 
electrical activity  of the
suprahyoid muscles during maximal voluntary isometric contraction and during performing
CTAR, Shaker exercise and Chin Tuck with Theraband.
Normalized suprahyoid muscle
activations were calculated  as: Recorded
Maximum Electrical Activity During Exercise 
(mV) / Recorded Maximum Electrical  Activity During Maximum İsometric Contraction
(mV).










Results:A
statistically significant difference was found between three groups in terms of
normalized suprahyoid muscle activiteit (p<0.001).
The difference between three groups was caused
by the difference between Group 1 and Group 2 (p<0.001) and between Group1 and
Group 3 (p=0.040) in favor of Group 1.  No
difference was found between Group 2 and Group3 (p=0.104).










Conclusion:In
conclusion, primarily CTAR exercise should be included in rehabilitation to
increase the suprahyoid muscle activation. In addition, chin tuck exercise with
Therband can also be considered as an alternative to CTAR.










Kaynakça

  • 1. Logemann J. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery. 1998;6(6): 395-400.
  • 2. Daniels SK, et al. Aspiration in patients with acute stroke. Arch Phys Med Rehabil. 1998;79(1): 14-19
  • 3. Smithard DG, et al, Can bedside assessment reliably exclude aspiration following acute stroke? Age and ageing. 1998;27(2): 99-106.
  • 4. Logemann J, Swallowing physiology and pathophysiology. Otolaryngol Clin North Am. 1988;21(4): 613-623.
  • 5. Cichero J. Applied anatomy and physiology of the normal swallow, in Dysphagia: Foundation, theory and practice. New York: Wiley; 2006:p. 13-25.
  • 6. Shaw GY, et al. Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Annals of Otology, Rhinology & Laryngology. 2007;116(1): 36-44.
  • 7. Wheeler-Hegland KM, Rosenbek JC, Sapienza CM. Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res. 2008;51(5):1072-1087.
  • 8. Yoon WL, Khoo JK, Liow SJ. Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a Shaker-type exercise. Dysphagia. 2014;29(2):243-248.
  • 9. Shaker R, Easterling C, Kern M, Nitschke T, Massey B, Daniels S, Grande B, Kazandjian M, Dikeman K. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122:1314–1321.
  • 10. Demir N, et al. Reliability and Validity of the Turkish Eating Assessment Tool (T-EAT-10). Dysphagia. 2016;31(5):644-649.
  • 11. Soylu AR, Arpinar-Avsar P. Detection of surface electromyography recording time interval without muscle fatigue effect for biceps brachii muscle during maximum voluntary contraction. J Electromyogr Kinesiol. 2010;20(4):773-6.
  • 12. Coriolano MGWS, Belo LR, Carneiro D, Asano AG, Oliveira PJAL, Silva DM, Lins OG. Swallowing in Patients with Parkinson’s Disease: A Surface Electromyography Study. Dysphagia. 2012; 27: 550–555.
  • 13. http://www.thera-bandacademy.com/tba-product/theraband-elastic-resistance
  • 14. Yoshida M, Groher ME, Crary MA. Comparison of surface electromyographic (sEMG) activity of submental muscles between the head lift and tongue press exercises as therapeutic exercise for pharyngeal dysphagia. Gerodontology. 2007;24:111–116.
  • 15. Easterling C, Grande B, Kern M, Sears K, Shaker R. Attaining and maintaining isometric and isokinetic goals of the Shaker exercise. Dysphagia. 2005;20:133–138.
  • 16. Sze WP, Yoon WL, Escoffier N, Rickard Liow SJ. Evaluating the Training Effects of Two Swallowing Rehabilitation Therapies Using Surface Electromyography—Chin Tuck Against Resistance (CTAR) Exercise and the Shaker Exercise. Dysphagia. 2016;31(2):195-205.
  • 17. Gao J, Zhang HJ. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. Eur J Phys Rehabil Med. 2017;53(3):426-432.
  • 18. Anderson PA, Oza AL, Puschak TJ, Sasso R. Biomechanics of occipitocervical fixation. Spine (Phila Pa 1976). 2006;31(7):755-61.
  • 19. Huelke DF, Nusholtz GS. Cervical spine biomechanics: a review of the literature. J Orthop Res. 1986;4(2):232-45.
  • 20. Koskimies K, Sutinen P, Aalto H, Starck J, Toppila E, Hirvonen T, Kaksonen R, Ishizaki H, Alaranta H, Pyykkö I. Postural stability, neck proprioception and tension neck. Acta Otolaryngol Suppl. 1997;529(2):95-97.
  • 21. Forghani A, Preuss R, Milner TE. Effects of amplitude and predictability of perturbations to the arm on anticipatory and reactionary muscle responses to maintain balance. J Electromyogr Kinesiol. 2017;35:30-39.

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

Yıl 2019, Cilt: 30 Sayı: 1, 48 - 57, 16.04.2019
https://doi.org/10.21653/tfrd.450812

Öz

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.










Kaynakça

  • 1. Logemann J. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery. 1998;6(6): 395-400.
  • 2. Daniels SK, et al. Aspiration in patients with acute stroke. Arch Phys Med Rehabil. 1998;79(1): 14-19
  • 3. Smithard DG, et al, Can bedside assessment reliably exclude aspiration following acute stroke? Age and ageing. 1998;27(2): 99-106.
  • 4. Logemann J, Swallowing physiology and pathophysiology. Otolaryngol Clin North Am. 1988;21(4): 613-623.
  • 5. Cichero J. Applied anatomy and physiology of the normal swallow, in Dysphagia: Foundation, theory and practice. New York: Wiley; 2006:p. 13-25.
  • 6. Shaw GY, et al. Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Annals of Otology, Rhinology & Laryngology. 2007;116(1): 36-44.
  • 7. Wheeler-Hegland KM, Rosenbek JC, Sapienza CM. Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res. 2008;51(5):1072-1087.
  • 8. Yoon WL, Khoo JK, Liow SJ. Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a Shaker-type exercise. Dysphagia. 2014;29(2):243-248.
  • 9. Shaker R, Easterling C, Kern M, Nitschke T, Massey B, Daniels S, Grande B, Kazandjian M, Dikeman K. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122:1314–1321.
  • 10. Demir N, et al. Reliability and Validity of the Turkish Eating Assessment Tool (T-EAT-10). Dysphagia. 2016;31(5):644-649.
  • 11. Soylu AR, Arpinar-Avsar P. Detection of surface electromyography recording time interval without muscle fatigue effect for biceps brachii muscle during maximum voluntary contraction. J Electromyogr Kinesiol. 2010;20(4):773-6.
  • 12. Coriolano MGWS, Belo LR, Carneiro D, Asano AG, Oliveira PJAL, Silva DM, Lins OG. Swallowing in Patients with Parkinson’s Disease: A Surface Electromyography Study. Dysphagia. 2012; 27: 550–555.
  • 13. http://www.thera-bandacademy.com/tba-product/theraband-elastic-resistance
  • 14. Yoshida M, Groher ME, Crary MA. Comparison of surface electromyographic (sEMG) activity of submental muscles between the head lift and tongue press exercises as therapeutic exercise for pharyngeal dysphagia. Gerodontology. 2007;24:111–116.
  • 15. Easterling C, Grande B, Kern M, Sears K, Shaker R. Attaining and maintaining isometric and isokinetic goals of the Shaker exercise. Dysphagia. 2005;20:133–138.
  • 16. Sze WP, Yoon WL, Escoffier N, Rickard Liow SJ. Evaluating the Training Effects of Two Swallowing Rehabilitation Therapies Using Surface Electromyography—Chin Tuck Against Resistance (CTAR) Exercise and the Shaker Exercise. Dysphagia. 2016;31(2):195-205.
  • 17. Gao J, Zhang HJ. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. Eur J Phys Rehabil Med. 2017;53(3):426-432.
  • 18. Anderson PA, Oza AL, Puschak TJ, Sasso R. Biomechanics of occipitocervical fixation. Spine (Phila Pa 1976). 2006;31(7):755-61.
  • 19. Huelke DF, Nusholtz GS. Cervical spine biomechanics: a review of the literature. J Orthop Res. 1986;4(2):232-45.
  • 20. Koskimies K, Sutinen P, Aalto H, Starck J, Toppila E, Hirvonen T, Kaksonen R, Ishizaki H, Alaranta H, Pyykkö I. Postural stability, neck proprioception and tension neck. Acta Otolaryngol Suppl. 1997;529(2):95-97.
  • 21. Forghani A, Preuss R, Milner TE. Effects of amplitude and predictability of perturbations to the arm on anticipatory and reactionary muscle responses to maintain balance. J Electromyogr Kinesiol. 2017;35:30-39.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hasan Erkan Kılınç

Ömer Faruk Yaşaroğlu Bu kişi benim

Selen Serel Arslan

Numan Demir

Mehmet Akif Topçuoğlu Bu kişi benim

Ayşe Karaduman

Yayımlanma Tarihi 16 Nisan 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 30 Sayı: 1

Kaynak Göster

APA Kılınç, H. E., Yaşaroğlu, Ö. F., Serel Arslan, S., Demir, N., vd. (2019). COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS. Fizyoterapi Rehabilitasyon, 30(1), 48-57. https://doi.org/10.21653/tfrd.450812
AMA Kılınç HE, Yaşaroğlu ÖF, Serel Arslan S, Demir N, Topçuoğlu MA, Karaduman A. COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS. Fizyoterapi Rehabilitasyon. Nisan 2019;30(1):48-57. doi:10.21653/tfrd.450812
Chicago Kılınç, Hasan Erkan, Ömer Faruk Yaşaroğlu, Selen Serel Arslan, Numan Demir, Mehmet Akif Topçuoğlu, ve Ayşe Karaduman. “COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS”. Fizyoterapi Rehabilitasyon 30, sy. 1 (Nisan 2019): 48-57. https://doi.org/10.21653/tfrd.450812.
EndNote Kılınç HE, Yaşaroğlu ÖF, Serel Arslan S, Demir N, Topçuoğlu MA, Karaduman A (01 Nisan 2019) COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS. Fizyoterapi Rehabilitasyon 30 1 48–57.
IEEE H. E. Kılınç, Ö. F. Yaşaroğlu, S. Serel Arslan, N. Demir, M. A. Topçuoğlu, ve A. Karaduman, “COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS”, Fizyoterapi Rehabilitasyon, c. 30, sy. 1, ss. 48–57, 2019, doi: 10.21653/tfrd.450812.
ISNAD Kılınç, Hasan Erkan vd. “COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS”. Fizyoterapi Rehabilitasyon 30/1 (Nisan 2019), 48-57. https://doi.org/10.21653/tfrd.450812.
JAMA Kılınç HE, Yaşaroğlu ÖF, Serel Arslan S, Demir N, Topçuoğlu MA, Karaduman A. COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS. Fizyoterapi Rehabilitasyon. 2019;30:48–57.
MLA Kılınç, Hasan Erkan vd. “COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS”. Fizyoterapi Rehabilitasyon, c. 30, sy. 1, 2019, ss. 48-57, doi:10.21653/tfrd.450812.
Vancouver Kılınç HE, Yaşaroğlu ÖF, Serel Arslan S, Demir N, Topçuoğlu MA, Karaduman A. COMPARISON OF NORMALIZED MUSCLE ACTIVATION EFFECTS OF THREE DIFFERENT EXERCISES ON SUPRAHYOID MUSCLES IN HEALTHY SUBJECTS. Fizyoterapi Rehabilitasyon. 2019;30(1):48-57.