Online ISSN: 2577-5669

Efficacy of Swallowing Resistance Exercise Programs on Swallowing Function and Head Posture in Diabetic Older Adults with Cervicogenic Dysphagia. Randomized Controlled Study

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Ashraf Abdelaal Mohamed Abdelaal
» doi: 10.5455/jcmr.2024.15.01.06


Background: The coupled effects of age advance and type 2diabetes mellitus (T2DM)is profoundly impacting the swallowing function (SF). Purpose: To investigate the effectiveness of swallowing resistance exercises programs on the swallowing function (SF) and the forward head position (FHP) in diabetic older adults with cervicogenic dysphagia (CD). Methods: 70elderly patients (age 60-75 years) with T2DM and CD, participated in this randomized controlled study, were randomly allocated to the study group-I (n=23), study group-II (n=23), and the control group (n=24). The SF(using the swallow difficulty questionnaire “SDQ”) and the forward head position (FHP) (through the craniovertebral angle “CVA”)were evaluated pre-and post-study. Participants of the study groups received 3 sessions per week for 8 successive weeks. The study group-I received the “swallowing resisting” exercise program, the study group-II received the resisted “chin tuck-in” exercise program, while the control group did not participate any training programs. Results: In the study group-I,there was significant decrease in the SDQ scores (by -100.74%, P=0.00), but non-significant increases in the CVA(by 1.67%, P=0.30). Also, in study group-II; there was significant decrease in the SDQ score (by - 232.51%, P=0.00), significant increases in the CVA (by 10.67%, P=0.00). While in the control group; there wasnon-significant decrease in the SDQ score (by -0.86%, P=0.74), and non-significant increases in the CVA (by 0.52%, P=0.61).There were significant differences in the SDQ scores (P=0.00) and theCVA (P=63-6) between-groups, in favor of the study group-II. Conclusion: Swallowing resistance exercise programs can effectively improve the SF and FHP in diabetic older adults with CD.

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