Evidence map›Paper›PMID 26936446›Full record

Trial reportDysphagia2016

A Randomized Trial Comparing Two Tongue-Pressure Resistance Training Protocols for Post-Stroke Dysphagia.

Catriona M Steele, Mark T Bayley, Melanie Peladeau-Pigeon, Ahmed Nagy, Ashwini M Namasivayam, Shauna L Stokely, Talia Wolkin

4 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Dysphagia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 67 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 10 pooled it
21.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03682081 nacompletednot on this mapstarted 2020, after this paper: background citation

Impact of Novel Rehabilitative Approaches for Dysphagia in Patients With Alzheimer's Disease and Related Dementias

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2020 to 2025Enrolled76ConditionsDementia, Dysphagia, Alzheimer DiseaseArmsIsometric tongue strengthening facilitated by Iowa Oral Performance Instrument (IOPI), Biotene Oral Balance Gel
NCT03969095 naterminatednot on this mapstarted 2019, after this paper: background citation

Tongue Pressure Resistance Training for Swallowing Impairment Post-Stroke

TypeinterventionalSponsorUniversity Health Network, TorontoRan2019 to 2022Enrolled1ConditionsStroke, DysphagiaArmsTongue Pressure Resistance Training
NCT05523973 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Lingual Endurance Exercise on Rehabilitation of Swallowing Impairment After Ischemic Stroke

TypeinterventionalSponsorUniversity of CincinnatiRan2022 to 2023Enrolled19ConditionsDysphagia, Oral Phase, Stroke, IschemicArmsLingual Endurance Training
NCT07203508 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Tongue-to-Palate Resistance Training on Penetration-Aspiration Scale and Suprahyoid Muscle Electrical Activity in Geriatric Patients With Oropharyngeal Dysphagia

TypeinterventionalSponsorDr Cipto Mangunkusumo General HospitalRan2022 to 2024Enrolled17ConditionsOropharyngeal Dysphagia, Geriatric PatientsArmsTongue-to-Palate Resistance Training, Standard Dysphagia Therapy
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 10 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Pooled it
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  4. Dosages of swallowing exercises in stroke rehabilitation: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Pooled it
  5. Pooled it
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  10. Swallowing therapy for dysphagia in acute and subacute stroke.The Cochrane database of systematic reviews · 2018
    Pooled it
  11. Trial
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  19. Evaluation of effortful swallow in patients with post stroke dysphagia using visual analysis of swallowing efficiency and safety (VASES) protocol.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Catriona M SteeleSwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada. Catriona.steele@uhn.ca.ORCID 0000-0002-4294-6561
Mark T BayleySwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
Melanie Peladeau-PigeonSwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
Ahmed NagySwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
Ashwini M NamasivayamSwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
Shauna L StokelySwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
Talia WolkinSwallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
University Health Network · CA

Funding

Tongue-pressure timing for liquid flow detection and control in swallowingR01DC011020 · NIDCD · UNIVERSITY HEALTH NETWORK · PI STEELE, CATRIONA MARGARET · 2010 to 2020
$2.9M
NIDCD NIH HHS R01 DC011020
6 · The paper itself

Abstract

The objective of this study was to compare the outcomes of two tongue resistance training protocols. One protocol ("tongue-pressure profile training") emphasized the pressure-timing patterns that are typically seen in healthy swallows by focusing on gradual pressure release and saliva swallowing tasks. The second protocol ("tongue-pressure strength and accuracy training") emphasized strength and accuracy in tongue-palate pressure generation and did not include swallowing tasks. A prospective, randomized, parallel allocation trial was conducted. Of 26 participants who were screened for eligibility, 14 received up to 24 sessions of treatment. Outcome measures of posterior tongue strength, oral bolus control, penetration-aspiration and vallecular residue were made based on videofluoroscopy analysis by blinded raters. Complete data were available for 11 participants. Significant improvements were seen in tongue strength and post-swallow vallecular residue with thin liquids, regardless of treatment condition. Stage transition duration (a measure of the duration of the bolus presence in the pharynx prior to swallow initiation, which had been chosen to capture impairments in oral bolus control) showed no significant differences. Similarly, significant improvements were not seen in median scores on the penetration-aspiration scale. This trial suggests that tongue strength can be improved with resistance training for individuals with tongue weakness following stroke. We conclude that improved penetration-aspiration does not necessarily accompany improvements in tongue strength; however, tongue-pressure resistance training does appear to be effective for reducing thin liquid vallecular residue.

Indexed as

AgedAged, 80 and overDeglutition DisordersFemaleHumansMaleMiddle AgedMuscle StrengthPressureProspective StudiesResistance TrainingSingle-Blind MethodStrokeStroke RehabilitationTongueTreatment OutcomeDeglutitionDeglutition disordersDysphagiaRehabilitationTongue

Identifiers

PMID26936446
PMCPMC4871779
OpenAlexW2292407764

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.