Evidence map›Paper›PMID 29956861›Full record

Trial reportNeurogastroenterology and motility2018

Swallow strength training exercise for elderly: A health maintenance need.

D Agrawal, M Kern, F Edeani, G Balasubramanian, A Hyngstrom, P Sanvanson, R Shaker

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Neurogastroenterology and motility, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Association between Tongue Pressure and Jaw-Opening Force in Older Adults.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents.International journal of environmental research and public health · 2021
    Article
  12. Fatigability of the external anal sphincter muscles using a novel strength training resistance exercise device.American journal of physiology. Gastrointestinal and liver physiology · 2021
    Article
  13. Anatomy of inferior end of palatopharyngeus: its contribution to upper esophageal sphincter opening.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 · 2021
    Article
  14. Article
  15. Article
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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 2 institutions in 1 country.

D AgrawalDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
M KernDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
F EdeaniDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
G BalasubramanianDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
A HyngstromCollege of Health Sciences Physical Therapy, Marquette University Milwaukee, Milwaukee, WI, USA.
P SanvansonDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
R ShakerDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0001-6079-1017
Medical College of Wisconsin · USMarquette University · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
The Physiology of the Pharyngo-Esophageal JunctionP01DK068051 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2007 to 2018
$11.6M
ESOPHAGEAL MOTOR FUNCTION IN HEALTH AND DISEASER01DK025731 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 1986 to 2015
$5.7M
GASTROENTEROLOGY RESEARCH TRAINING GRANTT32DK061923 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2002 to 2019
$2.8M
NCATS NIH HHS UL1 TR001436NIDDK NIH HHS P01 DK068051NIDDK NIH HHS R01 DK025731NIDDK NIH HHS T32 DK061923NIH HHS P01DK068051NIH HHS R01DK025731NIH HHS T32DK061923NIH HHS UL1TR001436
6 · The paper itself

Abstract

backgroundRecent studies have shown high prevalence of oropharyngeal dysphagia associated with frailty- and age-related muscle weakness. Strength training exercises have been advocated for locomotive health maintenance in the elderly and have shown positive outcomes. As muscles involved in oropharyngeal phase of swallowing are also comprised of striated muscles, the aim of this study was to determine biomechanical effect of a novel resistance exercise program, Swallowing Against Laryngeal Restriction (SALR), on pharyngeal phase swallowing in the healthy elderly.

methodsA total of 28 volunteers (75 + 7 years; 17 females) with no complaint of dysphagia were studied using video fluoroscopy before and after 6 weeks of the swallow strength training exercise. Eighteen of these volunteers also underwent high-resolution pharyngeal manometry non-concurrent with fluoroscopy. Ten additional volunteers (81 + 6 years; 9 females) were studied by videofluoroscopy before and after 6 weeks of a sham exercise. KEY

resultsSwallow resistance exercise but not the sham exercise resulted in a significant increase in maximum upper esophageal sphincter opening (P < .01), superior and anterior laryngeal excursion (P < .01) as well as posterior pharyngeal wall thickness (P < .01). Resistance exercise but not sham exercise also resulted in a significant increase in deglutitive pharyngeal contractile integral (P < .01). CONCLUSIONS & INFERENCES: Strength training of muscles involved in the pharyngeal phase of swallowing using the swallowing against laryngeal restriction technique is feasible and significantly improves key physiologic features of the pharyngeal phase of swallowing. These findings provide the basis for consideration of developing an exercise-based swallow health maintenance program for the elderly swallow health maintenance program for the elderly.

Indexed as

AgedAged, 80 and overDeglutitionDeglutition DisordersExercise TherapyFemaleHealthy VolunteersHumansLarynxMaleMuscle, SkeletalPharynxResistance Trainingagingdysphagiaelderlyexerciseswallow health maintenanceswallowing disorders

Identifiers

PMID29956861
PMCPMC6160333
OpenAlexW2811303985

What OpenQuestion holds

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Registered trials

None linked

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.