Evidence map›Paper›PMID 31612288›Full record

SynthesisDysphagia2020

The Effect of Lingual Resistance Training Interventions on Adult Swallow Function: A Systematic Review.

Sana Smaoui, Amy Langridge, Catriona M Steele

2 registry-linked trialsOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Dysphagia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
12.2field-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.

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
NCT07080996 phase3enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Effect of Biofeedback Tongue Strengthening Program on Tongue Pressure and Swallowing Performance in Elderly With Abnormal Tongue Pressure

TypeinterventionalSponsorMahidol UniversityRan2025 to 2026Enrolled52ConditionsPresbyphagia, Abnormal Tongue PressureArmsStrengthening training with biofeedback, Endurance training with biofeedback
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  9. Increasing tongue pressure with CAD/CAM palatal augmentation plate for tongue cancer patients with glossectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

3 authors at 1 institution in 1 country.

Sana SmaouiSwallowing Rehabilitation Research Laboratory, KITE - Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada. sana.smaoui@uhn.ca.ORCID 0000-0001-6103-7585
Amy LangridgeSwallowing Rehabilitation Research Laboratory, KITE - Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
Catriona M SteeleSwallowing Rehabilitation Research Laboratory, KITE - Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th Floor, Toronto, ON, M5G 2A2, Canada.
University Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lingual resistance training has been proposed as an intervention to improve decreased tongue pressure strength and endurance in patients with dysphagia. However, little is known about the impact of lingual resistance training on swallow physiology. This systematic review scrutinizes the available evidence regarding the effects of lingual resistance training on swallowing function in studies using Videofluoroscopic Swallowing Studies (VFSS) with adults. Seven articles met the inclusion criteria and underwent detailed review for study quality, data extraction, and planned meta-analysis. Included studies applied this intervention to a stroke and brain injury patient populations or to healthy participants, applied different training protocols, and used a number of outcome measures, making it difficult to generalize results. Lingual resistance training protocols included anterior and posterior tongue strengthening, accuracy training, and effortful press against hard palate with varying treatment durations. VFSS protocols typically included a thin barium stimulus along with one other consistency to evaluate the effects of the intervention. Swallowing measures included swallow safety, efficiency, and temporal measures. Temporal measures significantly improved in one study, while safety improvements showed mixed results across studies. Reported improvements in swallowing efficiency were limited to reductions in thin liquid barium residue in two studies. Overall, the evidence regarding the impact of lingual resistance training for dysphagia is mixed. Meta-analysis was not possible due to differences in methods and outcome measurements across studies. Reporting all aspects of training and details regarding VFSS protocols is crucial for the reproducibility of these interventions. Future investigations should focus on completing robust analyses of swallowing kinematics and function following tongue pressure training to determine efficacy for swallowing function.

Indexed as

Deglutition DisordersResistance TrainingAdultDeglutitionHumansPressureReproducibility of ResultsTongueDeglutitionDeglutition disordersDysphagiaRehabilitationSwallowingTongue

Identifiers

PMID31612288
PMCPMC7522100
OpenAlexW2981181090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.