Evidence map›Paper›PMID 40767365›Full record

Trial reportJournal of oral rehabilitation2025

Effects of Multidirectional Head Lift Exercise Based on Proprioceptive Neuromuscular Facilitation Techniques on Oropharyngeal Swallowing Muscles in Community-Dwelling Older Adults With Oral Frailty.

Ji-Su Park, HyunDong Kim, NaMi Han

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Ji-Su ParkResearch Institute for Korean Medicine, Pusan National University, Yangsan, Republic of Korea.ORCID https://orcid.org/0000-0001-7113-4792
HyunDong KimDepartment of Rehabilitation Medicine, Inje University Busan Paik Hospital, Busan, Republic of Korea.
NaMi HanDepartment of Rehabilitation Medicine, Inje University Busan Paik Hospital, Busan, Republic of Korea.

Funding

Korea Government RS-2022-NR072244
6 · The paper itself

Abstract

backgroundDysphagia rehabilitation using proprioceptive neuromuscular facilitation (PNF) was recently introduced. However, the clinical evidence for this technique remains unclear.

objectiveThis study aimed to investigate the effects of multidirectional head-lift exercise using PNF techniques for the oropharyngeal swallowing muscles in older adults with oral frailty.

methodsOlder adults with oral frailty were enrolled in this study and randomly assigned to the experimental or control group. The experimental group performed multidirectional head-lift exercises based on PNF techniques, whereas the control group performed conventional head-lift exercises (90 times/day, 5 days/week for 6 weeks). Tongue strength and thickness were measured using an Iowa Oral Performance Instrument and ultrasonography, respectively. Additionally, suprahyoid muscle activation and thickness were measured using surface electromyography and ultrasonography, respectively.

resultsThe experimental group showed significant improvements in tongue strength and thickness compared to the control group, as well as significant improvements in suprahyoid muscle activation and thickness (all, p < 0.05).

conclusionThis study demonstrates that multidirectional head-lift exercise based on PNF techniques is more effective than conventional head-lift exercise in increasing the strength and thickness of the oropharyngeal muscles related to swallowing in older adults.

Indexed as

DeglutitionDeglutition DisordersExercise TherapyFrailtyPharyngeal MusclesProprioceptionAgedAged, 80 and overElectromyographyFemaleFrail ElderlyHumansIndependent LivingMaleMuscle StrengthOropharynxdysphagiahead lift exerciseproprioceptive neuromuscular facilitationsuprahyoid muscletongue

Identifiers

PMID40767365
PMCPMC12624186

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Registered trials

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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.