Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial

Background: It has recently been shown that suprahyoid muscle exercise using kinesiology taping (KT) increases the activation of the suprahyoid muscle in healthy adults, suggesting a potential therapeutic clinical exercise for dysphagia rehabilitation. This study investigated the effect of dysphagia...

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Main Authors: Young-Jin Jung, Hee-Jeong Kim, Jong-Bae Choi, Ji-Su Park, Na-Kyoung Hwang
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/8/4/411
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spelling doaj-4dfabee7fcd84c9996979fa71f5c0bbd2020-11-25T03:53:05ZengMDPI AGHealthcare2227-90322020-10-01841141110.3390/healthcare8040411Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled TrialYoung-Jin Jung0Hee-Jeong Kim1Jong-Bae Choi2Ji-Su Park3Na-Kyoung Hwang4Department of Radiological Science at Health Sciences Division, DongSeo University, 47 Jurye-ro, Sasang-gu, Busan 47011, KoreaDepartment of Occuptional Therapy, Kyungdong University, 815, Gyeonhwon-ro, Munmak-eup, Wonju, Gangwon-do 26495, KoreaDepartment of Occupational Therapy, Sangji University, 83, Sangjidae-gil, Wonju, Gangwon-do 26339, KoreaAdvanced Human Resource Development Project Group for Health Care in Aging Friendly Industry, Dongseo University, 47 Jurye-ro, Sasang-gu, Busan 47011, KoreaDepartment of Occupational Therapy, Seoul North Municipal Hospital, 38 Yangwonyeokro, Jungnang-gu, Seoul 02062, KoreaBackground: It has recently been shown that suprahyoid muscle exercise using kinesiology taping (KT) increases the activation of the suprahyoid muscle in healthy adults, suggesting a potential therapeutic clinical exercise for dysphagia rehabilitation. This study investigated the effect of dysphagia rehabilitation using KT in stroke patients with dysphagia. Methods: Thirty subjects in South Korea were enrolled in this prospective placebo-controlled double-blind study. Participants were randomly assigned to the experimental and sham groups. In the experimental group, the tape was attached to the hyolaryngeal complex, pulled downward with approximately 70% tension, and then attached to the sternum and the clavicle bilaterally. In the sham group, the tape was applied similarly but without the tension. Both groups performed voluntary swallowing 50 times (10 times swallowing per set, times 5 sets) a day for 4 weeks with KT applied. Outcome measures were assessed using portable ultrasound equipment. The parameter measured was the change in thickness of the tongue muscle, mylohyoid muscle, and the anterior belly of the digastric muscle. Results: The experimental group showed statistically significant changes in the thickness of the tongue muscle, mylohyoid muscle, and anterior belly of the digastric muscle than the sham group (<i>p</i> = 0.007, 0.002, and 0.001). Conclusion: Dysphagia rehabilitation using KT is a technique that may promote oropharyngeal muscle thickness in patients with dysphagia after stroke.https://www.mdpi.com/2227-9032/8/4/411dysphagiakinesiology tapingrehabilitationsuprahyoid musclestongue muscleultrasound
collection DOAJ
language English
format Article
sources DOAJ
author Young-Jin Jung
Hee-Jeong Kim
Jong-Bae Choi
Ji-Su Park
Na-Kyoung Hwang
spellingShingle Young-Jin Jung
Hee-Jeong Kim
Jong-Bae Choi
Ji-Su Park
Na-Kyoung Hwang
Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial
Healthcare
dysphagia
kinesiology taping
rehabilitation
suprahyoid muscles
tongue muscle
ultrasound
author_facet Young-Jin Jung
Hee-Jeong Kim
Jong-Bae Choi
Ji-Su Park
Na-Kyoung Hwang
author_sort Young-Jin Jung
title Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial
title_short Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial
title_full Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial
title_fullStr Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial
title_full_unstemmed Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial
title_sort effect of dysphagia rehabilitation using kinesiology taping on oropharyngeal muscle hypertrophy in post-stroke patients: a double blind randomized placebo-controlled trial
publisher MDPI AG
series Healthcare
issn 2227-9032
publishDate 2020-10-01
description Background: It has recently been shown that suprahyoid muscle exercise using kinesiology taping (KT) increases the activation of the suprahyoid muscle in healthy adults, suggesting a potential therapeutic clinical exercise for dysphagia rehabilitation. This study investigated the effect of dysphagia rehabilitation using KT in stroke patients with dysphagia. Methods: Thirty subjects in South Korea were enrolled in this prospective placebo-controlled double-blind study. Participants were randomly assigned to the experimental and sham groups. In the experimental group, the tape was attached to the hyolaryngeal complex, pulled downward with approximately 70% tension, and then attached to the sternum and the clavicle bilaterally. In the sham group, the tape was applied similarly but without the tension. Both groups performed voluntary swallowing 50 times (10 times swallowing per set, times 5 sets) a day for 4 weeks with KT applied. Outcome measures were assessed using portable ultrasound equipment. The parameter measured was the change in thickness of the tongue muscle, mylohyoid muscle, and the anterior belly of the digastric muscle. Results: The experimental group showed statistically significant changes in the thickness of the tongue muscle, mylohyoid muscle, and anterior belly of the digastric muscle than the sham group (<i>p</i> = 0.007, 0.002, and 0.001). Conclusion: Dysphagia rehabilitation using KT is a technique that may promote oropharyngeal muscle thickness in patients with dysphagia after stroke.
topic dysphagia
kinesiology taping
rehabilitation
suprahyoid muscles
tongue muscle
ultrasound
url https://www.mdpi.com/2227-9032/8/4/411
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