Original Research Article
Year: 2019 | Month: December | Volume: 9 | Issue: 12 | Pages: 268-274
Effects of Lingual Exercises, Swallowing Maneuvers Along With Conventional Therapy on Improving Swallowing Function and Quality of Life in Stroke Patients with Dysphagia
Ashwini Padmakar Sonawane1, Dr. R. M. Singaravelan2
1BPT Student, Dr. A.P.J. Abdul Kalam College of Physiotherapy, Loni, Maharashtra
2Professor/HOD Neuro Physiotherapy, Dr. A.P.J. Abdul Kalam College of Physiotherapy, Loni, Maharashtra
Corresponding Author: Ashwini Padmakar Sonawane
ABSTRACT
Background: Dysphagia is one of the common features among stroke patients, It may lead to dehydration, malnutrition that affects the recovery further it affects the quality of life. In stroke, dysphagia is due to the involvement of lack of cerebral cortex function which control voluntary swallowing function, involvement of medulla which controls involuntary swallowing action also lack of sensory input from cranial nerves, etc., conventionally for dysphagia management there are symptomatical medical management along with the primary stroke medical management, there are minimal concentration through the exercises with different manoeuvres for managing stroke with dysphagia. So, the aim of this study is to analyze and compare the effects of lingual exercises along with swallowing manoeuvres with conventional therapy on improve swallowing function and quality of life in stroke participants with dysphagia.
Materials And Method: 10 participants with age group between 55 to 65years were selected according to the selection criteria. They were randomly divided in to two groups. Group A was given conventional therapy which includes medical management, diet modification and positioning. In group B was given lingual exercises, swallowing manoeuvres along with conventional therapy. The entire procedure was explained to the participant and informed written consent was obtained. In group A Conventional therapy was given and in group B lingual exercises, swallowing manoeuvres along with conventional therapy was performed; therapy session for both group was 2 sessions per day, each session lasting for 30 mins for 4 days per week for total a period of 4 weeks. The outcome measures were assessed before and after intervention by dysphagia handicap index and functional oral intake scale. The result was analyzed before and after the intervention of both the treatment in both the groups using the student paired ‘t’ test and unpaired ‘t’ test.
Result: The swallowing function and quality of life assess using dysphagia handicap index and functional oral intake scale. Group A received conventional therapy the pre and post mean values of dysphagia handicap index was 167.2 + 2.95, 147 + 7.483. The pre and post mean value of functional oral intake scale was 1 + 0, 2.6 + 0.5477. (‘p’=0.0077) Similarly in group B received lingual exercises, swallowing manoeuvres and along with conventional therapy. The pre and post mean values of dysphagia handicap index was 168.4 + 2.51, 101.6 + 8.678. The pre and post mean values of functional oral intake scale was 1.8 + 0.4472, 6.2 + 0.4472.(’p’=0.001) The result calculated by using student paired‘t‘ test showed significant difference in dysphagia handicap index and functional oral intake scale.
In group A and group B, post mean values of dysphagia handicap index was 147 + 7.483, 101.6 + 8.678. The post mean values of functional oral intake scale was 2.6 + 0.5477, 6.2 + 0.4472.(’p’=0.001) The result calculated by using student unpaired‘t‘ test showed significant difference in dysphagia handicap index and functional oral intake scale in group A and group B.
Conclusion: This study concluded that lingual exercises, swallowing manoeuvres along with conventional therapy is more effective as compared with conventional therapy in the management of dysphagia with stroke.
Key words: Dysphagia, stroke patients, diet modification, lingual exercises, swallowing manoeuvres, dysphagia handicap index and functional oral intake scale