, Volume 22, Issue 3, pp 251–265 | Cite as

Strength-Training Exercise in Dysphagia Rehabilitation: Principles, Procedures, and Directions for Future Research

  • Lori M. Burkhead
  • Christine M. Sapienza
  • John C. Rosenbek


Dysphagia rehabilitation, historically, has focused a great deal on various compensations during swallowing to prevent aspiration and/or improve safety and efficiency. Exercise, in general, has been a part of the dysphagia rehabilitation landscape. However, heightened discussions in the field regarding best practices for exercise training, particularly strengthening, raise more questions than answers. The intent of this paper is to (1) explore the overriding principles of neuromuscular plasticity with regard to strength training, (2) evaluate how current exercise-training interventions in dysphagia rehabilitation correspond to these principles, and (3) postulate directions for future study of normal and disordered swallowing and determine how to incorporate these principles into dysphagia rehabilitation.


Deglutition Deglutition disorders Dysphagia Swallowing Exercise Strengthening Muscle  


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Lori M. Burkhead
    • 1
    • 3
    • 4
  • Christine M. Sapienza
    • 2
    • 3
  • John C. Rosenbek
    • 1
    • 3
  1. 1.Department of Communicative DisordersUniversity of FloridaGainesvilleUSA
  2. 2.Department of Communication Sciences and DisordersUniversity of FloridaGainesvilleUSA
  3. 3.Brain Rehabilitation Research Center of ExcellenceMalcom Randall VA Medical CenterGainesvilleUSA
  4. 4.Department of Otolaryngology, Division of LaryngologyMedical College of GeorgiaAugustaUSA

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