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The Effects of Different Exercise Trainings on Suprahyoid Muscle Activation, Tongue Pressure Force and Dysphagia Limit in Healthy Subjects

  • Hasan Erkan KılınçEmail author
  • Selen Serel Arslan
  • Numan Demir
  • Ayşe Karaduman
Original Article


Suprahyoid muscle activation and tongue pressure force play a critical role for swallowing function. In addition, dysphagia limit is one of most important factors indicating swallowing efficiency. The purpose of this study was to compare the effects of 8-week training sessions of three different exercises including chin tuck against resistance (CTAR), Shaker exercises and chin tuck exercise with theraband on suprahyoid muscle activity, anterior tongue pressure and dysphagia limit in healthy subjects. Thirty-six healthy volunteers aged between 18 and 40 years who scored below 3 points from Turkish version of Eating Assessment Tool (T-EAT-10) were included in the study, and all participants were divided into three groups randomly. Maximal suprahyoid muscle activations and dysphagia limit of participants were assessed by superficial electromyography. CTAR and chin tuck exercise with theraband increased the maximum suprahyoid muscle activation (p1 = 0.004, p2 = 0.018), whereas Shaker exercise did not increase maximal suprahyoid muscle activation (p = 0.507) after exercise training. CTAR and chin tuck exercise with theraband increased tongue pressure (p1 = 0.045, p2 = 0.041), while Shaker exercise did not increase anterior tongue pressure (p = 0.248). There was no statistically significant difference in dysphagia limits in three groups between before and after exercise training (p > 0.05). As a result, although CTAR seems to be the most effective exercise in most parameters, chin tuck exercise with theraband can also be used as an alternative to CTAR to improve suprahyoid muscle activity and tongue pressure.


Deglutition Deglutition disorders Exercise training Electromyography 



No funding.

Compliance with Ethical Standards

Conflict of interest

There is no conflict of interest.

Ethical Approval

All procedures performed in the study involving human participants were in accordance with the Ethical Standards of the Institutional Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

All participants signed an informed consent form.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Hasan Erkan Kılınç
    • 1
    Email author
  • Selen Serel Arslan
    • 2
  • Numan Demir
    • 2
  • Ayşe Karaduman
    • 2
  1. 1.Department of Physiotherapy and Rehabilitation, Faculty of Health SciencesLokman Hekim UniversityAnkaraTurkey
  2. 2.Department of Physiotherapy and Rehabilitation, Faculty of Health SciencesHacettepe UniversityAnkaraTurkey

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