Abstract
The suprahyoid muscles play a major role in safe swallowing in the pharyngeal phase. Therefore, it is clinically important to design a therapeutic approach for strengthening the suprahyoid muscles for safe and normal swallowing. This study aimed to investigate the activation of suprahyoid muscles by resistance training using kinesiology taping (KT). We enrolled 23 healthy adults. All participants performed saliva swallowing five times at 5 s intervals in three conditions (without KT, 50% stretch with KT, and 80% stretch with KT). KT in the I and reverse V shapes was pulled vertically from the hyolaryngeal complex to the sternum and medially from the superior surface of the clavicle, respectively. Another KT horizontally covered the hyolaryngeal complex to enhance the movement restriction of the hyolaryngeal complex during swallowing. Activation of the suprahyoid muscles during swallowing in the two conditions was measured using surface electromyography. In addition, a 0–10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Both KT 50% and 80% were significantly higher in surface electromyography (sEMG) mean value, peak value, required effort, and resistance felt during swallowing compared to normal swallowing (p < 0.05). In addition, KT 80% was significantly higher in sEMG value, peak value, required effort, and resistance felt during swallowing than KT 50% (p < 0.05). This study demonstrated that KT applied to the area under the hyolaryngeal complex improves activation of the suprahyoid muscle during swallowing. Therefore, KT applied as resistance during swallowing is considered to have therapeutic potential in dysphagia rehabilitation.
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References
Pearson WG, Langmore SE, Yu LB, Zumwalt AC. Structural analysis of muscles elevating the hyolaryngeal complex. Dysphagia. 2012;27:445–51.
Pearson WG, Langmore SE, Zumwalt AC. Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid. Dysphagia. 2011;26:345–51.
Paik NJ, Kim SJ, Lee HJ, Jeon JY, Lim JY, Han TR. Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies. J Electromyogr Kinesiol. 2008;18:329–35.
Park JS, Hwang NK, Kim HH, Choi JB, Chang MY, Jung YJ. Effects of lingual strength training on oropharyngeal muscles in South Korean adults. J Oral Rehabil. 2019. https://doi.org/10.1111/joor.12835.
Park JS, Hwang NK, Oh DH, Chang MY. Effect of head lift exercise on kinematic motion of the hyolaryngeal complex and aspiration in patients with dysphagic stroke. J Oral Rehabil. 2017;44:385–91.
Kim HH, Park JS. Efficacy of modified chin tuck against resistance exercise using hand-free device for dysphagia in stroke survivors: a randomised controlled trial. J Oral Rehabil. 2019. https://doi.org/10.1111/joor.12837.
Steele CM, Bayley MT, Peladeau-Pigeon M, Nagy A, Namasivayam AM, Stokely SL, Wolkin T. A randomized trial comparing two tongue-pressure resistance training protocols for post-stroke dysphagia. Dysphagia. 2016;31:452–61.
Sze WP, Yoon WL, Escoffier N, Rickard Liow SJ. Evaluating the training effects of two swallowing rehabilitation therapies using surface electromyography—chin tuck against resistance (CTAR) exercise and the shaker exercise. Dysphagia. 2016;31:195–205.
Del Balso C, Cafarelli E. Adaptations in the activation of human skeletal muscle induced by short-term isometric resistance training. J Appl Physiol. 2007;103:402–11.
Khodabukus A, Madden L, Prabhu NK, Koves TR, Jackman CP, Muoio DM, Bursac N. Electrical stimulation increases hypertrophy and metabolic flux in tissue-engineered human skeletal muscle. Biomaterials. 2019;198:259–69.
Park JW, Kim Y, Oh JC, Lee HJ. Effortful swallowing training combined with electrical stimulation in post-stroke dysphagia: a randomized controlled study. Dysphagia. 2012;27:521–7.
Park JW, Oh JC, Lee HJ, Park SJ, Yoon TS, Kwon BS. Effortful swallowing training coupled with electrical stimulation leads to an increase in hyoid elevation during swallowing. Dysphagia. 2009;24:296–301.
Park JS, Oh DH, Hwang NK, Lee JH. Effects of neuromuscular electrical stimulation combined with effortful swallowing on post-stroke oropharyngeal dysphagia: a randomised controlled trial. J Oral Rehabil. 2016;43:426–34.
Park JS, Oh DH, Hwang NK, Lee JH. Effects of neuromuscular electrical stimulation in patients with Parkinson's disease and dysphagia: a randomized, single-blind, placebo-controlled trial. NeuroRehabilitation. 2018;42:457–63.
Espí-López GV, Serra-Añó P, Cobo-Pascual D, Zarzoso M, Suso-Martí L, Cuenca-Martínez F, Inglés M. Effects of taping and balance exercises on knee and lower extremity function in amateur soccer players: a randomized controlled trial. J Sport Rehabil. 2019;16:1–25.
Huang YC, Chang KH, Liou TH, Cheng CW, Lin LF, Huang SW. Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: a double-blind, randomized, placebo-controlled study. J Rehabil Med. 2017;49:208–15.
Lee SM, Lee JH. Effects of balance taping using kinesiology tape in a patient with moderate hallux valgus: a case report. Medicine. 2016;95:e5357.
Lin CL, Wu WT, Chang KV, Lin HY, Chou LW. Application of Kinesio Taping method for newborn swallowing difficultly: a case report and literature review. Medicine. 2016;95:4458.
Toprak Celenay S, Ozer Kaya D. Immediate effects of kinesio taping on pain and postural stability in patients with chronic low back pain. J Bodyw Mov Ther. 2019;23:206–10.
Martínez-Gramage J, Merino-Ramirez MA, Amer-Cuenca JJ, Lisón JF. Effect of Kinesio Taping on gastrocnemius activity and ankle range of movement during gait in healthy adults: a randomized controlled trial. Phys Ther Sport. 2016;18:56–61.
Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006;13:31–42.
Gak HB, Lee JH, Kim HD. Efficacy of kinesiology taping for recovery of dominant upper back pain in female sedentary worker having a rounded shoulder posture. Technol Health Care. 2013;21:607–12.
Lee SM, Lee JH. The immediate effects of ankle balance taping with kinesiology tape on ankle active range of motion and performance in the Balance Error Scoring System. Phys Ther Sport. 2017;25:99–105.
Kothari M, Svensson P, Jensen J, Holm TD, Nielsen MS, Mosegaard T, Nielsen JF, Ghovanloo M, Baad-Hansen L. Tongue-controlled computer game: a new approach for rehabilitation of tongue motor function. Arch Phys Med Rehabil. 2014;95:524–30.
Farina D, Merletti R, Enoka RM. The extraction of neural strategies from the surface EMG. J Appl Physiol. 2004;96:1486–95.
Rau G, Schulte E, Disselhorst-Klug C. From cell to movement: to what answers does EMG really contribute? J Electromyogr Kinesiol. 2004;14:611–7.
Wheeler KM, Chiara T, Sapienza CM. Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks. Dysphagia. 2007;22:108–16.
Park JS, Oh DH, Chang MY, Kim KM. Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial. J Oral Rehabil. 2016;43:364–72.
Acknowledgements
This work was supported by Dongseo University, "Dongseo Cluster Project" Research Fund of 2019 (Grant No. DSU-2019002)
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Park, JS., Jung, YJ., Kim, HH. et al. A Novel Method Using Kinesiology Taping for the Activation of Suprahyoid Muscles in Healthy Adults: A Preliminary Research. Dysphagia 35, 636–642 (2020). https://doi.org/10.1007/s00455-019-10071-4
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DOI: https://doi.org/10.1007/s00455-019-10071-4