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Abstract

The Shaker Exercise is a simple isometric and isotonic ­exercise that has been shown to strengthen the suprahyoid muscles resulting in changes in deglutition (Am J Physiol 272: G1518–G1522, 1997; Gastroenterology 122: 1314–1321, 2002). Those changes have been shown to include an increase in anterior laryngeal excursion and anteroposterior deglutitive opening of the upper esophageal sphincter in healthy older adults and in patients with dysphagia (Am J Physiol 272: G1518–G1522, 1997; Gastroenterology 122: 1314–1321, 2002). Dysphagic patients have also been shown to experience the elimination of post-deglutitive aspiration (Gastroenterology 122: 1314–1321, 2002). The exercise does result in mild muscular discomfort which dissipates over the first week of the 6-week treatment course. The progression of the Shaker Exercise regimen should be tailored to the individual abilities of each patient, that is, a gradual stepwise progression toward the isometric and isotonic exercise goals.

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References

  1. Shaker R, Kern M, Bardan E, Taylor A, Stewart ET, Hoffmann RG, et al. Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. Am J Physiol. 1997;272:G1518–22.

    PubMed  CAS  Google Scholar 

  2. Shaker R, Easterling C, Kern M, Nitschke T, Massey B, Daniels S, et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122:1314–21.

    Article  PubMed  Google Scholar 

  3. Dodds WJ, Man KM, Cook IJ, Kahrilas PJ, Stewart ET, Kern MK. Influence of bolus volume on swallow-induced hyoid movement in normal subjects. Am J Roentgenol. 1988;150:1307–9.

    CAS  Google Scholar 

  4. Shaw DW, Cook IJ, Gabb M, Holloway RH, Simula ME, Panagopoulos V, et al. Influence of normal aging on oral pharyngeal and upper esophageal sphincter function during swallowing. Am J Physiol. 1995;268:G389–96.

    PubMed  CAS  Google Scholar 

  5. McConnell FM, Cerendo D, Jackson RT, Guffin Jr TN. Timing of major events of pharyngeal swallowing. Arch Otolaryngol Head Neck Surg. 1988;114:1413–6.

    Article  Google Scholar 

  6. Kern M, Bardan E, Arndorfer R, Hofmann C, Ren J, Shaker R. Comparison of upper esophageal sphincter opening in healthy asymptomatic young and elderly volunteers. Ann Otol Rhinol Laryngol. 1999;108:982–9.

    PubMed  CAS  Google Scholar 

  7. Shaker R, Ren J, Podvrsan B, Dodds WJ, Hogan WJ, Kern M, et al. Effect of aging and bolus variables on pharyngeal and upper esophageal sphincter motor function. Am J Physiol. 1993;264:G427–32.

    PubMed  CAS  Google Scholar 

  8. The Shaker Exercise. http://www.mcw.edu/shakerexercise.html (2011). Accessed 1 Jan 2011.

  9. Jurell KC, Shaker R, Mazur A, Haig AJ, Wertsch JJ. Spectral analysis to evaluate hyoid muscles involvement in neck exercise. Muscle Nerve. 1996;19:1224.

    Google Scholar 

  10. Jurell KC, Shaker R, Mazur A, Haig AJ, Wertsch JJ. Effect of exercise on upper esophageal sphincter muscles: a spectral analysis. Gastroenterology. 1997;112:A757.

    Google Scholar 

  11. Alfonso M, Ferdjallah M, Shaker R, Wertsch JJ. Electrophysiologic validation of deglutitive UES opening head lift exercise. Gastroenterology. 1998;114:G2942.

    Article  Google Scholar 

  12. Ferdjallah M, Wertsch JJ, Shaker R. Spectral analysis of surface electromyography (EMG) of upper esophageal sphincter opening muscles during head lift exercise. J Rehabil Res Dev. 2000;37:335–40.

    PubMed  CAS  Google Scholar 

  13. Easterling C, Grande B. Wisconsin Speech And Hearing Association (WSHA) Madison, WI. Dysphagia network pilot project: functional outcome assessment measure of swallowing. Language Pathology and Audiology Association Convention Brief 1. 1999. p. 2–3.

    Google Scholar 

  14. Easterling C, Grande B, Kern M, Sears K, Shaker R. Attaining and maintaining isometric and isokinetic goals of the Shaker exercise. Dysphagia. 2005;20:133–8.

    Article  PubMed  Google Scholar 

  15. Easterling C. Does and exercise designed to improve swallow function effect voice? Dysphagia. 2008;23:317–26.

    Article  PubMed  Google Scholar 

  16. Wuyts FL, De Bodt MS, Molenberghs G, Remacle M, Heylen L, Millet B, et al. The Dysphonia severity index: an objective measure of vocal quality based on a multiparameter approach. J Speech Lang Hear Res. 2000;43:796–809.

    PubMed  CAS  Google Scholar 

  17. White KT, Easterling C, Roberts N, Wertsch J, Shaker R. Fatigue analysis before and after Shaker exercise: physiologic tool for exercise design. Dysphagia. 2008;23:385–91.

    Article  PubMed  Google Scholar 

  18. Mepani R, Antonik S, Massey B, Kern M, Logemann J, Pauloski B, et al. Augmentation of deglutitive thyrohyoid muscle shortening by the Shaker Exercise. Dysphagia. 2009;24:26–31.

    Article  PubMed  Google Scholar 

  19. Logemann JA, Rademaker A, Pauloski BR, Kelly A, Stangl-McBreen C, Antinoja J, et al. A randomized study comparing the shaker exercise with traditional therapy: a preliminary study. Dysphagia. 2009;24:403–11.

    Article  PubMed  Google Scholar 

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Correspondence to Caryn Easterling PhD, CCC, BRS-S, ASHAF Fellow .

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Easterling, C. (2013). Shaker Exercise. In: Shaker, R., Easterling, C., Belafsky, P., Postma, G. (eds) Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3779-6_13

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  • DOI: https://doi.org/10.1007/978-1-4614-3779-6_13

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