Comparison of Activities of Submental, Infrahyoid, and Sternocleidomastoid Muscles During Modified Chin Tuck Against Resistance Exercise and Chin Tuck Against Resistance Exercise
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The chin tuck against resistance exercise (CTARE) is a treatment technique that strengthens the submental muscles and improves swallowing function. In addition, previous studies were reported that the jaw opening exercise also improved swallowing function. Accordingly, the authors devised a new exercise technique that combines the two previous exercises. This study aimed to compare the activities of the submental, the infrahyoid, and the sternocleidomastoid muscles between the chin tuck against resistance exercise (CTARE) and the modified CTARE. Twenty healthy adults participated and performed both exercises five times randomly for 10 seconds each and an isometric exercise at 1-minute intervals. There was a 5-minute break between each exercise. The mean and peak values were analyzed. The surface electromyography was used to measure the activities of the submental, the infrahyoid, and the sternocleidomastoid muscles during the two exercises. Results showed that the modified CTARE induced higher the mean and peak activity of the submental muscles than the CTARE (p<0.05), while there was no significant difference in activities of the infrahyoid and the sternocleidomastoid muscles (p>0.05). These findings suggest that modified CTARE may be effective for improving the submental muscles strengthening. A patient study is needed to closely verify the effectiveness of the modified CTARE.
Abstract
The chin tuck against resistance exercise (CTARE) is a treatment technique that strengthens the submental muscles and improves swallowing function. In addition, previous studies were reported that the jaw opening exercise also improved swallowing function. Accordingly, the authors devised a new exercise technique that combines the two previous exercises. This study aimed to compare the activities of the submental, the infrahyoid, and the sternocleidomastoid muscles between the chin tuck against resistance exercise (CTARE) and the modified CTARE. Twenty healthy adults participated and performed both exercises five times randomly for 10 seconds each and an isometric exercise at 1-minute intervals. There was a 5-minute break between each exercise. The mean and peak values were analyzed. The surface electromyography was used to measure the activities of the submental, the infrahyoid, and the sternocleidomastoid muscles during the two exercises. Results showed that the modified CTARE induced higher the mean and peak activity of the submental muscles than the CTARE (p<0.05), while there was no significant difference in activities of the infrahyoid and the sternocleidomastoid muscles (p>0.05). These findings suggest that modified CTARE may be effective for improving the submental muscles strengthening. A patient study is needed to closely verify the effectiveness of the modified CTARE.
참고문헌 (18)
- J. A. Logemann, "Dysphagia: evaluation and treatment", Folia Phoniatrica et Logopaedica, 47(3), pp.140~164 (1995)
- 문종훈, "건강한 성인의 정상삼킴과 노력삼킴에서 목뿔위, 깨물, 입둘레근의 활성 차이", 한국엔터테인먼트산업학회논문지, 11(1), pp.231~239 (2017), 한국엔터테인먼트산업학회[DOI]
- 원영식, "Effect of Olfactory Stimulation Mixed Carbonated Water Swallow on Suprahyoid Muscle Activity in Healthy Subjects", 한국지식정보기술학회 논문지, 15(1), pp.121~127 (2020), 한국지식정보기술학회[DOI]
- M. R. Hoffman, "High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the Mendelsohn maneuver", Dysphagia, 27(3), pp.418~426 (2012)
- S. M. Molfenter, "Variation in temporal measures of swallowing: sex and volume effects", Dysphagia, 28(2), pp.226~233 (2013)
- K. M. Wheeler, "Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks", Dysphagia, 22(2), pp.108~116 (2007)
- K. T. White, "Fatigue analysis before and after shaker exercise: physiologic tool for exercise design", Dysphagia, 23(4), pp.385~391 (2008)
- W. L. Yoon, "Chin tuck against resistance (CTAR):new method for enhancing suprahyoid muscle activity using a Shaker-type exercise", Dysphagia, 29(2), pp.243~248 (2014)
- R. Shaker, "Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening", Gastroenterology, 122(5), pp.1314~1321 (2002)
- C. Easterling, "Attaining and maintaining isometric and isokinetic goals of the Shaker exercise", Dysphagia, 20(2), pp.133~138 (2005)
- W. P. Sze, "Evaluating the training effects of two swallowing rehabilitation therapies using surface electromyography—chin tuck against Resistance (CTAR) exercise and the shaker exercise", Dysphagia, 31(2), pp.195~205 (2016)
- S. Wada, "Jaw-opening exercise for insufficient opening of upper esophageal sphincter", Archives of Physical Medicine and Rehabilitation, 93(11), pp.1995~1999 (2012)
- M. A. Crary, "Basic concepts of surface electromyographic biofeedback in the treatment of dysphagia a tutorial", American Journal of Speech-Language Pathology, 9(2), pp.116~125 (2000)
- D. Falla, "Location of innervation zones of sternocleidomastoid and scalene muscles–a basis for clinical and research electromyography applications", Clinical Neurophysiology, 113(1), pp.57~63 (2002)
- C. R. Watts, "Measurement of hyolaryngeal muscle activation using surface electromyography for comparison of two rehabilitative dysphagia exercises", Archives of Physical Medicine and Rehabilitation, 94(12), pp.2542~2548 (2013)
- W. G. Pearson, "Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid", Dysphagia, 26(4), pp.345~351 (2011)
- D. J. Vandaele, "Intrinsic fibre architecture and attachments of the human epiglottis and their contributions to the mechanism of deglutition", Journal of anatomy, 186(Pt 1), pp.1~15 (1995)
- T. Hughes, "Effects of 2resistive exercises on electrophysiological measures of submandibular muscle activity", Archives of Physical Medicine and Rehabilitation, 97(9), pp.1552~1557 (2016)
