Effects of Sensorimotor Exercise on Swallowing Outcomes Relative to Age and Age-Related Disease

Stephanie Kays; Jo Anne Robbins

doi:10.1055/s-2006-955115

Seminars in Speech and Language, Inhaltsverzeichnis

Semin Speech Lang 2006; 27(4): 245-259
DOI: 10.1055/s-2006-955115

Effects of Sensorimotor Exercise on Swallowing Outcomes Relative to Age and Age-Related Disease

Stephanie Kays¹ , JoAnne Robbins²

¹Department of Medicine, University of Wisconsin and William S. Middleton Memorial Veterans Hospital, Geriatric Research, Education and Clinical Center (GRECC), Madison, Wisconsin
²Departments of Medicine and Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Abstract

Parallel to the growing number of adults over age 65 years and the increasing use of exercise in geriatric medicine to improve function and decrease fall risk, recent advances in the treatment of geriatric dysphagia have focused on rehabilitating swallowing function with active exercise. Specific changes in central neural pathways as well as peripheral end organs (muscles) that occur with natural aging may predispose older adults to an increased risk for dysphagia when faced with chronic medical conditions. Research to date primarily has focused on the utility of nonswallow motor exercises to increase muscle strength and range of motion in oropharyngeal structures. Future directions in the field of dysphagia rehabilitation demand evidence-based investigations into the ability of exercise to affect neural plasticity, representing long-lasting alterations in neural organization.

KEYWORDS

Exercise - strengthening - dysphagia intervention - aged swallowing

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Stephanie KaysM.S.

William S. Middleton Memorial Veterans Hospital

2500 Overlook Terrace, GRECC, 11G, Madison, WI 53706

eMail: sakays@wisc.edu