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Suprahyoid Exercise May Improve Dysphagia in Elderly Patients

Laurie Barclay, MD


June 10, 2002 — Many elderly patients require a feeding tube for dysphagia following strokes, operations, or neck radiation. A study in the June issue of Gastroenterology suggests that strengthening the suprahyoid muscles with head-raising exercises may allow patients to resume oral feedings.

 “The proposed suprahyoid muscle strengthening exercise program is effective in restoring oral feeding in some patients with deglutitive failure because of abnormal upper esophageal sphincter (UES) opening,” write Reza Shaker and colleagues from the Medical College of Wisconsin in Milwaukee. “Etiology and duration of dysphagia did not affect the outcome.”

Shaker’s group studied 27 patients with videofluoroscopy and functional assessment of swallowing scores before and after six weeks of a head-raising exercise program. Seven of these patients were randomized to a sham exercise program before the suprahyoid-strengthening program, and 11 of 27 were randomized to the suprahyoid-strengthening program.


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