Tongue-Strengthening Exercises in Healthy Older Adults: Does Exercise Load Matter? A Randomized Controlled Trial

Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE...

Full description

Saved in:

Bibliographic Details
Published in:	Dysphagia Vol. 34; no. 3; pp. 315 - 324
Main Authors:	Van den Steen, Leen, Vanderwegen, Jan, Guns, Cindy, Elen, Rik, De Bodt, Marc, Van Nuffelen, Gwen
Format:	Journal Article
Language:	English
Published:	New York Springer US 01.06.2019 Springer Nature B.V
Subjects:	Aged Clinical trials Evidence-based medicine Exercise Exercise - physiology Female Gastroenterology Healthy Volunteers Hepatology Humans Imaging Isometric Male Medicine Medicine & Public Health Motor skill learning Muscle Strength - physiology Older people Original Article Otorhinolaryngology Programmable logic controllers Radiology Resistance Training - methods Tongue Tongue - physiology Resistive load Dysphagia Tongue-strengthening exercises Lip-strengthening exercises
ISSN:	0179-051X, 1432-0460, 1432-0460
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Abstract	Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13). Values of resistive load for EG1, EG2, and EG3 were 100, 80, and 60% 1RM, respectively. Anterior and posterior maximal isometric pressures (MIP A , MIP P ) were measured at baseline, after 4 and 8 weeks of training and 4 weeks post-training. MIP A and MIP P in the EG were significantly higher than in the CG at all time points, except baseline. No significant differences between EG were found, but some trends were observable. Anteriorly, the higher the resistive load, the higher the increase in MIP. Posteriorly, 100% 1RM caused the highest values, followed by 60% and 80% 1RM. No detraining effects were measured. The degree of exercise load had a significant negative effect on the registered success rate. This RCT confirms the efficacy of TSE in healthy older adults. For MIP A and MIP P , TSE at a resistive load of 100% 1RM are the most efficient choice in this population, while lowering the resistive load will lead to an increased success rate. No detraining effects were registered.
AbstractList	Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13). Values of resistive load for EG1, EG2, and EG3 were 100, 80, and 60% 1RM, respectively. Anterior and posterior maximal isometric pressures (MIPA, MIPP) were measured at baseline, after 4 and 8 weeks of training and 4 weeks post-training. MIPA and MIPP in the EG were significantly higher than in the CG at all time points, except baseline. No significant differences between EG were found, but some trends were observable. Anteriorly, the higher the resistive load, the higher the increase in MIP. Posteriorly, 100% 1RM caused the highest values, followed by 60% and 80% 1RM. No detraining effects were measured. The degree of exercise load had a significant negative effect on the registered success rate. This RCT confirms the efficacy of TSE in healthy older adults. For MIPA and MIPP, TSE at a resistive load of 100% 1RM are the most efficient choice in this population, while lowering the resistive load will lead to an increased success rate. No detraining effects were registered.Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13). Values of resistive load for EG1, EG2, and EG3 were 100, 80, and 60% 1RM, respectively. Anterior and posterior maximal isometric pressures (MIPA, MIPP) were measured at baseline, after 4 and 8 weeks of training and 4 weeks post-training. MIPA and MIPP in the EG were significantly higher than in the CG at all time points, except baseline. No significant differences between EG were found, but some trends were observable. Anteriorly, the higher the resistive load, the higher the increase in MIP. Posteriorly, 100% 1RM caused the highest values, followed by 60% and 80% 1RM. No detraining effects were measured. The degree of exercise load had a significant negative effect on the registered success rate. This RCT confirms the efficacy of TSE in healthy older adults. For MIPA and MIPP, TSE at a resistive load of 100% 1RM are the most efficient choice in this population, while lowering the resistive load will lead to an increased success rate. No detraining effects were registered. Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13). Values of resistive load for EG1, EG2, and EG3 were 100, 80, and 60% 1RM, respectively. Anterior and posterior maximal isometric pressures (MIPA, MIPP) were measured at baseline, after 4 and 8 weeks of training and 4 weeks post-training. MIPA and MIPP in the EG were significantly higher than in the CG at all time points, except baseline. No significant differences between EG were found, but some trends were observable. Anteriorly, the higher the resistive load, the higher the increase in MIP. Posteriorly, 100% 1RM caused the highest values, followed by 60% and 80% 1RM. No detraining effects were measured. The degree of exercise load had a significant negative effect on the registered success rate. This RCT confirms the efficacy of TSE in healthy older adults. For MIPA and MIPP, TSE at a resistive load of 100% 1RM are the most efficient choice in this population, while lowering the resistive load will lead to an increased success rate. No detraining effects were registered. Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13). Values of resistive load for EG1, EG2, and EG3 were 100, 80, and 60% 1RM, respectively. Anterior and posterior maximal isometric pressures (MIP , MIP ) were measured at baseline, after 4 and 8 weeks of training and 4 weeks post-training. MIP and MIP in the EG were significantly higher than in the CG at all time points, except baseline. No significant differences between EG were found, but some trends were observable. Anteriorly, the higher the resistive load, the higher the increase in MIP. Posteriorly, 100% 1RM caused the highest values, followed by 60% and 80% 1RM. No detraining effects were measured. The degree of exercise load had a significant negative effect on the registered success rate. This RCT confirms the efficacy of TSE in healthy older adults. For MIP and MIP , TSE at a resistive load of 100% 1RM are the most efficient choice in this population, while lowering the resistive load will lead to an increased success rate. No detraining effects were registered. Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13). Values of resistive load for EG1, EG2, and EG3 were 100, 80, and 60% 1RM, respectively. Anterior and posterior maximal isometric pressures (MIP A , MIP P ) were measured at baseline, after 4 and 8 weeks of training and 4 weeks post-training. MIP A and MIP P in the EG were significantly higher than in the CG at all time points, except baseline. No significant differences between EG were found, but some trends were observable. Anteriorly, the higher the resistive load, the higher the increase in MIP. Posteriorly, 100% 1RM caused the highest values, followed by 60% and 80% 1RM. No detraining effects were measured. The degree of exercise load had a significant negative effect on the registered success rate. This RCT confirms the efficacy of TSE in healthy older adults. For MIP A and MIP P , TSE at a resistive load of 100% 1RM are the most efficient choice in this population, while lowering the resistive load will lead to an increased success rate. No detraining effects were registered.
Author	Vanderwegen, Jan Van den Steen, Leen Van Nuffelen, Gwen Guns, Cindy Elen, Rik De Bodt, Marc
Author_xml	– sequence: 1 givenname: Leen orcidid: 0000-0002-8158-7629 surname: Van den Steen fullname: Van den Steen, Leen email: Leen.Van.den.Steen@uza.be organization: Department of Otolaryngology and Head & Neck Surgery – Rehabilitation Center for Communication Disorders, Antwerp University Hospital, Faculty of Medicine and Health Sciences, University of Antwerp – sequence: 2 givenname: Jan surname: Vanderwegen fullname: Vanderwegen, Jan organization: Department of Speech, Language and Audiology, University College Thomas More, CHU Saint-Pierre – sequence: 3 givenname: Cindy surname: Guns fullname: Guns, Cindy organization: Department of Otolaryngology and Head & Neck Surgery – Rehabilitation Center for Communication Disorders, Antwerp University Hospital – sequence: 4 givenname: Rik surname: Elen fullname: Elen, Rik organization: Department of Speech, Language and Audiology, University College Thomas More – sequence: 5 givenname: Marc surname: De Bodt fullname: De Bodt, Marc organization: Department of Otolaryngology and Head & Neck Surgery – Rehabilitation Center for Communication Disorders, Antwerp University Hospital, Faculty of Medicine and Health Sciences, University of Antwerp, Department of Speech, Language, and Hearing Sciences, Faculty of Medicine and Health Sciences – sequence: 6 givenname: Gwen surname: Van Nuffelen fullname: Van Nuffelen, Gwen organization: Department of Otolaryngology and Head & Neck Surgery – Rehabilitation Center for Communication Disorders, Antwerp University Hospital, Faculty of Medicine and Health Sciences, University of Antwerp, Department of Speech, Language, and Hearing Sciences, Faculty of Medicine and Health Sciences
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/30209561$$D View this record in MEDLINE/PubMed
BookMark	eNp9kU1rGzEQhkVJaZy0P6CXIuill21H0q7W20sxbtIEXAKtC70tsjTrKMiSI2mh6a-PHOcDAq0uEszzaIZ5j8iBDx4JecvgIwNoPyWAumkqYNOq62qomhdkwmrBK6glHJAJsLaroGG_D8lRSlcAjHdSvCKHAjh0jWQTsl0Gvx6x-pkj-nW-RG_9mp78wahtwkStp2eoXL68oRfOYKQzM7qcPtOvoVQfOLoIytDvKmeMX-iM_lDehI39i4bOg88xOFeey2iVe01eDsolfHN_H5NfpyfL-Vm1uPh2Pp8tKl2Laa4UtCi6Qa8GISRXwHGYKqHZClANDAwzrRy6zmgcWoErWXesBaG0ACOnNdfimHzY_7uN4XrElPuNTRqdUx7DmHrOQMiWl1PQ98_QqzBGX6a7o4SEpoZCvbunxtUGTb-NdqPiTf-wywKwPaBjSCni8Igw6Hd59fu8-pJXv8urb4rTPnO0zSrb3dKUdf81-d5MpYtfY3wa-t_SLW9eqL8
CitedBy_id	crossref_primary_10_1007_s00455_020_10164_5 crossref_primary_10_1007_s00455_023_10627_5 crossref_primary_10_1002_ajhb_23401 crossref_primary_10_1002_crt2_11 crossref_primary_10_1016_j_jds_2020_06_005 crossref_primary_10_1007_s00455_023_10609_7 crossref_primary_10_3390_cosmetics7020050 crossref_primary_10_1007_s00455_020_10104_3 crossref_primary_10_1007_s00455_021_10314_3 crossref_primary_10_1044_2023_AJSLP_23_00113 crossref_primary_10_3390_ijerph18178951 crossref_primary_10_1111_joor_13076 crossref_primary_10_3390_healthcare8040411 crossref_primary_10_1111_ger_70013 crossref_primary_10_3390_nu14040778 crossref_primary_10_1097_MD_0000000000017304 crossref_primary_10_3390_ijerph19116878 crossref_primary_10_1016_j_jamda_2024_105297 crossref_primary_10_1111_ger_12780 crossref_primary_10_1111_joor_70031 crossref_primary_10_1159_000505153 crossref_primary_10_1007_s00455_024_10781_4 crossref_primary_10_1016_j_jcomdis_2020_106051 crossref_primary_10_1111_ger_70005 crossref_primary_10_1007_s40141_021_00333_4 crossref_primary_10_1007_s00455_020_10216_w crossref_primary_10_1016_j_hsr_2022_100047 crossref_primary_10_1002_osi2_1158 crossref_primary_10_1038_s41598_022_14335_2 crossref_primary_10_1155_nrp_1531604 crossref_primary_10_1007_s00455_022_10500_x crossref_primary_10_1044_2021_JSLHR_20_00461 crossref_primary_10_3389_fphys_2025_1623298 crossref_primary_10_1080_17549507_2023_2221409 crossref_primary_10_1002_hed_26179 crossref_primary_10_1016_j_anl_2020_07_014 crossref_primary_10_1016_j_jvoice_2024_07_024 crossref_primary_10_1044_2022_JSLHR_21_00331 crossref_primary_10_1016_j_jelekin_2022_102642 crossref_primary_10_1111_joor_13818 crossref_primary_10_1111_joor_13317 crossref_primary_10_1007_s00455_024_10751_w crossref_primary_10_1111_joor_12944
Cites_doi	10.1111/joor.12461 10.1519/JSC.0000000000000970 10.1007/s00520-017-3761-1 10.1044/1092-4388(2011/11-0045) 10.1016/j.exger.2017.05.012 10.1111/j.1532-5415.2005.53467.x 10.1055/s-0036-1582450 10.1590/s0004-2803.2017v54n1-05 10.1111/jgs.13933 10.1044/1058-0360(2003/051) 10.1589/jpts.27.3631 10.1111/j.1096-3642.1985.tb01178.x 10.1044/2017_AJSLP-16-0101 10.1007/s00455-014-9519-8 10.1016/j.apmr.2006.11.002 10.1007/s00455-017-9797-z 10.1007/s00455-015-9601-x 10.2147/CIA.S3825 10.1007/s00455-014-9516-y 10.1002/ar.22711 10.1007/s00520-017-3618-7 10.1007/s00455-013-9488-3 10.1044/1092-4388(2002/049) 10.1007/s00455-012-9432-y 10.1123/mcj.2.2.148 10.1007/s00455-012-9425-x 10.1242/jeb.007096 10.1016/j.ijrobp.2011.06.1954 10.3109/17549507.2015.1024171 10.1249/01.MSS.0000053727.63505.D4 10.1044/1092-4388(2009/08-0062) 10.1159/000069470 10.3109/17549507.2012.752864 10.1016/0022-3956(75)90026-6 10.1152/japplphysiol.01070.2006 10.1186/s13063-015-0889-5 10.1007/s00455-016-9699-5 10.1016/j.ijom.2013.10.023 10.1371/journal.pone.0172835 10.1177/000348940111000815 10.1159/000063192 10.1159/000071019 10.1055/s-2006-955117 10.3109/09638288.2014.921245 10.1007/s00455-006-9074-z 10.2478/hukin-2013-0057 10.1007/s00455-017-9858-3 10.52010/ijom.2005.31.1.2 10.21091/mppa.2011.3024 10.3928/0147-7447-19980801-12
ContentType	Journal Article
Copyright	Springer Science+Business Media, LLC, part of Springer Nature 2018 Dysphagia is a copyright of Springer, (2018). All Rights Reserved.
Copyright_xml	– notice: Springer Science+Business Media, LLC, part of Springer Nature 2018 – notice: Dysphagia is a copyright of Springer, (2018). All Rights Reserved.
DBID	AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7RV 7TK 7X7 7XB 88E 8AO 8FI 8FJ 8FK ABUWG AFKRA BENPR CCPQU FYUFA GHDGH K9. KB0 M0S M1P NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS 7X8
DOI	10.1007/s00455-018-9940-5
DatabaseName	CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Nursing & Allied Health Database Neurosciences Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central ProQuest One Community College ProQuest Health & Medical Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ProQuest Health & Medical Collection Medical Database Nursing & Allied Health Premium Proquest Central Premium ProQuest One Academic ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) ProQuest One Academic Middle East (New) ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Pharma Collection ProQuest Central China ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) Neurosciences Abstracts ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic
DatabaseTitleList	MEDLINE - Academic ProQuest One Academic Middle East (New) MEDLINE
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7RV name: ProQuest Nursing & Allied Health Source url: https://search.proquest.com/nahs sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Medicine
EISSN	1432-0460
EndPage	324
ExternalDocumentID	30209561 10_1007_s00455_018_9940_5
Genre	Randomized Controlled Trial Research Support, Non-U.S. Gov't Journal Article
GrantInformation_xml	– fundername: Fonds Wetenschappelijk Onderzoek grantid: 166652/1901518N funderid: http://dx.doi.org/10.13039/501100003130
GroupedDBID	--- -53 -5E -5G -BR -EM -~C ..I .86 .VR 06C 06D 0R~ 0VY 199 1N0 203 29G 29~ 2J2 2JN 2JY 2KG 2KM 2LR 2~H 30V 36B 4.4 406 408 409 40D 40E 5GY 5RE 5VS 67Z 6NX 6PF 78A 7RV 7X7 85S 88E 8AO 8FI 8FJ 8TC 8UJ 95- 95. 95~ 96X AABHQ AACDK AAHNG AAIAL AAJBT AAJKR AANZL AARTL AASML AATNV AATVU AAUYE AAWCG AAWTL AAYIU AAYQN AAYZH ABAKF ABBBX ABBXA ABDZT ABECU ABFTV ABHLI ABHQN ABIPD ABJNI ABJOX ABKCH ABKTR ABMNI ABMQK ABNWP ABPLI ABQBU ABSXP ABTEG ABTKH ABTMW ABUWG ABWNU ABXPI ACAOD ACDTI ACGFS ACHSB ACHXU ACKNC ACMDZ ACMLO ACOKC ACOMO ACPIV ACPRK ACZOJ ADBBV ADHHG ADHIR ADIMF ADINQ ADJJI ADKNI ADKPE ADRFC ADTPH ADURQ ADYFF ADZKW AEFQL AEGAL AEGNC AEJHL AEJRE AEMSY AENEX AEOHA AEPYU AESKC AETLH AEVLU AEXYK AFBBN AFKRA AFLOW AFQWF AFWTZ AFZKB AGAYW AGDGC AGJBK AGMZJ AGQEE AGQMX AGRTI AGWIL AGWZB AGYKE AHAVH AHBYD AHIZS AHKAY AHMBA AHSBF AHYZX AIAKS AIGIU AIIXL AILAN AITGF AJRNO AJZVZ AKMHD ALIPV ALMA_UNASSIGNED_HOLDINGS ALWAN AMKLP AMXSW AMYLF AMYQR AOCGG ARMRJ ASPBG AVWKF AXYYD AZFZN B-. BA0 BDATZ BENPR BGNMA BKEYQ BPHCQ BSONS BVXVI CCPQU CS3 CSCUP DDRTE DL5 DNIVK DPUIP EBLON EBS EIOEI EJD EMB EMOBN ESBYG EX3 F5P FEDTE FERAY FFXSO FIGPU FINBP FNLPD FRRFC FSGXE FWDCC FYUFA G-Y G-Z GGCAI GGRSB GJIRD GNWQR GQ6 GQ7 GQ8 GXS HF~ HG5 HG6 HMCUK HMJXF HQYDN HRMNR HVGLF I09 IAO IHE IHR IJ- IKXTQ IMOTQ ITM IWAJR IXC IZIGR IZQ I~X I~Z J-C J0Z J5H JBSCW JCJTX JZLTJ KDC KOV KPH LAS LLZTM M1P M4Y MA- NAPCQ NB0 NPVJJ NQJWS NU0 O93 O9G O9I O9J OAM P19 P2P P9S PCD PF- PQQKQ PROAC PSQYO PT4 PT5 Q2X QOK QOR QOS R89 R9I RHV ROL RPX RRX RSV S16 S27 S37 S3B SAP SDH SDM SHX SISQX SJYHP SMD SNE SNPRN SNX SOHCF SOJ SPISZ SRMVM SSLCW SSXJD STPWE SV3 SZ9 SZN T13 TSG TSK TSV TT1 TUC TWZ U2A U9L UG4 UKHRP UOJIU UTJUX VC2 W23 W48 WJK WK8 WOW YLTOR Z45 Z7W Z81 Z82 Z87 Z8Q Z8U Z8V Z91 ZMTXR ZOVNA ~A9 ~EX -Y2 .GJ 1SB 2.D 28- 2P1 2VQ 41~ 53G 5QI AANXM AAPKM AAQQT AARHV AAYTO AAYXX ABBRH ABDBE ABFSG ABQSL ABRTQ ABULA ACSTC ACUDM ADHKG AEBTG AEFIE AEKMD AEZWR AFDZB AFEXP AFFHD AFHIU AFOHR AGGDS AGQPQ AHPBZ AHWEU AIXLP AJBLW ATHPR AYFIA BBWZM CAG CITATION COF EN4 GRRUI H13 HZ~ IEA INH ITC KOW N2Q NDZJH O9- PHGZM PHGZT PJZUB PPXIY R4E RNI RZK S1Z S26 S28 SCLPG SDE T16 UZXMN VFIZW ZCG ZY4 ABTAH CGR CUY CVF ECM EIF NPM RIG 3V. 7TK 7XB 8FK K9. PKEHL PQEST PQUKI PRINS 7X8 PUEGO
ID	FETCH-LOGICAL-c438t-a07e39fcbf3362a02ef8a3c1b0eaf10d1d76f99dcef73eb6491703ac30d6842c3
IEDL.DBID	BENPR
ISICitedReferencesCount	48
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000470315600005&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	0179-051X 1432-0460
IngestDate	Thu Oct 02 10:20:10 EDT 2025 Tue Dec 02 15:57:21 EST 2025 Thu Apr 03 06:58:47 EDT 2025 Sat Nov 29 04:14:25 EST 2025 Tue Nov 18 21:39:54 EST 2025 Fri Feb 21 02:40:18 EST 2025
IsPeerReviewed	true
IsScholarly	true
Issue	3
Keywords	Resistive load Dysphagia Tongue-strengthening exercises Lip-strengthening exercises
Language	English
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c438t-a07e39fcbf3362a02ef8a3c1b0eaf10d1d76f99dcef73eb6491703ac30d6842c3
Notes	ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ORCID	0000-0002-8158-7629
PMID	30209561
PQID	2103360540
PQPubID	31829
PageCount	10
ParticipantIDs	proquest_miscellaneous_2103672222 proquest_journals_2103360540 pubmed_primary_30209561 crossref_primary_10_1007_s00455_018_9940_5 crossref_citationtrail_10_1007_s00455_018_9940_5 springer_journals_10_1007_s00455_018_9940_5
PublicationCentury	2000
PublicationDate	2019-06-01
PublicationDateYYYYMMDD	2019-06-01
PublicationDate_xml	– month: 06 year: 2019 text: 2019-06-01 day: 01
PublicationDecade	2010
PublicationPlace	New York
PublicationPlace_xml	– name: New York – name: United States
PublicationSubtitle	Dedicated to advancing the art and science of deglutology
PublicationTitle	Dysphagia
PublicationTitleAbbrev	Dysphagia
PublicationTitleAlternate	Dysphagia
PublicationYear	2019
Publisher	Springer US Springer Nature B.V
Publisher_xml	– name: Springer US – name: Springer Nature B.V
References	Burkhead, Sapienza, Rosenbek (CR21) 2007; 22 Folstein, Folstein, McHugh (CR39) 1975; 12 Rodríguez-Lozano, Sáez-Yuguero, Bermejo-Fenoll (CR34) 2011; 26 Robbins, Kays, Gangnon, Hind, Hewitt, Gentry, Taylor (CR18) 2007; 88 Lazarus, Logemann, Song, Rademaker, Kahrilas (CR46) 2002; 54 Van Nuffelen, Van den Steen, Vanderveken, Specenier, Van Laer, Van Rompaey, Guns, Mariën, Peeters, Van de Heyning, Vanderwegen, De Bodt (CR50) 2015; 16 Park, Kim, Oh (CR11) 2015; 27 Steele, Bayley, Peladeau-Pigeon, Nagy, Namasivayam, Stokely, Wolkin (CR10) 2016; 31 Vanderwegen, Guns, Van Nuffelen, Elen, De Bodt (CR40) 2013; 28 Solomon (CR31) 2006; 27 Steele, Cichero (CR19) 2014; 29 Fernández-Lezaun, Schumann, Mäkinen, Kyröläinen, Walker (CR48) 2017; 95 Ayres, Jotz, Rieder, Schuh, Olchik (CR5) 2016; 20 Steele, Bailey, Polacco, Hori, Molfenter, Oshalla, Yeates (CR9) 2013; 15 Clark (CR54) 2012; 55 Hiraoka, Yoshikawa, Nakamori, Hosomi, Nagasaki, Mori, Oda, Maruyama, Yoshida, Izumi, Matsumoto, Tsuga (CR42) 2017 Solomon, Drager, Luschei (CR30) 2002; 45 Felton, Gaige, Reese, Wedeen, Gilbert (CR38) 2007; 103 Van den Steen, Vanderveken, Vanderwegen, Van Gestel, Daisne, Allouche, Delacroix, Van Rompaey, Beauvois, Cvilic, Mariën, Desuter, Vermorken, Van den Weyngaert, Specenier, Van Laer, Peeters, Van de Heyning, Chantrain, Lawson, Lazarus, De Bodt, Van Nuffelen (CR49) 2017 Murphy (CR1) 2007; 5 Cowley, Gates (CR26) 2017; 12 Rhea, Alvar, Burkett, Ball (CR25) 2003; 35 Stål, Marklund, Thornell, De Paul, Eriksson (CR33) 2003; 173 Perry, Richburg, Pomahad, Bueno, Green (CR51) 2017; 26 Cohen (CR52) 1988 Lazarus, Logemann, Huang, Rademaker (CR13) 2003; 55 Sheppard, Triplett, Haff, Triplett (CR24) 2016 Yeates, Molfenter, Steele (CR16) 2008; 3 Lazarus, Husaini, Falciglia, DeLacure, Branski, Kraus, Lee, Ho, Ganz, Smith, Sanfilippo (CR29) 2014; 43 Suiter, Sloggy, Leder (CR41) 2014; 29 Pontes, Amaral, Rêgo, Azevedo, Silva (CR3) 2017; 54 Bressan, Bagnasco, Aleo, Catania, Zanini, Timmins, Sasso (CR4) 2017; 25 Humbert, German (CR20) 2013; 28 Sanders, Mu (CR35) 2013; 296 Clark (CR55) 2003; 1 Pekünlü, Agalağ (CR22) 2013; 38 Kier, Smith (CR37) 1985; 83 Kim, Choi, Yoo, Chang, Lee, Park (CR7) 2017; 44 Robbins, Gangnon, Theis, Kays, Hewitt, Hind (CR17) 2005; 53 Schoenfeld, Ratamess, Peterson, Contreras, Tiryaki-Sonmez (CR47) 2015; 29 Rogus-Pulia, Rusche, Hind, Zielinski, Gangnon, Safdar, Robbins (CR8) 2016; 64 Clark, O’Brien, Calleja, Corrie (CR15) 2009; 52 Saigusa, Nijmi, Yamashita, Gotoh, Kumada (CR32) 2001; 110 Gilbert, Napadow, Gaige, Wedeen (CR36) 2007; 210 Adams, Mathisen, Baines, Lazarus, Callister (CR53) 2015; 37 CR28 Silver, Rozmaryn (CR27) 1998; 21 Lazarus, Husaini, Hu, Culliney, Li, Urken, Jacobson, Persky, Tran, Concert, Palacios, Metcalfe-Klax, Kumar, Bennett, Harrison (CR14) 2014; 29 O’Day, Frank, Montgomery, Nichols, McDade (CR43) 2005; 31 Murdoch, Spencer, Theodoros, Thompson (CR44) 1998; 2 Pollock, Gaesser, Butcher, Despres, Dishman, Franklin (CR23) 1998; 30 Robbins, Langmore, Hind, Erlichman (CR2) 2001; 39 Carnaby-Mann, Crary, Schmalfuss, Amdur (CR45) 2012; 83 Oh (CR12) 2015; 30 Langmore, Pisegna (CR6) 2015; 17 J Cohen (9940_CR52) 1988 LM Burkhead (9940_CR21) 2007; 22 CM Steele (9940_CR10) 2016; 31 CL Lazarus (9940_CR14) 2014; 29 A Ayres (9940_CR5) 2016; 20 J Robbins (9940_CR17) 2005; 53 JK Silver (9940_CR27) 1998; 21 P Stål (9940_CR33) 2003; 173 WM Kier (9940_CR37) 1985; 83 BE Murdoch (9940_CR44) 1998; 2 JM Sheppard (9940_CR24) 2016 I Sanders (9940_CR35) 2013; 296 HM Clark (9940_CR15) 2009; 52 G Nuffelen Van (9940_CR50) 2015; 16 BJ Schoenfeld (9940_CR47) 2015; 29 SM Felton (9940_CR38) 2007; 103 L Steen Van den (9940_CR49) 2017 RJ Gilbert (9940_CR36) 2007; 210 J Robbins (9940_CR18) 2007; 88 J Robbins (9940_CR2) 2001; 39 V Bressan (9940_CR4) 2017; 25 DM Suiter (9940_CR41) 2014; 29 E Fernández-Lezaun (9940_CR48) 2017; 95 FJ Rodríguez-Lozano (9940_CR34) 2011; 26 HD Kim (9940_CR7) 2017; 44 NP Solomon (9940_CR31) 2006; 27 CL Lazarus (9940_CR29) 2014; 43 BA Murphy (9940_CR1) 2007; 5 EM Yeates (9940_CR16) 2008; 3 J Vanderwegen (9940_CR40) 2013; 28 JC Cowley (9940_CR26) 2017; 12 C O’Day (9940_CR43) 2005; 31 JC Oh (9940_CR12) 2015; 30 SE Langmore (9940_CR6) 2015; 17 CM Steele (9940_CR19) 2014; 29 N Rogus-Pulia (9940_CR8) 2016; 64 H Saigusa (9940_CR32) 2001; 110 HM Clark (9940_CR54) 2012; 55 G Carnaby-Mann (9940_CR45) 2012; 83 HM Clark (9940_CR55) 2003; 1 9940_CR28 NP Solomon (9940_CR30) 2002; 45 MF Folstein (9940_CR39) 1975; 12 BJ Perry (9940_CR51) 2017; 26 IA Humbert (9940_CR20) 2013; 28 JS Park (9940_CR11) 2015; 27 E Pekünlü (9940_CR22) 2013; 38 V Adams (9940_CR53) 2015; 37 A Hiraoka (9940_CR42) 2017 M Pollock (9940_CR23) 1998; 30 CM Steele (9940_CR9) 2013; 15 MR Rhea (9940_CR25) 2003; 35 CL Lazarus (9940_CR13) 2003; 55 ÉS Pontes (9940_CR3) 2017; 54 C Lazarus (9940_CR46) 2002; 54
References_xml	– volume: 44 start-page: 59 issue: 1 year: 2017 end-page: 64 ident: CR7 article-title: Tongue-to-palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia publication-title: J Oral Rehabil doi: 10.1111/joor.12461 – volume: 31 start-page: 15 year: 2005 end-page: 25 ident: CR43 article-title: Repeated tongue and hand strength measurements in normal adults and individuals with Parkinson’s disease publication-title: Int J Orofac Myol – volume: 29 start-page: 1821 issue: 7 year: 2015 end-page: 1829 ident: CR47 article-title: Influence of resistance training frequency on muscular adaptations in well-trained men publication-title: J Strength Cond Res doi: 10.1519/JSC.0000000000000970 – year: 2017 ident: CR49 article-title: Feasibility of tongue strength measurements during (chemo)radiotherapy in head and neck cancer patients publication-title: Support Care Cancer doi: 10.1007/s00520-017-3761-1 – volume: 55 start-page: 657 year: 2012 end-page: 676 ident: CR54 article-title: Specificity of training in the lingual musculature publication-title: J Speech Lang Hear Res doi: 10.1044/1092-4388(2011/11-0045) – volume: 95 start-page: 44 year: 2017 end-page: 53 ident: CR48 article-title: Effects of resistance training frequency on cardiorespiratory fitness in older men and women during intervention and follow-up publication-title: Exp Gerontol doi: 10.1016/j.exger.2017.05.012 – volume: 53 start-page: 1483 year: 2005 end-page: 1489 ident: CR17 article-title: The effects of lingual exercise on swallowing in older adults publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2005.53467.x – volume: 5 start-page: 13 issue: 9 year: 2007 end-page: 21 ident: CR1 article-title: Clinical and economic consequences of mucositis induced by chemotherapy and/or radiotherapy publication-title: J Support Oncol – volume: 20 start-page: 202 issue: 3 year: 2016 end-page: 206 ident: CR5 article-title: The impact of dysphagia therapy on quality of life in patients with Parkinson’s disease as measured by the swallowing quality of life questionnaire (SwalQol) publication-title: Int Arch Otorhinolaryngol doi: 10.1055/s-0036-1582450 – volume: 30 start-page: 975 issue: 6 year: 1998 end-page: 991 ident: CR23 article-title: ACSM position stand: the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults publication-title: Med Sci Sports Exerc – volume: 54 start-page: 27 issue: 1 year: 2017 end-page: 32 ident: CR3 article-title: Quality of life in swallowing of the elderly patients affected by stroke publication-title: Arquivos de gastroenterological doi: 10.1590/s0004-2803.2017v54n1-05 – volume: 64 start-page: 417 year: 2016 end-page: 424 ident: CR8 article-title: Effects of device-facilitated isometric progressive resistane oropharyngeal therapy on swallowing and health-related outcomes in older adults with dysphagia publication-title: J Am Geriatr Soc doi: 10.1111/jgs.13933 – volume: 1 start-page: 40 year: 2003 end-page: 50 ident: CR55 article-title: Neuromuscular treatments for speech and swallowing: a tutorial publication-title: Am J Speech Lang Pathol doi: 10.1044/1058-0360(2003/051) – volume: 27 start-page: 3631 year: 2015 ident: CR11 article-title: Effect of tongue strength training using the Iowa Oral Performance Instrument in stroke patients with dysphagia publication-title: J Phys Ther Sci doi: 10.1589/jpts.27.3631 – volume: 83 start-page: 307 year: 1985 end-page: 324 ident: CR37 article-title: Tongues, tentacles and trunks: the biomechanics of movement in muscular-hydrostats publication-title: Zool J Linn Soc doi: 10.1111/j.1096-3642.1985.tb01178.x – volume: 26 start-page: 682 issue: 2S year: 2017 end-page: 686 ident: CR51 article-title: The effects of lip-closure exercise on lip strength and function following full facial transplantation: a case report publication-title: Am J Speech Lang Pathol doi: 10.1044/2017_AJSLP-16-0101 – volume: 29 start-page: 365 issue: 3 year: 2014 end-page: 375 ident: CR14 article-title: Functional outcomes and quality of life after chemoradiotherapy: baseline and 3 and 6 months post-treatment publication-title: Dysphagia doi: 10.1007/s00455-014-9519-8 – volume: 88 start-page: 150 year: 2007 end-page: 158 ident: CR18 article-title: The effects of lingual exercise in stroke patients with dysphagia publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2006.11.002 – year: 2017 ident: CR42 article-title: Maximum tongue pressure is associated with swallowing dysfunction in ALS patients publication-title: Dysphagia doi: 10.1007/s00455-017-9797-z – volume: 30 start-page: 315 year: 2015 end-page: 320 ident: CR12 article-title: Effects of tongue strength training and detraining on tongue pressures in healthy adults publication-title: Dysphagia doi: 10.1007/s00455-015-9601-x – volume: 3 start-page: 735 year: 2008 end-page: 747 ident: CR16 article-title: Improvements in tongue strength and pressure-generation precision following a tongue-pressure training protocol in older individuals with dysphagia: three case reports publication-title: Clin Interv Aging doi: 10.2147/CIA.S3825 – volume: 29 start-page: 295 issue: 3 year: 2014 end-page: 304 ident: CR19 article-title: Physiological factors related to aspiration risk: a systematic review publication-title: Dysphagia doi: 10.1007/s00455-014-9516-y – volume: 21 start-page: 891 issue: 8 year: 1998 end-page: 894 ident: CR27 article-title: Overuse tendinitis of the intrinsic muscles publication-title: Orthopedics – volume: 296 start-page: 1102 year: 2013 end-page: 1114 ident: CR35 article-title: A 3-dimensional atlas of the human tongue muscles publication-title: Anat Rec doi: 10.1002/ar.22711 – volume: 25 start-page: 1699 issue: 5 year: 2017 end-page: 1712 ident: CR4 article-title: The life experience of nutrition impact symptoms during treatment for head and neck cancer patients: a systematic review and meta-synthesis publication-title: Support Care Cancer doi: 10.1007/s00520-017-3618-7 – volume: 29 start-page: 199 year: 2014 end-page: 203 ident: CR41 article-title: Validation of the Yale Swallow Protocol: a prospective double-blinded videofluoroscopic study publication-title: Dysphagia doi: 10.1007/s00455-013-9488-3 – volume: 45 start-page: 613 issue: 4 year: 2002 end-page: 624 ident: CR30 article-title: Sustaining a constant effort by tongue and hand: effects of acute fatigue publication-title: J Speech Lang Hear Res doi: 10.1044/1092-4388(2002/049) – volume: 28 start-page: 1 issue: 1 year: 2013 end-page: 10 ident: CR20 article-title: New directions for understanding neural control in swallowing: the potential and promise of motor learning publication-title: Dysphagia doi: 10.1007/s00455-012-9432-y – volume: 26 start-page: 150 issue: 3 year: 2011 end-page: 156 ident: CR34 article-title: Orofacial problems in musicians: a review of the literature publication-title: Med Probl Perform Artist – year: 1988 ident: CR52 publication-title: Statistical power analysis for the behavioral sciences – volume: 2 start-page: 148 issue: 2 year: 1998 end-page: 160 ident: CR44 article-title: Lip and tongue function in multiple sclerosis: a physiological analysis publication-title: Mot Control doi: 10.1123/mcj.2.2.148 – volume: 28 start-page: 159 year: 2013 end-page: 166 ident: CR40 article-title: The influence of age, sex, bulb position, visual feedback, and the order of testing on maximum anterior and posterior tongue strength and endurance in healthy Belgian adults publication-title: Dysphagia doi: 10.1007/s00455-012-9425-x – start-page: 439 year: 2016 end-page: 469 ident: CR24 article-title: Program design for resistance training publication-title: Essentials of strength training and conditioning – volume: 210 start-page: 4069 year: 2007 end-page: 4082 ident: CR36 article-title: Anatomical basis of lingual hydrostatic deformation publication-title: J Exp Biol doi: 10.1242/jeb.007096 – volume: 83 start-page: 210 issue: 1 year: 2012 end-page: 219 ident: CR45 article-title: Pharyngocise: randomized controlled trial of preventative exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy publication-title: Int J Radiat Oncol Biol Phys doi: 10.1016/j.ijrobp.2011.06.1954 – volume: 17 start-page: 222 issue: 3 year: 2015 end-page: 229 ident: CR6 article-title: Efficacy of exercises to rehabilitate dysphagia: a critique of the literature publication-title: Int J Speech Lang Pathol doi: 10.3109/17549507.2015.1024171 – volume: 35 start-page: 456 issue: 3 year: 2003 end-page: 464 ident: CR25 article-title: A meta-analysis to determine the dose response for strength development publication-title: Med Sci Sports Exerc doi: 10.1249/01.MSS.0000053727.63505.D4 – volume: 52 start-page: 1034 year: 2009 end-page: 1047 ident: CR15 article-title: Effects of directional exercise on lingual strength publication-title: J Speech Lang Hear Res doi: 10.1044/1092-4388(2009/08-0062) – volume: 173 start-page: 147 issue: 3 year: 2003 end-page: 161 ident: CR33 article-title: Fibre composition of human intrinsic tongue muscles publication-title: Cells, Tissues, Organs doi: 10.1159/000069470 – volume: 15 start-page: 492 year: 2013 end-page: 502 ident: CR9 article-title: Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury publication-title: Int J Speech Lang Pathol doi: 10.3109/17549507.2012.752864 – volume: 12 start-page: 189 year: 1975 end-page: 198 ident: CR39 article-title: “Mini mental state”: a practical method for grading the cognitive state of patients for the clinician publication-title: J Psychiatr Res doi: 10.1016/0022-3956(75)90026-6 – volume: 103 start-page: 255 year: 2007 end-page: 265 ident: CR38 article-title: Mechanical basis for lingual deformation during the propulsive phase of swallowing as determined by phase contrast magnetic resonance imaging publication-title: J Appl Physiol doi: 10.1152/japplphysiol.01070.2006 – volume: 16 start-page: 395 year: 2015 ident: CR50 article-title: Study protocol for a randomized controlled trial: tongue strengthening exercises in head and neck cancer patients, does exercise load matter? publication-title: Trials doi: 10.1186/s13063-015-0889-5 – volume: 31 start-page: 452 year: 2016 end-page: 461 ident: CR10 article-title: A randomized trial comparing two tongue pressure resistance training protocols for post-stroke dysphagia publication-title: Dysphagia doi: 10.1007/s00455-016-9699-5 – volume: 43 start-page: 523 year: 2014 end-page: 530 ident: CR29 article-title: Effects of exercise on swallowing and tongue strength in patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy publication-title: Int J Oral Maxillofac Surg doi: 10.1016/j.ijom.2013.10.023 – volume: 12 start-page: e0172835 issue: 2 year: 2017 ident: CR26 article-title: Proximal and distal muscle fatigue differentially affect movement coordination publication-title: PLoS ONE doi: 10.1371/journal.pone.0172835 – volume: 110 start-page: 779 issue: 8 year: 2001 end-page: 784 ident: CR32 article-title: Morphological and histochemical studies of the genioglossus muscle publication-title: Ann Otol Rhinol Laryngol doi: 10.1177/000348940111000815 – volume: 54 start-page: 171 issue: 4 year: 2002 end-page: 176 ident: CR46 article-title: Effects of voluntary maneuvers on tongue base function for swallowing publication-title: Folia Phoniatr Logop doi: 10.1159/000063192 – volume: 55 start-page: 199 year: 2003 end-page: 205 ident: CR13 article-title: Effects of two types of tongue strengthening exercises in young normals publication-title: Folia Phoniatr Logop doi: 10.1159/000071019 – volume: 27 start-page: 268 issue: 4 year: 2006 end-page: 282 ident: CR31 article-title: What is orofacial fatigue and how does it affect function for swallowing and speech? publication-title: Semin Speech Lang doi: 10.1055/s-2006-955117 – volume: 37 start-page: 389 issue: 5 year: 2015 end-page: 395 ident: CR53 article-title: Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with elderly adults publication-title: Disabil Rehabil doi: 10.3109/09638288.2014.921245 – ident: CR28 – volume: 39 start-page: 543 issue: 4 year: 2001 end-page: 548 ident: CR2 article-title: Dysphagia research in the 21st century and beyond: proceedings from Dysphagia Experts Meeting, August 21 publication-title: J Rehabil Res Dev – volume: 22 start-page: 251 year: 2007 end-page: 265 ident: CR21 article-title: Strength-training exercise in dysphagia rehabilitation: principles, procedures, and directions for future research publication-title: Dysphagia doi: 10.1007/s00455-006-9074-z – volume: 38 start-page: 169 year: 2013 end-page: 181 ident: CR22 article-title: Relationship between fatigue index and number of repetitions maxima with submaximal loads in biceps curl publication-title: J Hum Kinetics doi: 10.2478/hukin-2013-0057 – volume: 110 start-page: 779 issue: 8 year: 2001 ident: 9940_CR32 publication-title: Ann Otol Rhinol Laryngol doi: 10.1177/000348940111000815 – volume: 103 start-page: 255 year: 2007 ident: 9940_CR38 publication-title: J Appl Physiol doi: 10.1152/japplphysiol.01070.2006 – volume: 29 start-page: 365 issue: 3 year: 2014 ident: 9940_CR14 publication-title: Dysphagia doi: 10.1007/s00455-014-9519-8 – volume: 29 start-page: 199 year: 2014 ident: 9940_CR41 publication-title: Dysphagia doi: 10.1007/s00455-013-9488-3 – volume: 2 start-page: 148 issue: 2 year: 1998 ident: 9940_CR44 publication-title: Mot Control doi: 10.1123/mcj.2.2.148 – year: 2017 ident: 9940_CR49 publication-title: Support Care Cancer doi: 10.1007/s00520-017-3761-1 – start-page: 439 volume-title: Essentials of strength training and conditioning year: 2016 ident: 9940_CR24 – volume: 43 start-page: 523 year: 2014 ident: 9940_CR29 publication-title: Int J Oral Maxillofac Surg doi: 10.1016/j.ijom.2013.10.023 – volume: 17 start-page: 222 issue: 3 year: 2015 ident: 9940_CR6 publication-title: Int J Speech Lang Pathol doi: 10.3109/17549507.2015.1024171 – volume: 95 start-page: 44 year: 2017 ident: 9940_CR48 publication-title: Exp Gerontol doi: 10.1016/j.exger.2017.05.012 – volume: 55 start-page: 199 year: 2003 ident: 9940_CR13 publication-title: Folia Phoniatr Logop doi: 10.1159/000071019 – volume: 28 start-page: 159 year: 2013 ident: 9940_CR40 publication-title: Dysphagia doi: 10.1007/s00455-012-9425-x – volume: 38 start-page: 169 year: 2013 ident: 9940_CR22 publication-title: J Hum Kinetics doi: 10.2478/hukin-2013-0057 – volume: 53 start-page: 1483 year: 2005 ident: 9940_CR17 publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2005.53467.x – volume: 173 start-page: 147 issue: 3 year: 2003 ident: 9940_CR33 publication-title: Cells, Tissues, Organs doi: 10.1159/000069470 – volume: 29 start-page: 1821 issue: 7 year: 2015 ident: 9940_CR47 publication-title: J Strength Cond Res doi: 10.1519/JSC.0000000000000970 – volume: 296 start-page: 1102 year: 2013 ident: 9940_CR35 publication-title: Anat Rec doi: 10.1002/ar.22711 – volume: 52 start-page: 1034 year: 2009 ident: 9940_CR15 publication-title: J Speech Lang Hear Res doi: 10.1044/1092-4388(2009/08-0062) – volume: 16 start-page: 395 year: 2015 ident: 9940_CR50 publication-title: Trials doi: 10.1186/s13063-015-0889-5 – volume: 45 start-page: 613 issue: 4 year: 2002 ident: 9940_CR30 publication-title: J Speech Lang Hear Res doi: 10.1044/1092-4388(2002/049) – volume: 64 start-page: 417 year: 2016 ident: 9940_CR8 publication-title: J Am Geriatr Soc doi: 10.1111/jgs.13933 – volume: 3 start-page: 735 year: 2008 ident: 9940_CR16 publication-title: Clin Interv Aging doi: 10.2147/CIA.S3825 – volume: 1 start-page: 40 year: 2003 ident: 9940_CR55 publication-title: Am J Speech Lang Pathol doi: 10.1044/1058-0360(2003/051) – ident: 9940_CR28 doi: 10.1007/s00455-017-9858-3 – volume: 5 start-page: 13 issue: 9 year: 2007 ident: 9940_CR1 publication-title: J Support Oncol – volume: 44 start-page: 59 issue: 1 year: 2017 ident: 9940_CR7 publication-title: J Oral Rehabil doi: 10.1111/joor.12461 – volume: 31 start-page: 15 year: 2005 ident: 9940_CR43 publication-title: Int J Orofac Myol doi: 10.52010/ijom.2005.31.1.2 – volume: 83 start-page: 210 issue: 1 year: 2012 ident: 9940_CR45 publication-title: Int J Radiat Oncol Biol Phys doi: 10.1016/j.ijrobp.2011.06.1954 – volume: 26 start-page: 682 issue: 2S year: 2017 ident: 9940_CR51 publication-title: Am J Speech Lang Pathol doi: 10.1044/2017_AJSLP-16-0101 – volume: 20 start-page: 202 issue: 3 year: 2016 ident: 9940_CR5 publication-title: Int Arch Otorhinolaryngol doi: 10.1055/s-0036-1582450 – volume-title: Statistical power analysis for the behavioral sciences year: 1988 ident: 9940_CR52 – volume: 26 start-page: 150 issue: 3 year: 2011 ident: 9940_CR34 publication-title: Med Probl Perform Artist doi: 10.21091/mppa.2011.3024 – volume: 28 start-page: 1 issue: 1 year: 2013 ident: 9940_CR20 publication-title: Dysphagia doi: 10.1007/s00455-012-9432-y – volume: 88 start-page: 150 year: 2007 ident: 9940_CR18 publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2006.11.002 – volume: 27 start-page: 268 issue: 4 year: 2006 ident: 9940_CR31 publication-title: Semin Speech Lang doi: 10.1055/s-2006-955117 – volume: 12 start-page: 189 year: 1975 ident: 9940_CR39 publication-title: J Psychiatr Res doi: 10.1016/0022-3956(75)90026-6 – year: 2017 ident: 9940_CR42 publication-title: Dysphagia doi: 10.1007/s00455-017-9797-z – volume: 54 start-page: 27 issue: 1 year: 2017 ident: 9940_CR3 publication-title: Arquivos de gastroenterological doi: 10.1590/s0004-2803.2017v54n1-05 – volume: 27 start-page: 3631 year: 2015 ident: 9940_CR11 publication-title: J Phys Ther Sci doi: 10.1589/jpts.27.3631 – volume: 29 start-page: 295 issue: 3 year: 2014 ident: 9940_CR19 publication-title: Dysphagia doi: 10.1007/s00455-014-9516-y – volume: 55 start-page: 657 year: 2012 ident: 9940_CR54 publication-title: J Speech Lang Hear Res doi: 10.1044/1092-4388(2011/11-0045) – volume: 15 start-page: 492 year: 2013 ident: 9940_CR9 publication-title: Int J Speech Lang Pathol doi: 10.3109/17549507.2012.752864 – volume: 35 start-page: 456 issue: 3 year: 2003 ident: 9940_CR25 publication-title: Med Sci Sports Exerc doi: 10.1249/01.MSS.0000053727.63505.D4 – volume: 12 start-page: e0172835 issue: 2 year: 2017 ident: 9940_CR26 publication-title: PLoS ONE doi: 10.1371/journal.pone.0172835 – volume: 54 start-page: 171 issue: 4 year: 2002 ident: 9940_CR46 publication-title: Folia Phoniatr Logop doi: 10.1159/000063192 – volume: 25 start-page: 1699 issue: 5 year: 2017 ident: 9940_CR4 publication-title: Support Care Cancer doi: 10.1007/s00520-017-3618-7 – volume: 30 start-page: 975 issue: 6 year: 1998 ident: 9940_CR23 publication-title: Med Sci Sports Exerc – volume: 39 start-page: 543 issue: 4 year: 2001 ident: 9940_CR2 publication-title: J Rehabil Res Dev – volume: 31 start-page: 452 year: 2016 ident: 9940_CR10 publication-title: Dysphagia doi: 10.1007/s00455-016-9699-5 – volume: 30 start-page: 315 year: 2015 ident: 9940_CR12 publication-title: Dysphagia doi: 10.1007/s00455-015-9601-x – volume: 37 start-page: 389 issue: 5 year: 2015 ident: 9940_CR53 publication-title: Disabil Rehabil doi: 10.3109/09638288.2014.921245 – volume: 21 start-page: 891 issue: 8 year: 1998 ident: 9940_CR27 publication-title: Orthopedics doi: 10.3928/0147-7447-19980801-12 – volume: 210 start-page: 4069 year: 2007 ident: 9940_CR36 publication-title: J Exp Biol doi: 10.1242/jeb.007096 – volume: 83 start-page: 307 year: 1985 ident: 9940_CR37 publication-title: Zool J Linn Soc doi: 10.1111/j.1096-3642.1985.tb01178.x – volume: 22 start-page: 251 year: 2007 ident: 9940_CR21 publication-title: Dysphagia doi: 10.1007/s00455-006-9074-z
SSID	ssj0012963
Score	2.432238
Snippet	Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually...
SourceID	proquest pubmed crossref springer
SourceType	Aggregation Database Index Database Enrichment Source Publisher
StartPage	315
SubjectTerms	Aged Clinical trials Evidence-based medicine Exercise Exercise - physiology Female Gastroenterology Healthy Volunteers Hepatology Humans Imaging Isometric Male Medicine Medicine & Public Health Motor skill learning Muscle Strength - physiology Older people Original Article Otorhinolaryngology Programmable logic controllers Radiology Resistance Training - methods Tongue Tongue - physiology
SummonAdditionalLinks	– databaseName: SpringerLINK Contemporary 1997-Present dbid: RSV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bSx0xEB6sFumL2lbteikR-mQJ5GzWk6wvcvCCD97Q03LelmySlQO6K-45hfrrndmbiFqwb4FMsrnM7Ez45gLwIxVSOh2FvJdRSE5oFDdapVw6ymamjfG2qlpyos7O9GgUXzRx3GXr7d5CktWfugt2I-uDHM1QQONI8J0PMIfaTpM0Xl797qCDMK7LpyGnceS4UQtlvjbFc2X0wsJ8gY5WSudo8b-WuwQLjY3JBjVTfIYZn3-B-dMGRf8Kd8Miv556Toh0fk3pD3BidtgUXyrZOGd1dNJfdk5FvNmAknSUu-ygwN6Wjp0UxrHTKj_nHhuwS5O74nb84B3br_3fb7A5JAZfhl9Hh8P9Y95UXuA2knrCjVBexplNM4kKzojQZ9pI20uFN1lPuJ5T_SyOnfWZkj7tR_joE9JYKRzhelauwGxe5P4bMKtwsIqEdFJHLhOp0eS5mmqBbdn3AYj2ChLbpCWn6hg3SZdQuTrJBE8yoZNMdgLY7obc1Tk5_kW80d5r0ohnmeA7FzdG1moAW103ChahJSb3xbSm6Ss0n8IAVmt-6L4m0cimiOAAfraX_zT5m0tZexf1OnxC4yyu3dI2YHZyP_Wb8NH-mYzL--8Vzz8CkTL5vA priority: 102 providerName: Springer Nature
Title	Tongue-Strengthening Exercises in Healthy Older Adults: Does Exercise Load Matter? A Randomized Controlled Trial
URI	https://link.springer.com/article/10.1007/s00455-018-9940-5 https://www.ncbi.nlm.nih.gov/pubmed/30209561 https://www.proquest.com/docview/2103360540 https://www.proquest.com/docview/2103672222
Volume	34
WOSCitedRecordID	wos000470315600005&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVAVX databaseName: SpringerLINK Contemporary 1997-Present customDbUrl: eissn: 1432-0460 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0012963 issn: 0179-051X databaseCode: RSV dateStart: 19970101 isFulltext: true titleUrlDefault: https://link.springer.com/search?facet-content-type=%22Journal%22 providerName: Springer Nature
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwED-xDiFeGN-EjclIPIEs3DiNnb1M3ejEw1amUqa-RY7tTJVGUpYWCf56fLGTCU3shRfLke3koruzz77z7wDeFYxzI5OYDku8khMrQZUUBeUG0cykUla3WUtOxXQqF4vsPBy4NSGsspsT24na1BrPyD-6rQnnKRoYh6sfFLNGoXc1pNDYgm1EKksGsH00mZ7Pej9CnPlcak7sqBO_RefXZB5GdISBa07hs4TR0d8r0y1z85artF2BTnb-l_bH8CjYnmTsheUJ3LPVU3hwFrzrz2A1r6vLjaXoqa4uERbB0UEmISlTQ5YV8beWfpEvmNybjBG8ozkgn2rX2vUjp7Uy5KzF7TwkYzJTlam_L39bQ459XPyVq85R8J_Dt5PJ_PgzDRkZqE64XFPFhOVZqYvS_U-sWGxLqbgeFsyqcsjM0Ii0zDKjbSm4LdLEbQYZV5ozg_4-zV_AoKor-wqIFm6wSBg3XCamZIWSGNFaSObqPLURsI4buQ5w5Zg14yrvgZZbBuaOgTkyMB9F8L4fsvJYHXd13ut4lQe1bfIbRkXwtm92CodeFFXZeuP7pMKZVXEEL71o9F_jzvjGm8IRfOhk5ebl_yTl9d2k7MJDZ6VlPj5tDwbr6419A_f1z_Wyud6HLTG7wHIh2lLuBx1wT7OvF38A-EQJVQ
linkProvider	ProQuest
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwEB6VgoAL70eggJHgArJw4mweSKha9aFW3V1QtaC9Bcd2qpVKsjS7oPKj-I3MxEkqVNFbD9wi-RE7_jyeyYy_AXiVCylNEgbcL-hKTqBirpI459IQm1milNVN1pJRPJkks1n6aQ1-d3dhKKyyk4mNoDaVpn_k79A0kTIiBWNz8Z1T1ijyrnYpNBwsDuzpTzTZ6g_727i-r4Ngd2e6tcfbrAJchzJZciViK9NC5wX2FygR2CJRUvu5sKrwhfFNHBVparQtYmnzKESDRkilpTDks9IS-70CV1GO-xRCFh9-6b0WQeoytyHIOYJ91nlRhSMtHVCYHIqXNBR88Pc5eE65PeeYbc673dv_25e6A7dazZoN3Va4C2u2vAfXx23swH1YTKvyaGU5-eHLIyJ9wHmznTblVM3mJXN3sk7ZR0pdzoZETVK_Z9sVlnb12KhSho0bVtJNNmSHqjTVt_kva9iWi_o_xscpbesH8PlS5vsQ1suqtI-B6Rgbx6GQRiahKUSuEorXzROBzzKyHohu9TPdkrFTTpDjrKeRbgCTIWAyAkw28OBN32ThmEguqrzRYSNrhVKdnQHDg5d9MYoT8hGp0lYrVyeKUWkMPHjkoNi_TaJpQfegPXjbYfOs838O5cnFQ3kBN_am41E22p8cPIWbqI-mLhJvA9aXJyv7DK7pH8t5ffK82WsMvl42ZP8AuQli8g
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3db9MwED-NDk288A0LDDASvICsuXEaJ0hoKmsrpnWlmorUt-DYzlRpS8rSgsafxl_HOU4yoYm97YE3S_6I4_x8PufufgfwJmWc6yjwaTezITm-FFRGIqVcWzazSEqjqqwlYzGZRPN5PN2A300sjHWrbGRiJah1oew_8l28mnAeWgVjN6vdIqaD0d7yO7UZpKyltUmn4SByaC5-4vWt_HgwwG_91vdHw9n-Z1pnGKAq4NGKSiYMjzOVZji2L5lvskhy1U2ZkVmX6a4WYRbHWplMcJOGAV5uGJeKM23tV4rjuLdgU6CS0evA5qfhZHrc2jD82OVxQ8hThP68sakyR2Has05zKGzigNHe36fiFVX3ipm2Ov1G9_7ndbsPd2udm_TdJnkAGyZ_CFtHtVfBI1jOivxkbai10Ocnlg4C14AM62RUJVnkxEVrXZAvNqk56VvSkvIDGRRY27Qj40JqclTxle6RPjmWuS7OFr-MJvsuHuAUizO74R_D1xt53yfQyYvcbANRAjuLgHHNo0BnLJWR9eRNI4ZlHhoPWIOERNU07TZbyGnSEkxX4EkQPIkFT9Lz4F3bZek4Sq5rvNPgJKnFVZlcgsSD1201ChprPZK5KdauTShQnfQ9eOpg2T6N46XDRkh78L7B6eXg_5zKs-un8gq2EKnJ-GBy-BzuoKIaOxe9HeisztfmBdxWP1aL8vxlvfEIfLtpzP4Bbats5g
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Tongue-Strengthening+Exercises+in+Healthy+Older+Adults%3A+Does+Exercise+Load+Matter%3F+A+Randomized+Controlled+Trial&rft.jtitle=Dysphagia&rft.au=Van+den+Steen%2C+Leen&rft.au=Vanderwegen%2C+Jan&rft.au=Guns%2C+Cindy&rft.au=Elen%2C+Rik&rft.date=2019-06-01&rft.pub=Springer+Nature+B.V&rft.issn=0179-051X&rft.eissn=1432-0460&rft.volume=34&rft.issue=3&rft.spage=315&rft.epage=324&rft_id=info:doi/10.1007%2Fs00455-018-9940-5&rft.externalDBID=HAS_PDF_LINK
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0179-051X&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0179-051X&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0179-051X&client=summon