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Acta Otolaryngol. 2016 Jul;136(7):742-8. doi: 10.3109/00016489.2016.1145797. Epub 2016 Feb 29.

Effect of IQoro® training on impaired postural control and oropharyngeal motor function in patients with dysphagia after stroke.

Author information

1
a Speech & Swallowing Centre, Department of Otorhinolaryngology , Hudiksvall Hospital , Sweden ;
2
b Centre for Research & Development , Uppsala University/County Council of Gävleborg , Gävle , Sweden ;
3
c Department of Surgery , Linköping University , Sweden.

Abstract

Conclusion All patients with dysphagia after stroke have impaired postural control. IQoro® screen (IQS) training gives a significant and lasting improvement of postural control running parallel with significant improvement of oropharyngeal motor dysfunction (OPMD). Objectives The present investigation aimed at studying the frequency of impaired postural control in patients with stroke-related dysphagia and if IQS training has any effect on impaired postural control in parallel with effect on OPMD. Method A prospective clinical study was carried out with 26 adult patients with stroke-related dysphagia. The training effect was compared between patients consecutively investigated at two different time periods, the first period with 15 patients included in the study more than half a year after stroke, the second period with 11 patients included within 1 month after stroke. Postural control tests and different oropharyngeal motor tests were performed before and after 3 months of oropharyngeal sensorimotor training with an IQS, and at a late follow-up (median 59 weeks after end of training). Result All patients had impaired postural control at baseline. Significant improvement in postural control and OPMD was observed after the completion of IQS training in both intervention groups. The improvements were still present at the late follow-up.

KEYWORDS:

Stroke; dysphagia; oral screen; oropharyngeal motor dysfunction; postural control; sensorimotor stimulation; swallowing capacity

PMID:
26924256
DOI:
10.3109/00016489.2016.1145797
[Indexed for MEDLINE]

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