x25007 Shaker Exercise - Aurora Health Care

How often have you come across a patient that would be perfect for the Shaker exercise

Shaker Bottle (Set of 2) Pre and Post Workout Fitness Bottles with Stainless Steel Wire Whisk Ball (Pink & White)

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  • Research has been emerging recently which supports the use of the ISO-SED for dysphagia therapy. A poster session at the 21st Annual Dysphagia Research Society compared using a plastic ball for chin tuck against resistance (CTAR) to the Shaker exercise via sEMG and found no significant difference in suprahyoid muscle activity between CTAR and Shaker for isokinetic exercise (Khoon 2013). Another study found that the jaw-opening exercise improved hyoid movement, UES opening and time for pharynx passage (Wada 2012). An online article published by Watts (2013) also supports the jaw opening exercise to increase hyolaryngeal elevation.

    Background: Dysphagia is a common sequela post (chemo) radiotherapy ([C]RT) for head and neck cancer (HNC) and after stroke. The Shaker maneuver is a promising rehabilitative exercise for improvement of swallowing function by means of strengthening neck musculature. This pilot study primarily aimed to evaluate the feasibility of the Shaker exercise and, secondarily, to evaluate its impact on dysphagia and health-related quality of life in patients with radiation-induced or stroke-related dysphagia.

  • Jeri A. Logemann; Alfred Rademaker; Barbara Roa Pauloski; Amy Kelly; Carrie Stangl-Mcbreen; Jodi Antinoja; Barbara Grande; Julie Farquharson; Mark Kern; et al. (Profiled Authors: Jerilyn A Logemann; Barbara Roa Pauloski; Alfred W Rademaker) A randomized study comparing the Shaker exercise with traditional therapy: A preliminary study. Dysphagia. 2009;24(4):403-411.

    The ISO swallowing device addresses this exact exercise with their device to provide resistance. A recent article published online by Watts (2013) supports jaw opening, or chin-to-chest exercise, to promote hyolaryngeal elevation muscle activation. While this study was done with 20 young healthy subjects it provides an excellent spring board into further research into jaw-opening and jaw-opening against resistance as a viable alternative to the Shaker exercise. Additionally, there was a poster session at the 21st Annual Dysphagia Research Society that addressed CTAR (chin tuck against resistance) using an inexpensive small plastic basketball (Khoon 2013). Forty healthy adults were given four exercise tasks. CTAR (chin-tuck against resistance), isometric and isokinetic and shaker isometric and isokinetic. This was in conjunction with sEMG. There was significant difference for Isometric tasks with CTAR and no significant difference between CTAR and Shaker for isokinetic exercise in relation to suprahyoid muscle activity. Benefit was seen that CTAR may be less strenuous than Shaker and compliance and achievement of the exercise may be greater. LESS STRENUOUS AND MORE COMPLIANCE ! Keeping my eyes out for an article that further expands on the poster session.

    Figure 1: The Shaker exercise
    A speech language pathologist is demonstrating how to perfo

  • Figure 2A: Percent of managed isometric Shaker exercise per week for each patient
    This figure describes the amount of the predefined time of sustained head-raisings achieved for each patient each week of the eight weeks Shaker training program in percent

    How often have you come across a patient that would be perfect for the Shaker exercise? Perhaps, they are acutely ill or they have tenuous GI issues, thus laying flat would not be an ideal situation. Perhaps, compliance may be a challenge with this particular exercise. I have found alternatives/modifications to the Shaker exercise to be an exciting area of research and can’t wait for it to continue to expand. One particular exercise that has really peaked my interest was the jaw-opening exercise (Wada 2012). This study investigated the effects of jaw-opening as an exercise to strengthen the in eight dysphagia patients.

Crazy Fit Bio Body Shaker Exercise Machine: Health & Personal Care

The intensified and extended Shaker exercise program was easy to learn and possible to perform in 90% of the patients in this pilot study consisting of two different patient groups. In order to assess the effect of the Shaker exercise on dysphagia, further randomised controlled studies are needed with a larger number of patients in more homogenous groups.