NCT05240599

Eccentric Chin Closure Exercise

Completed NA Last updated 7 November 2024

What this trial tests

NA trial testing Exercise Training in Dysphagia in 54 participants. Completed in 1 May 2024.

Timeline

16 May 2023

Primary endpoint
16 September 2023

1 May 2024

Quick facts

Lead sponsor	Hacettepe University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	other
Enrollment	54
Start date	16 May 2023
Primary completion	16 September 2023
Estimated completion	1 May 2024
Sites	1 location across Turkey (Türkiye)

Drugs / interventions tested

• Exercise Training

Conditions studied

• Dysphagia — all drugs for Dysphagia →

Sponsor

Hacettepe University

Who can join

Adults 18 to 35, any sex, with Dysphagia. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Swallowing is a set of functions that start with the acceptance of food and end with its delivery to the stomach. One of the most important problems associated with swallowing disorders is insufficient airway closure and the risk of aspiration. It is due to the inadequacy of laryngeal elevation that should occur during swallowing. Suprahyoid muscles are the most basic structures responsible for laryngeal elevation. Insufficient activation of the suprahyoid muscles causes insufficient laryngeal elevation.

The suprahyoid muscles consist of a group of muscles located in the anterior region of the neck between the hyoid bone and the mandible. The muscles which forming SH muscles m. digastricus, m. stylohyoideus, m. mylohyoideus and m. geniohyoideus muscles work as a group. SH muscles play a primary role in controlling hyoid bone movement during swallowing due to their relationship with the hyoid bone. It has been reported that the muscle with the highest potential to move the hyoid anteriorly is the geniohyoid muscle, and the mylohyoid muscle has the highest potential to move the hyoid in the superior direction. In addition, in another study, it was stated that since the geniohyoid and mylohyoid muscles have greater structural potential than other SH muscles for anterior and superior displacement of the hyoid, respectively. By understanding the potential for hyoid excursion arising from the structural properties of these muscles, therapists can target specific muscles with exercises designed to promote hyolaryngeal elevation.

Exercises such as Shaker exercise and resistance chin tuck in the literature either directly involve concentric training of the suprahyoid muscles or indirectly aim to gain strength by strengthening the neck flexors. In the light of the available evidence in the literature, eccentric training is also a viable method in swallowing rehabilitation. In eccentric training, the muscle is positioned by shortening its length. Eccentric training can be done by applying resistance to the jaw while the mouth is open and asking the mouth to be closed in a controlled manner against the resistance. In addition, swallowing exercise can be planned by adjusting the mouth opening and placing the SH muscles at the most appropriate angle to generate force. The aim of this study is to compare the effects of these three different exercises on suprahyoid muscle activation, muscle strength, dysphagia limit and perceived exertion level.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Effects of the eccentric chin closure exercise on submental muscle activation, muscle strength, dysphagia limit, perceived exertion and pain in healthy volunteers: A prospective, randomized parallel group study.
   Cengiz E, Serel Arslan S, Yaşaroğlu ÖF, Alıcı R, et al · · 2024 · cited 1× · PMID 39570948 · DOI 10.1371/journal.pone.0313995