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Swallowing against laryngeal restriction

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Repetitive swallowing against a resistive load induced by restricting anterosuperior excursion of the larynx has been shown to induce fatigue in pharyngeal peristalsis, which has the potential to strengthen the pharyngeal contractile function [91]. A recent study evaluating the biochemical effect of a novel resistance exercise program incorporating Swallowing Against Laryngeal Restriction (SALR) on pharyngeal phase swallowing in the healthy elderly demonstrated swallow resistance exercise, but not the sham exercise; resulted in a significant increase in maximum UES opening, superior and anterior laryngeal excursion, posterior pharyngeal wall thickness, and deglutitive pharyngeal contractile integral [92]. These findings provide optimism for developing an exercise‐based swallow health maintenance program for the elderly that may prevent development of OPD. Further studies will be necessary to determine the effect of this exercise program in an OPD population.

The Esophagus

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