Speech-language pathologists’ clinical practices for lingual strength assessment and exercise in adults with dysphagia
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2025-05-02
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Abstract
Background: The tongue plays key roles in efficient swallowing; speech-language pathologists (SLPs) utilize lingual strengthening exercises (LSE) in dysphagia rehabilitation for older adults. Though LSEs are often utilized, dosage, tool use, and implementation remain unclear.
Purpose: This study identified common dosage, clinical tools, and other factors SLPs consider when utilizing LSE.
Methods: 123 ASHA-certified SLPs participated in an online survey examining SLP demographics, lingual evaluation, treatment, home exercise, and professional development.
Results: There is no agreement among SLPs in all four parameters of dosage and tool use across the care continuum. Themes in open response data included multiple facilitators and barriers for LSE.
Discussion: Variation of LSE remains apparent in current clinical practice. Barriers faced by clinicians in their provision of LSE include tool access, patient variability, and clinical understanding of LSE.
Conclusions: Further research is needed to address these variations in dosage, tool use, and clinical factors for LSE implementation.
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Communication Sciences and Disorders