No access
Review Article
10 July 2020

Motor Learning, Neuroplasticity, and Strength and Skill Training: Moving From Compensation to Retraining in Behavioral Management of Dysphagia

Publication: American Journal of Speech-Language Pathology
Volume 29, Number 2S
Pages 1065-1077

Abstract

Purpose

Learning a motor skill and regaining a motor skill after it is lost are key tenets to the field of speech-language pathology. Motor learning and relearning have many theoretical underpinnings that serve as a foundation for our clinical practice. This review article applies selective motor learning theories and principles to feeding and swallowing across the life span.

Conclusion

In reviewing these theoretical fundamentals, clinical exemplars surrounding the roles of strength, skill, experience, compensation, and retraining, and their influence on motor learning and plasticity in regard to swallowing/feeding skills throughout the life span are discussed.

Get full access to this article

View all available purchase options and get full access to this article.

References

Athukorala, R. P., Jones, R. D., Sella, O., & Huckabee, M. -L. (2014). Skill training for swallowing rehabilitation in patients with Parkinson's disease. Archives of Physical Medicine and Rehabilitation, 95(7), 1374–1382.
Balou, M., McCullough, G. H., Aduli, F., Brown, D., Stack, B. C., Jr., Snoddy, P., & Guidry, T. (2014). Manometric measures of head rotation and chin tuck in healthy participants. Dysphagia, 29(1), 25–32.
Bastian, A. J. (2008). Understanding sensorimotor adaptation and learning for rehabilitation. Current Opinion in Neurology, 21(6), 628–633.
Bayona, N. A., Bitensky, J., Salter, K., & Teasell, R. (2005). The role of task-specific training in rehabilitation therapies. Topics in Stroke Rehabilitation, 12(3), 58–65.
Benowitz, L. I., & Carmichael, S. T. (2010). Promoting axonal rewiring to improve outcome after stroke. Neurobiology of Disease, 37(2), 259–266.
Bingham, P. M., Churchill, D., & Ashikaga, T. (2007). Breast milk odor via olfactometer for tube-fed, premature infants. Behavior Research Methods, 39(3), 630–634.
Biringen, Z., Emde, R. N., & Pipp-Siegel, S. (1997). Dyssynchrony, conflict, and resolution: Positive contributions to infant development. The American Journal of Orthopsychiatry, 67(1), 4–19.
Bodén, K., Hallgren, Å., & Witt Hedström, H. (2006). Effects of three different swallow maneuvers analyzed by videomanometry. Acta Radiologica, 47(7), 628–633.
Bongaardt, R., & Meijer, O. G. (2000). Bernstein's theory of movement behavior: Historical development and contemporary relevance. Journal of Motor Behavior, 32(1), 57–71.
Burkhead, L. M., Sapienza, C. M., & Rosenbek, J. C. (2007). Strength-training exercise in dysphagia rehabilitation: Principles, procedures, and directions for future research. Dysphagia, 22(3), 251–265.
Calautti, C., & Baron, J. C. (2003). Functional neuroimaging studies of motor recovery after stroke in adults: A review. Stroke, 34(6), 1553–1566.
Carey, L. (2007). Neuroplasticity and learning lead a new era in stroke rehabilitation. International Journal of Therapy and Rehabilitation, 14(6), 250–251.
Carmichael, S. T., Archibeque, I., Luke, L., Nolan, T., Momiy, J., & Li, S. (2005). Growth-associated gene expression after stroke: Evidence for a growth-promoting region in peri-infarct cortex. Experimental Neurology, 193(2), 291–311.
Carnaby-Mann, G. D., & Crary, M. A. (2010). McNeill Dysphagia Therapy Program: A case-control study. Archives of Physical Medicine and Rehabilitation, 91(5), 743–749.
Clark, H. M. (2003). Neuromuscular treatments for speech and swallowing: A tutorial. American Journal of Speech-Language Pathology, 12(4), 400–415.
Colley, J. R., & Creamer, B. (1958). Sucking and swallowing in infants. British Medical Journal, 2(5093), 422–423.
Coppola, G., Cassibba, R., & Costantini, A. (2007). What can make the difference? Premature birth and maternal sensitivity at 3 months of age: The role of attachment organization, traumatic reaction and baby's medical risk. Infant Behavior & Development, 30(4), 679–684.
Crary, M. A., & Carnaby, G. D. (2014). Adoption into clinical practice of two therapies to manage swallowing disorders: Exercise-based swallowing rehabilitation and electrical stimulation. Current Opinion in Otolaryngology & Head and Neck Surgery, 22(3), 172–180.
Crary, M. A., Carnaby, G. D., LaGorio, L. A., & Carvajal, P. J. (2012). Functional and physiological outcomes from an exercise-based dysphagia therapy: A pilot investigation of the McNeill Dysphagia Therapy Program. Archives of Physical Medicine and Rehabilitation, 93(7), 1173–1178.
Davis, J. Z. (2006). Task selection and enriched environments: A functional upper extremity training program for stroke survivors. Topics in Stroke Rehabilitation, 13(3), 1–11.
DeWitt, S. J., Sparks, J. W., Swank, P. B., Smith, K., Denson, S. E., & Landry, S. H. (1997). Physical growth of low birthweight infants in the first year of life: Impact of maternal behaviors. Early Human Development, 47(1), 19–34.
Ding, R., Larson, C. R., Logemann, J. A., & Rademaker, A. W. (2002). Surface electromyographic and electroglottographic studies in normal subjects under two swallow conditions: Normal and during the Mendelsohn manuever. Dysphagia, 17(1), 1–12.
Doeltgen, S. H., Bradnam, L. V., Young, J. A., & Fong, E. (2015). Transcranial non-invasive brain stimulation in swallowing rehabilitation following stroke—A review of the literature. Physiology & Behavior, 143, 1–9.
Doeltgen, S. H., Ong, E., Scholten, I., Cock, C., & Omari, T. (2017). Biomechanical quantification of Mendelsohn maneuver and effortful swallowing on pharyngoesophageal function. Otolaryngology—Head & Neck Surgery, 157(5), 816–823.
Dunbar, F. (1952). Symbiosis of parent and child. American Journal of Orthopsychiatry, 22(4), 809–824.
Easterling, C., Grande, B., Kern, M., Sears, K., & Shaker, R. (2005). Attaining and maintaining isometric and isokinetic goals of the Shaker exercise. Dysphagia, 20(2), 133–138.
Ertekin, C. (2011). Voluntary versus spontaneous swallowing in man. Dysphagia, 26(2), 183–192.
Feltz, D. L., & Landers, D. M. (1983). The effects of mental practice on motor skill learning and performance: A meta-analysis. Journal of Sports Psychology, 5(1), 25–57.
Fujiki, R. B., Oliver, A. J., Malandraki, J. B., Wetzel, D., Craig, B. A., & Malandraki, G. A. (2019). The Recline and Head Lift Exercises: A randomized clinical trial comparing biomechanical swallowing outcomes and perceived effort in healthy older adults. Journal of Speech, Language, and Hearing Research, 62(3), 631–643.
Gabriel, D. A., Kamen, G., & Frost, G. (2006). Neural adaptations to resistive exercise: Mechanisms and recommendations for training practices. Sports Medicine, 36(2), 133–149.
Goldfield, E. C. (2007). A dynamical systems approach to infant oral feeding and dysphagia: From model system to therapeutic medical device. Ecological Psychology, 19(1), 21–48.
Goldfield, E. C., Perez, J., & Engstler, K. (2017). Neonatal feeding behavior as a complex dynamical system. Seminars in Speech and Language, 38(2), 77–86.
Goldfield, E. C., Richardson, M. J., Lee, K. G., & Margetts, S. (2006). Coordination of sucking, swallowing, and breathing and oxygen saturation during early infant breast-feeding and bottle-feeding. Pediatric Research, 60(4), 450–455.
Goldfield, E. C., Wolff, P. H., & Schmidt, R. C. (1999). Dynamics of oral-respiratory coordination in full-term and preterm infants: I. Comparisons at 38–40 weeks postconceptional age. Developmental Science, 2(3), 363–373.
Han, D. S., Chang, Y. C., Lu, C. H., & Wang, T. G. (2005). Comparison of disordered swallowing patterns in patients with recurrent cortical/subcortical stroke and first-time brainstem stroke. Journal of Rehabilitative Medicine, 37(3), 189–191.
Hawdon, J. M., Beauregard, N., Slattery, J., & Kennedy, G. (2000). Identification of neonates at risk of developing feeding problems in infancy. Developmental Medicine and Child Neurology, 42(4), 235–239.
Herbert, R. D., Dean, C., & Gandevia, S. C. (1998). Effects of real and imagined training on voluntary muscle activation during maximal isometric contractions. Acta Physiologica Scandinavica, 163(4), 361–368.
Hind, J. A., Nicosia, M. A., Roecker, E. B., Carnes, M. L., & Robbins, J. (2001). Comparison of effortful and noneffortful swallows in healthy middle-aged and older adults. Archives of Physical Medicine and Rehabilitation, 82(12), 1661–1665.
Hiss, S. G., & Huckabee, M. L. (2005). Timing of pharyngeal and upper esophageal sphincter pressures as a function of normal and effortful swallowing in young healthy adults. Dysphagia, 20(2), 149–156.
Hoffman, M. R., Mielens, J. D., Ciucci, M. R., Jones, C. A., Jiang, J. J., & McCulloch, T. M. (2012). High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the Mendelsohn maneuver. Dysphagia, 27(3), 418–426.
Huckabee, M. -L., & Steele, C. M. (2006). An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal pressure during effortful swallow. Archives of Physical Medicine and Rehabilitation, 87(8), 1067–1072.
Humbert, I. A., & Joel, S. (2012). Tactile, gustatory, and visual biofeedback stimuli modulate neural substrates of deglutition. NeuroImage, 59(2), 1485–1490.
Humbert, I. A., Lokhande, A., Christopherson, H., German, R., & Stone, A. (2012). Adaptation of swallowing hyo-laryngeal kinematics is distinct in oral versus pharyngeal sensory processing. Journal of Applied Physiology, 112(10), 1698–1705.
Hylin, M. J., Kerr, A. L., & Holden, R. (2017). Understanding the mechanisms of recovery and/or compensation following injury. Neural Plasticity, 2017, 7125057.
Inamoto, Y., Saitoh, E., Ito, Y., Kagaya, H., Aoyagi, Y., Shibata, S., Ota, K., Fujii, N., & Palmer, J. B. (2018). The Mendelsohn maneuver and its effects on swallowing: Kinematic analysis in three dimensions using dynamic area detector CT. Dysphagia, 33(4), 419–430.
Jang, H. J., Leigh, J. H., Seo, H. G., Han, T. R., & Oh, B. M. (2015). Effortful swallow enhances vertical hyolaryngeal movement and prolongs duration after maximal excursion. Journal of Oral Rehabilitation, 42(10), 765–773.
Jestrovic, I., Coyle, J. L., Perera, S., & Sejdic, E. (2016). Functional connectivity patterns of normal human swallowing: Difference among various viscosity swallows in normal and chin-tuck head positions. Brain Research, 1652, 158–169.
Jones, T. A., & Schallert, T. (1994). Use-dependent growth of pyramidal neurons after neocortical damage. Journal of Neuroscience, 14(4), 2140–2152.
Kim, C. K., Ryu, J. S., Song, S. H., Koo, J. H., Lee, K. D., Park, H. S., Oh, Y., & Min, K. (2015). Effects of head rotation and head tilt on pharyngeal events using resolution manometry. Annals of Rehabilitation Medicine, 39(3), 425–431.
Kimberley, T. J., Samargia, S., Moore, L. G., Shakya, J. K., & Lang, C. E. (2010). Comparison of amounts and types of practice during rehabilitation for traumatic brain injury and stroke. Journal of Rehabilitation Research and Development, 47(9), 851–862.
Krakauer, J. W. (2006). Motor learning: Its relevance to stroke recovery and neurorehabilitation. Current Opinion in Neurology, 19(1), 84–90.
Lan, Y., Ohkubo, M., Berretin-Felix, G., Carnaby-Mann, G. D., & Crary, M. A. (2012). Normalization of temporal aspects of swallowing physiology after the McNeill dysphagia therapy program. Annals of Otology, Rhinology & Laryngology, 121(8), 525–532.
Langmore, S. E., & Pisegna, J. M. (2015). Efficacy of exercises to rehabilitate dysphagia: A critique of the literature. International Journal of Speech-Language Pathology, 17(3), 222–229.
Lau, C., & Hurst, N. (1999). Oral feeding in infants. Current problems in pediatric and adolescent health care, 29(4), 105–124.
Lazarus, C. (2006). Tongue strength and exercise in healthy individuals and in head and neck cancer patients. Seminars in Speech and Language, 27(4), 260–267.
Leipert, J., Bauder, H., Wolfgang, H. R., Miltner, W. H., Taub, E., & Weiller, C. (2000). Treatment-induced cortical reorganisation after stroke in humans. Stroke, 31(6), 1210–1216.
Lester, B. M., Boukydis, C. F., & LaGasse, L. (1996). Cardiorespiratory reactivity during the Brazelton scale in term and preterm infants. Journal of Pediatric Psychology, 21(6), 771–783.
Lever, T. E., Cox, K. T., Holbert, D., Shahrier, M., Hough, M., & Kelley-Salamon, K. (2007). The effect of an effortful swallow on the normal adult esophagus. Dysphagia, 22(4), 312–325.
Levin, M. F. (1997). Should stereotypic movement synergies seen in hemiparetic patients be considered adaptive? Behavioral and Brain Sciences, 19(1), 79–80.
Levin, M. F., Kleim, J., & Wolf, S. (2009). What do motor “recovery” and “compensation” mean in patients following stroke? Neurorehabilitation and Neural Repair, 23(4), 313–319.
Logemann, J. A., Gensler, G., Robbins, J., Lindblad, A. S., Brandt, D., Hind, J. A., Kosek, S., Dikeman, K., Kazandjian, M., Gramigna, G. D., Lundy, D., McGarvey-Toler, S., & Miller Gardner, P. J. (2008). A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease. Journal of Speech, Language, and Hearing Research, 51(1), 173–183.
Malandraki, G. A., Johnson, S., & Robbins, J. (2011). Functional MRI of swallowing: From neurophysiology to neuroplasticity. Head & Neck, 33(Suppl. 1), S14–S20.
Malandraki, G. A., Rajappa, A., Kantarcigil, C., Wagner, E., Ivey, C., & Youse, K. (2016). The intensive dysphagia rehabilitation approach applied to patients with neurogenic dysphagia: A case series design study. Archives of Physical Medicine and Rehabilitation, 97(4), 567–574.
Mantymaa, M., Puura, K., Luoma, I., Salmelin, R. K., & Tamminen, T. (2006). Mother's early perception of her infant's difficult temperament, parenting stress and early mother–infant interaction. Nordic Journal of Psychiatry, 60(5), 379–386.
Martin-Harris, B., McFarland, D., Hill, E. G., Strange, C. B., Focht, K. L., Wan, Z., Blair, J., & McGrattan, K. (2015). Respiratory-swallow training in patients with head and neck cancer. Archives of Physical Medicine and Rehabilitation, 96(5), 885–893.
Maschke, M., Gomez, C. M., Ebner, T. J., & Konczak, J. (2004). Hereditary cerebellar ataxia progressively impairs force adaptation during goal-directed arm movements. Journal of Neurophysiology, 91(1), 230–238.
Mathew, O. P. (1988). Nipple units for newborn-infants : A functional comparison. Pediatrics, 81(5), 688–691.
McCulloch, T. M., Hoffman, M. R., & Ciucci, M. R. (2010). High-resolution manometry of pharyngeal swallow pressure events associated with head turn and chin tuck. Annals of Otology, Rhinology & Laryngology, 119(6), 369–376.
McGrattan, K. E., McFarland, D. H., Dean, J. C., Hill, E., White, D. R., & Martin-Harris, B. (2017). Effect of single-use, laser-cut, slow-flow nipples on respiration and milk ingestion in preterm infants. American Journal of Speech-Language Pathology, 26(3), 832–839.
McKenna, V. S., Zhang, B., Haines, M. B., & Kelchner, L. N. (2017). A systematic review of isometric lingual strength-training programs in adults with and without dysphagia. American Journal of Speech-Language Pathology, 26(2), 524–539.
Mepani, R., Antonik, S., Massey, B., Kern, M., Logemann, J., Pauloski, B., Rademaker, A., Easterling, C., & Shaker, R. (2009). Augmentation of deglutitive thyrohyoid muscle shortening by the Shaker Exercise. Dysphagia, 24(1), 26–31.
Miller, A. J. (2008). The neurobiology of swallowing and dysphagia. Developmental Disabilities Research Review, 14(2), 77–86.
Molfenter, S. M., & Steele, C. M. (2014). Kinematic and temporal factors associated with penetration and aspiration in liquid swallowing. Dysphagia, 29(2), 269–276.
Nekl, C. G., Lintzenich, C. R., Leng, X., Lever, T., & Butler, S. G. (2012). Effects of effortful swallow on esophageal function in healthy adults. Neurogastroenterology and Motility, 24(3), 252–256.
Newman, R. (2016, October). Effect of bolus viscosity on the safety and efficacy of swallowing and the kinematics of the swallow response in patients with oropharyngeal dysphagia. Paper presented at the European Society for Swallowing Disorders (ESSD), Milan, Italy.
Nudo, R. J., Plautz, E. J., & Frost, S. B. (2001). Role of adaptive plasticity in recovery of function after damage to motor cortex. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine, 24(8), 1000–1019.
Ohmae, Y., Ogura, M., Kitahara, S., Karaho, T., & Inouye, T. (1998). Effects of head rotation on pharyngeal function during normal swallow. Annals of Otology, Rhinology & Laryngology, 107(4), 344–348.
Pados, B., Estrem, H., Nix, W. B., Park, J., & Thoyre, S. (2013). Milk flow rates from bottle nipples. Nursing Research, 62(2), E1–E2.
Pannaraj, P. S., Li, F., Cerini, C., Bender, J. M., Yang, S., Rollie, A., Adisetiyo, H., Zabih, S., Lincez, P. J., Bittinger, K., Bailey, A., Bushman, F. D., Sleasman, J. W., & Aldrovandi, G. M. (2017). Association between breast milk bacterial communities and establishment and development of the infant gut microbiome. JAMA Pediatrics, 171(7), 647–654.
Perry, S. E., Sevitz, J. S., Curtis, J. A., Kuo, S. H., & Troche, M. S. (2018). Skill training resulted in improved swallowing in a person with multiple system atrophy: An endoscopy study. Movement Disorders Clinical Practice, 5(4), 451–452.
Pouderoux, P., & Kahrilas, P. J. (1995). Deglutitive tongue force modulation by volition, volume, and viscosity in humans. Gastroenterology, 108(5), 1418–1426.
Ranganathan, V. K., Siemionow, V., Liu, J. Z., Sahgal, V., & Yue, G. H. (2004). From mental power to muscle power—Gaining strength by using the mind. Neuropsychologia, 42(7), 944–956.
Reid, G., Younes, J. A., Van der Mei, H. C., Gloor, G. B., Knight, R., & Busscher, H. J. (2011). Microbiota restoration: Natural and supplemented recovery of human microbial communities. Nature Reviews Microbiology, 9(1), 27–38.
Reyna, B. A., & Pickler, R. H. (2009). Mother–infant synchrony. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38(4), 470–477.
Richter, S., Maschke, M., Timmann, D., Konczak, J., Kalenscher, T., Illenberger, A. R., & Kalveram, K. T. (2004). Adaptive motor behavior of cerebellar patients during exposure to unfamiliar external forces. Journal of Motor Behavior, 36(1), 28–38.
Rodríguez, J. M., Murphy, K., Stanton, C., Ross, R. P., Kober, O. I., Juge, N., Avershina, E., Rudi, K., Narbad, A., Jenmalm, M. C., Marchesi, J. R., & Collado, M. C. (2015). The composition of the gut microbiota throughout life, with an emphasis on early life. Microbial Ecology in Health and Disease, 26(s2), 26050.
Sawaki, L., Butler, A. J., Leng, X., Wassenaar, P. A., Mohammad, Y. M., Blanton, S., Sathian, K., Nichols-Larsen, D. S., Wolf, S. L., Good, D. C., & Wittenberg, G. F. (2014). Differential patterns of cortical reorganization following constraint-induced movement therapy during early and late period after stroke: A preliminary study. NeuroRehabilitation, 35(3), 415–426.
Scheel, C. E., Schanler, R. J., & Lau, C. (2005). Does the choice of bottle nipple affect the oral feeding performance of very-low-birthweight (VLBW) infants? Acta Paediatrica, 94(9), 1266–1272.
Schrank, W., Al-Sayed, L. E., Beahm, P. H., & Thach, B. T. (1998). Feeding responses to free-flow formula in term and preterm infants. Journal of Pediatrics, 132(3, Pt. 1), 426–430.
Seidler, R. D., Kwak, Y., Fling, B. W., & Bernard, J. A. (2013). Neurocognitive mechanisms of error-based motor learning. In M. J. Richardson, M. A. Riley & K. Shockley (Eds.), Progress in motor control Neural, computational and dynamic approaches (pp. 39–60). Springer.
Shadmehr, R., & Mussa-Ivaldi, F. A. (1994). Adaptive representation of dynamics during learning of a motor task. Journal of Neuroscience, 14(5, Pt. 2), 3208–3224.
Shadmehr, R., Smith, M. A., & Krakauer, J. W. (2010). Error correction, sensory prediction, and adaptation in motor control. Annual Review of Neuroscience, 33, 89–108.
Shaker, C. S. (2012). Cue-based feeding: Food for thought. National Association of Neonatal Nurses E-News, 4(6).
Shaker, R., Kern, M., Bardan, E., Taylor, A., Stewart, E. T., Hoffmann, R. G., Arndorfer, R. C., Hofmann, C., & Bonnevier, J. (1997). Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. American Journal of Physiology, 272(6, Pt. 1), G1518–G1522.
Sia, I., Carvajal, P., Lacy, A. A., Carnaby, G. D., & Crary, M. A. (2015). Hyoid and laryngeal excursion kinematics–magnitude, duration and velocity–changes following successful exercise-based dysphagia rehabilitation: MDTP. Journal of Oral Rehabilitation, 42(5), 331–339.
Steele, C. M., Bayley, M. A., Peladeau-Pigeon, M., & Stokely, S. L. (2013). Tongue pressure profile training for dysphagia post stroke (TPPT): Study protocol for an exploratory randomized controlled trial. Trials, 14, 126.
Suzuki, M., Asada, Y., Ito, J., Hayashi, K., Inoue, H., & Kitano, H. (2003). Activation of cerebellum and basal ganglia on volitional swallowing detected by functional magnetic resonance imaging. Dysphagia, 18(2), 71–77.
Takeuchi, N., & Izumi, S.-I. (2012). Maladaptive plasticity for motor recovery after stroke: Mechanisma and approaches. Neural Plasticity, 2012, 359728.
Takeuchi, N., & Izumi, S. (2015). Combinations of stroke neurorehabilitation to facilitate motor recovery: Perspectives on Hebbian plasticity and homeostatic metaplasticity. Frontiers in Human Neuroscience, 9, 349.
Thelen, E. (1985). Developmental origins of motor coordination: Leg movements in human infants. Developmental Psychobiology, 18(1), 1–22.
Thelen, E., Fisher, D. M., & Ridley-Johnson, R. (1984). The relationship between physical growth and a newborn reflex. Infant Behavior & Development, 7(4), 479–493.
Thelen, E., Kelso, J. A. S., & Fogel, A. (1987). Self-organizing systems and infant motor development. Developmental Review, 7(1), 39–65.
Thelen, E., & Ulrich, B. D. (1991). Hidden skills: A dynamic systems analysis of treadmill stepping during the first year. Monographs of the Society for Research in Child Development, 56(1), 1–98.
Troche, M. S., Okun, M. S., Rosenbek, J. C., Musson, N., Fernandez, H. H., Rodriguez, R., Romrell, J., Pitts, T., Wheeler-Hegland, K. M., & Sapienza, C. M. (2010). Aspiration and swallowing in Parkinson disease and rehabilitation with EMST: A randomized trial. Neurology, 75(21), 1912–1919.
van Dijk, M., Hunnius, S., & van Geert, P. (2012). The dynamics of feeding during the introduction to solid food. Infant Behavior & Development, 35(2), 226–239.
van Vliet, P., Sheridan, M., Kerwin, D. G., & Fentern, P. (1995). The influence of functional goals on the kinematics of reaching following stroke. Neurology Report, 19(1), 11–16.
Vogel, S. (2013). Comparative biomechanics: Life's physical world (2nd ed.). Princeton University Press.
Wheeler-Hegland, K. M., Rosenbek, J. C., & Sapienza, C. M. (2008). Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. Journal of Speech, Language, and Hearing Research, 51(5), 1072–1087.
Yang, I., Corwin, E. J., Brennan, P. A., Jordan, S., Murphy, J. R., & Dunlop, A. (2016). The Infant microbiome: Implications for infant health and neurocognitive development. Nursing Research, 65(1), 76–88.
Yoon, W. L., Khoo, J. K. P., & Liow, S. J. R. (2014). Chin tuck against resistance (CTAR): New method for enhancing suprahyoid muscle activity using a Shaker-type exercise. Dysphagia, 29(2), 243–248.
Yue, G., & Cole, K. J. (1992). Strength increases from the motor program: comparison of training with maximal voluntary and imagined muscle contractions. Journal of Neurophysiology, 67(5), 1114–1123.
Zimmerman, E., & Barlow, S. M. (2008). Pacifier stiffness alters the dynamics of the suck central pattern generator. Journal of Neonatal Nursing, 14(3), 79–86.
Zimmerman, E., & DeSousa, C. (2018). Social visual stimuli increase infants suck response: A preliminary study. PLOS ONE, 13(11), e0207230.
Zimmerman, E., Forlano, J., & Gouldstone, A. (2017). Not all pacifiers are created equal: A mechanical examination of pacifiers and their influence on suck patterning. American Journal of Speech-Language Pathology, 26(4), 1202–1212.
Zimmerman, E., Keunen, K., Norton, M., & Lahav, A. (2013). Weight gain velocity in very low-birth-weight infants: Effects of exposure to biological maternal sounds. American Journal of Perinatology, 30(10), 863–870.
Zimmerman, E., & Lau, C. (2017). The development of the mother–infant mutualism screening scale. Journal of Pediatrics and Mother Care, 2(1), 109–114.

Information & Authors

Information

Published In

American Journal of Speech-Language Pathology
Volume 29Number 2SJuly 2020
Pages: 1065-1077
PubMed: 32650656

History

  • Received: Sep 10, 2019
  • Revised: Nov 19, 2019
  • Accepted: Nov 23, 2019
  • Published online: Jul 10, 2020
  • Published in issue: Jul 10, 2020

Permissions

Request permissions for this article.

Authors

Affiliations

Emily Zimmerman
Department of Communication Sciences & Disorders, Northeastern University, Boston, MA
Giselle Carnaby
Department of Communication Science and Disorders, University of Central Florida, Orlando
Cathy L. Lazarus
Department of Otolaryngology–Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY
Georgia A. Malandraki
Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN

Notes

Disclosure: The authors have declared that no competing interests existed at the time of publication.
Correspondence to Emily Zimmerman: [email protected]
Editor-in-Chief: Julie Barkmeier-Kraemer
Editor: Heather Shaw Bonilha
Publisher Note: This article is part of the Special Issue: Select Papers From the 2018 Charleston Swallowing Conference at Northwestern University.

Metrics & Citations

Metrics

Article Metrics
View all metrics



Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Citing Literature

  • Evaluating the Global Intensive Feeding Therapy (GIFT) for Children with CHARGE Syndrome: A Quasi-Experimental Study, Children, 10.3390/children12030362, 12, 3, (362), (2025).
  • Multimodal Adaptations to Expiratory Musculature-Targeted Resistance Training: A Preliminary Study in Healthy Young Adults, Journal of Speech, Language, and Hearing Research, 10.1044/2024_JSLHR-24-00294, 68, 3, (987-1005), (2025).
  • Molecular biomarkers of dysphagia targeted exercise induced neuroplasticity: A review of mechanistic processes and preliminary data on detraining effects, Brain Research, 10.1016/j.brainres.2024.149287, 1846, (149287), (2025).
  • The association between infant non-nutritive suck and oral motor development, Infant Behavior and Development, 10.1016/j.infbeh.2024.101993, 77, (101993), (2024).
  • Task-Based Eating and Drinking Interventions in Animal Models: A Narrative Review of Functional Improvements and Neuromuscular Adaptations in Age-Related Dysphagia, Geriatrics, 10.3390/geriatrics9060138, 9, 6, (138), (2024).
  • Integration of Dysphagia Therapy Techniques into Voice Rehabilitation: Design and Content Validation of a Cross-Therapy Protocol, Journal of Voice, 10.1016/j.jvoice.2024.07.024, (2024).
  • Hypotussic cough in persons with dysphagia: biobehavioral interventions and pathways to clinical implementation, Frontiers in Rehabilitation Sciences, 10.3389/fresc.2024.1394110, 5, (2024).
  • Pediatric Feeding Disorder and the School-Based SLP: An Evidence-Based Update for Clinical Practice: Epilogue, Language, Speech, and Hearing Services in Schools, 10.1044/2023_LSHSS-23-00175, 55, 2, (469-472), (2024).
  • Endoscopic Biofeedback Training for Cough and Swallowing: The What, Why, and How, Perspectives of the ASHA Special Interest Groups, 10.1044/2023_PERSP-23-00190, 9, 6, (1707-1714), (2024).
  • Treating Pediatric Feeding Disorders and Dysphagia: Evidence-Based Interventions for School-Based Clinicians, Language, Speech, and Hearing Services in Schools, 10.1044/2023_LSHSS-23-00016, 55, 2, (444-457), (2024).
  • See more

View Options

Sign In Options

ASHA member? If so, log in with your ASHA website credentials for full access.

Member Login

View options

PDF

View PDF

Full Text

View Full Text

Figures

Tables

Media

Share

Share

Copy the content Link

Share