Lingual Strengthening: Success in an Outpatient Setting In the last decade or more, dysphagia research has investigated the effect of lingual strengthening on oropharyngeal dysphagia with promising results. Much of this research has utilized strengthening devices such as the Iowa Oral Performance Instrument (IOPI) or the Madison Oral Strengthening Therapeutic (MOST) Device. Patients are often given a ... Article
Article  |   April 01, 2015
Lingual Strengthening: Success in an Outpatient Setting
Author Affiliations & Notes
  • Ali Meier
    Rehab Services, St. Francis- Wheaton Franciscan Healthcare, Milwaukee, WI
  • Financial Disclosure: Ali Meier is a speech therapist at Wheaton Franciscan Healthcare, St. Francis Hospital.
    Financial Disclosure: Ali Meier is a speech therapist at Wheaton Franciscan Healthcare, St. Francis Hospital.×
  • Nonfinancial Disclosure: Ali Meier has no nonfinancial interest related to the content of this article.
    Nonfinancial Disclosure: Ali Meier has no nonfinancial interest related to the content of this article.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Special Populations / Articles
Article   |   April 01, 2015
Lingual Strengthening: Success in an Outpatient Setting
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2015, Vol. 24, 71-74. doi:10.1044/sasd24.2.71
History: Received February 27, 2015 , Revised March 13, 2015 , Accepted March 13, 2015
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2015, Vol. 24, 71-74. doi:10.1044/sasd24.2.71
History: Received February 27, 2015; Revised March 13, 2015; Accepted March 13, 2015

In the last decade or more, dysphagia research has investigated the effect of lingual strengthening on oropharyngeal dysphagia with promising results. Much of this research has utilized strengthening devices such as the Iowa Oral Performance Instrument (IOPI) or the Madison Oral Strengthening Therapeutic (MOST) Device. Patients are often given a device to use, and are able to complete an exercise protocol daily or multiple times per day. This case study was completed to determine the effectiveness of using the IOPI in an outpatient clinic where therapy was conducted two to three times per week. The patient was seen post tongue resection due to oropharyngeal cancer. From initiation of IOPI use to patient discharge, the patient demonstrated a 71% increase in lingual strength at the anterior position, a 61% increase at the posterior position, and a 314% increase at the base of tongue position. His diet advanced from NPO to general based on gains in lingual strength and bolus propulsion.

Become a SIG Affiliate
Pay Per View
Entire SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia) content & archive
24-hour access
This Issue
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.