{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T01:50:39Z","timestamp":1788573039585,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Swallowing is a complex function that requires precise coordination between different muscles. Weakness in submental muscles can lead to complications such as pharyngeal residue and aspiration. Therefore, exercise interventions targeting these muscles, such as the Head\u2010Lift Exercise (HLE), are clinically important but pose challenges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective(s)<\/jats:title><jats:p>This study aimed to compare the myoelectric activity of submental muscles during traditional Head\u2010Lift Exercise (HLE), Tongue\u2010Press Exercise (TPE) and Head Extension Tongue\u2010Press Exercise (HETPE), providing potential alternatives to HLE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty healthy volunteers (22 females and 8 males, mean age 25.63\u2009\u00b1\u20095.27\u2009years) participated in this cross\u2010sectional study. Surface electromyography (sEMG) recorded activity of the submental muscles bilaterally during HLE, TPE and HETPE. Participants performed each manoeuvre for 14\u2009s, repeated three times in a counterbalanced order. Statistical analyses assessed differences in mean, maximum and median frequency of the sEMG signals among manoeuvres using repeated\u2010measures analysis of variance (RM\u2010ANOVA). The experienced irritation levels by participants during manoeuvres were also compared by the Friedman test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>HETPE exhibited significantly higher maximum sEMG activity compared to HLE and TPE (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). Mean sEMG activity was significantly increased during HETPE compared to TPE. Median frequency was significantly lower during HETPE compared to the two other exercises, indicating greater muscle fatigue. Participants reported similar levels of irritation for HLE and HETPE, and significantly lower levels during TPE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results indicate that HETPE is effective in activating and strengthening submental muscles, potentially serving as a viable alternative to HLE without added difficulty. Further research is recommended to assess the long\u2010term impacts on swallowing physiology in patients with dysphagia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.13819","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T04:34:56Z","timestamp":1725942896000},"page":"2559-2565","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of sEMG activity of submental muscles between the head\u2010lift exercise, tongue\u2010press exercise and the head extension tongue\u2010press exercise in healthy young adults"],"prefix":"10.1111","volume":"51","author":[{"given":"Mahla","family":"Nejadmoghbeli","sequence":"first","affiliation":[{"name":"Speech Therapy Department, School of Rehabilitation Isfahan University of Medical Sciences  Isfahan 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