What is Shaker Exercise?
The
Shaker Exercise is a physical therapy technique primarily designed to strengthen the muscles involved in swallowing, specifically the
suprahyoid muscles. Named after its creator, Dr. Reza Shaker, this exercise involves repetitive head-lifting movements while lying down. It is often prescribed to improve swallowing function in patients with dysphagia, a common complication in individuals undergoing treatment for cancer.
How Does Cancer Treatment Affect Swallowing?
Many
cancer treatments, such as surgery, radiation therapy, and chemotherapy, can lead to complications that affect swallowing. For instance, head and neck cancers often necessitate surgical removal of tissues essential for swallowing, while radiation therapy can cause inflammation and fibrosis in the throat region. Chemotherapy, meanwhile, can lead to general muscle weakness and a reduced ability to swallow.
Why is the Shaker Exercise Beneficial for Cancer Patients?
The Shaker Exercise can be particularly beneficial for cancer patients experiencing dysphagia. This exercise helps to strengthen the suprahyoid muscles, which play a crucial role in elevating the hyoid bone and opening the upper esophageal sphincter during swallowing. By improving the functionality of these muscles, the Shaker Exercise can significantly enhance swallowing efficiency and reduce the risk of aspiration, thereby improving the patient's overall
quality of life.
Lie down flat on your back without a pillow.
Raise your head enough to see your toes, keeping your shoulders flat on the ground.
Hold this position for 60 seconds, then lower your head and rest for 60 seconds.
Repeat this process three times.
After completing the three sustained head lifts, perform 30 consecutive head lifts without holding the position.
It is important to perform this exercise under the guidance of a healthcare professional, particularly if you are undergoing cancer treatment.
Always consult with your oncologist or a physical therapist before starting the exercise.
If you experience any pain or discomfort, stop immediately and seek medical advice.
Ensure that you are performing the exercise correctly to avoid any strain or injury.
Are There Any Alternative Exercises?
Yes, there are alternative exercises that can also help improve swallowing function in cancer patients. These include the
Mendelsohn Maneuver, which focuses on prolonging the elevation of the larynx during swallowing, and the
Effortful Swallow, which aims to increase the force of the swallow. Each of these exercises serves to enhance different aspects of the swallowing process and can be used in conjunction with the Shaker Exercise for a comprehensive approach to dysphagia management.
Conclusion
The Shaker Exercise is a valuable tool for cancer patients struggling with dysphagia. By strengthening the suprahyoid muscles, it helps improve swallowing function and reduces the risk of complications such as aspiration. Always consult with healthcare professionals before starting any new exercise regimen, and consider incorporating alternative exercises for a well-rounded therapy approach.
