Shaker exercises - Cancer Science

What are Shaker Exercises?

Shaker exercises are a series of head-raising activities designed to strengthen the muscles involved in swallowing. Originally developed by Dr. Reza Shaker, these exercises target the suprahyoid muscles to improve the function of the upper esophageal sphincter (UES). This can be particularly beneficial for patients suffering from dysphagia, a common side effect of various cancer treatments.

How Can Cancer Patients Benefit from Shaker Exercises?

Many cancer patients experience difficulty swallowing, either due to the tumor itself or as a result of radiation therapy or chemotherapy. Dysphagia can lead to nutritional deficiencies, weight loss, and a decreased quality of life. Shaker exercises can help by strengthening the swallowing muscles, thereby improving the patient’s ability to eat and drink normally.

Who Should Perform Shaker Exercises?

Shaker exercises are typically recommended for cancer patients who have been diagnosed with dysphagia. However, it is crucial that these exercises are performed under the supervision of a healthcare provider, such as a speech-language pathologist, to ensure they are done correctly and safely. Patients experiencing severe fatigue or other complications should consult their healthcare provider before starting any new exercise regimen.

What is the Procedure for Shaker Exercises?

The Shaker exercise routine involves two main steps:

Isometric Component: The patient lies flat on their back without a pillow. They then lift their head to look at their toes and hold it in this position for one minute. This is repeated three times with a one-minute rest between each repetition.
Isotonic Component: The patient lifts their head to look at their toes and then lowers it back down. This is repeated 30 times. Both components should be performed three times a day for optimal results.

What Precautions Should Be Taken?

While Shaker exercises can be very beneficial, certain precautions should be taken, especially for cancer patients. Here are some key considerations:

Consult a healthcare provider before starting.
Ensure proper technique to avoid neck strain.
Start slowly and gradually increase the intensity.
Avoid if experiencing severe neck pain or other complications.

Are There Any Alternatives to Shaker Exercises?

Yes, there are several other exercises and techniques that can help improve swallowing function. These include the Mendelsohn maneuver, the Effortful Swallow, and the Supraglottic Swallow. Each exercise targets different aspects of the swallowing process, and a healthcare provider can help determine the most appropriate regimen for each patient.

How Effective Are Shaker Exercises?

Clinical studies have shown that Shaker exercises can significantly improve swallowing function in patients with dysphagia. The exercises have been found to increase the opening of the UES and enhance the coordination of swallowing muscles. While individual results may vary, many patients report a noticeable improvement after consistent practice.

Conclusion

Shaker exercises are a valuable tool for improving swallowing function in cancer patients suffering from dysphagia. By strengthening key muscles, these exercises can help mitigate one of the more challenging side effects of cancer treatment. However, it is essential to perform them under professional guidance to ensure safety and effectiveness.