Survivorship of Head & Neck Cancer: The Role of the Masako Exercise

Introduction

For survivors of head and neck cancer, recovery extends beyond the remission of cancer cells. One significant challenge faced during and after radiation therapy is the potential loss of muscle strength in the swallowing mechanism. This blog post explores the Masako exercise, a rehabilitative technique designed to improve oral coordination and strengthen the muscles necessary for swallowing.

Overview of the Masako Exercise

The Masako exercise is specifically crafted to address the complications that arise from radiation treatments targeting the head and neck. By actively engaging and strengthening the tongue muscles, the exercise aims to enhance swallowing function and mitigate the risk of dysphagia—a common side effect of head and neck cancer treatments.

Step-by-Step Guide

To perform the Masako exercise, follow these steps carefully:

1. Positioning the Tongue: Place your tongue on the 'pizza burn' spot, also known as the alveolar ridge, located just behind your front teeth.
2. Swallowing Technique: Maintain the tongue's position and perform a hard swallow, ensuring the tongue does not move backward.
3. Alternative Tongue Placement: As a variation, the tongue can alternatively be placed lightly between the teeth.
4. Hydration: Take sips of water as needed to facilitate the exercise without strain.

Complementary Exercises

In conjunction with the Masako exercise, the following additional exercises can help strengthen the swallowing muscles:

1. Masako Exercise: Enhances tongue strength by resisting the natural backward movement during swallowing.
2. Mendelsohn Maneuver: Focuses on voluntarily prolonging the upward movement of the larynx during swallowing.
3. Expiratory Muscle Strength Training (EMST): Aims to improve the forcefulness of coughs and breaths, aiding in swallowing and airway clearance.
4. Effortful Swallow: Increases the back of the tongue's pressure against the pharyngeal wall, enhancing the swallow function.
5. Chin Tuck Against Resistance (CTAR): Strengthens the suprahyoid muscles, crucial for initiating the swallowing process.

Personal Insight and Experience

Incorporating these exercises into daily routines has shown significant improvements in swallowing abilities among many patients. Personal testimonials have highlighted the Masako exercise's role in not only maintaining but also recovering muscle function, which is vital for a high quality of life post-treatment.

Conclusion

The journey to recovery for head and neck cancer survivors is multifaceted, with swallowing exercises playing a critical role. The Masako exercise, along with its complementary techniques, offers a proactive approach to restoring function and enhancing life quality.

Call to Action

If you or someone you know is recovering from head and neck cancer, consider discussing these exercises with a healthcare provider. Tailored to individual needs, these exercises can significantly impact rehabilitation and recovery. For further information or to ask any questions, please visit our consultation page.

Watch this helpful video on the Masako exercise and learn how to improve swallowing strength and function. Click the link to get started today and make a positive impact on your health!  Masako Exercise Video