Brain & Nervous System Stroke For Caregivers Jaw Exercises for Dysphagia Therapy By Jose Vega MD, PhD linkedin Jose Vega MD, PhD, is a board-certified neurologist and published researcher specializing in stroke. Learn about our editorial process Jose Vega MD, PhD Medically reviewed by Medically reviewed by Claudia Chaves, MD on January 19, 2020 Claudia Chaves, MD, is board-certified in cerebrovascular disease and neurology with a subspecialty certification in vascular neurology. She is an associate professor of neurology at Tufts Medical School and medical director of the Lahey Clinic Multiple Sclerosis Center in Lexington, Massachusetts. Learn about our Medical Review Board Claudia Chaves, MD Updated on January 11, 2021 Print According to a 2015 study, approximately 33 to 73 percent of stroke patients are reported to experience dysphagia, a disorder that causes difficulty with chewing and swallowing food. Dysphagia can cause serious complications such as aspiration pneumonia, dehydration, and malnutrition, and may occasionally lead to death. Juice Images Ltd / Getty Images Stroke and Dysphagia A stroke occurs when the blood supply to part of your brain is interrupted or severely reduced, depriving brain tissue of oxygen and nutrients. Within minutes, brain cells begin to die. Stroke can affect the areas of the brain that control the muscles of chewing. This causes difficulty in generating a mass of food that is soft and small enough to be swallowed. Indirectly, this leads to dysphagia. This is why for many people, jaw exercises can dramatically improve the ability to swallow. Dysphagia therapy can help a person maintain quality of life. Introduction to Dysphagia Therapy Dysphagia therapy involves a variety of exercises which range from jaw and lip to tongue and actual swallowing exercises. The jaw is most important during chewing when it helps us break food down into smaller pieces which are combined into a single food bolus. Here you'll find three simple exercises which can help you regain your jaw strength and return a great deal of your swallowing ability. Sideway Jaw Stretch This exercise helps to recreate some of the actual movements performed during chewing, but just a little more exaggerated. Simply move your jaw from one side to the other going as far sideways as you can. You should not feel pain from this exercise, but you should be able to feel stretching of the muscle. Challenge yourself and push a little bit further each day. But always stop if you begin to feel pain, or if you develop a jaw cramp. Repeat 5 to 10 times in each session. Open Jaw Stretch The point of this exercise is to stretch the jaw muscles. Make-believe that you are about to bite on a gigantic apple and open your mouth as wide as you can. Don't open it so wide that you develop a cramp, but make sure that as you open it you feel that the muscles of the jaw are actually being stretched. Repeat this exercise 5 to 10 times keeping your mouth open for 5 to 10 seconds each time. Jaw Circles With your jaw, draw circles in the air. In other words, move your jaw in a circular motion trying to make the largest circle possible. Again, try to stretch the muscles as you do this. Perform this exercise 5 to 10 times. Dysphagia After Stroke Dysphagia is a potential complication for people who have had a stroke. Clinical guidelines recommend early screening for dysphagia after stroke to help reduce the chances of dangerous health effects, including pneumonia, malnutrition, dehydration and other complications. Feeding tubes are recommended for people who cannot safely swallow within seven days of experiencing stroke. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Winstein CJ, Stein J, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2016 Jun;47(6):e98-e169. doi: 10.1161/STR.0000000000000098. Additional Reading U.S. National Library of Medicine. National Institutes of Health. "Effects of neck exercises on swallowing function of patients with stroke." J Phys Ther Sci. 2015 Apr; 27(4): 1005–1008. Published online 2015 Apr 30.