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Dysphagia

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https://www.readbyqxmd.com/read/28078454/measuring-competency-development-in-objective-evaluation-of-videofluoroscopic-swallowing-studies
#1
Natrah Ahmad Nordin, Anna Miles, Jacqui Allen
Clinical interpretation of videofluoroscopic swallow study (VFSS) has often been criticized for its poor objectivity and inter-rater agreement. In order to address this, objective VFSS measures have been developed, reported and demonstrated to be valid and reliable. However, widespread clinical implementation is lacking. Reasons cited include lack of training and excessive time taken to perform measures. This study investigated competency development in selected standardized objective VFSS measures among speech-language pathologists (SLPs) naive to quantitative measurement...
January 11, 2017: Dysphagia
https://www.readbyqxmd.com/read/28078453/a-bump-in-the-road-an-uncommon-cause-of-dysphagia
#2
Lukas Boomgaert, Christophe Balliauw
No abstract text is available yet for this article.
January 11, 2017: Dysphagia
https://www.readbyqxmd.com/read/28044204/25%C3%A2-years-of-dysphagia-rehabilitation-what-have-we-done-what-are-we-doing-and-where-are-we-going
#3
Caryn Easterling
As deglutologists, we strive to use the best evidence available in the treatment of swallowing disorders. Evidence-based medicine is a bottom-up approach that thoughtfully combines the best external evidence with individual clinical expertise and the patients' choice reflective of their clinical state and preferences for their specific care plan. Evidence-based medicine is not restricted to randomized clinical trials and meta-analyses; rather, evidence-based medicine includes our ability to discriminate the best external evidence with which to answer clinical questions and then skillfully and appropriately being able to apply this evidence in the care and treatment of our patients (Sackett et al...
January 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/28044203/advances-with-neonatal-aerodigestive-science-in-the-pursuit-of-safe-swallowing-in-infants-invited-review
#4
Sudarshan R Jadcherla
Feeding, swallowing, and airway protection are three distinct entities. Feeding involves a process of sequential, neurosensory, and neuromotor interactions of reflexes and behaviors facilitating ingestion. Swallowing involves anterograde bolus movement during oral-, pharyngeal-, and esophageal phases of peristalsis into stomach. During these events, coordination with airway protection is vital for homeostasis in clearing any material away from airway vicinity. Neurological-airway-digestive inter-relationships are critical to the continuum of successful feeding patterns during infancy, either in health or disease...
January 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/28042642/the-dysphagia-research-society-accelerating-a-priority-research-agenda
#5
Sudarshan R Jadcherla, Gary H McCullough, Stephanie K Daniels, Douglas J Van Daele, Kulwinder Dua, Cathy Lazarus, Reza Shaker
No abstract text is available yet for this article.
January 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/28042641/progression-of-dysphagia-in-spinocerebellar-ataxia-type-6
#6
Chiharu Isono, Makito Hirano, Hikaru Sakamoto, Shuichi Ueno, Susumu Kusunoki, Yusaku Nakamura
Spinocerebellar ataxia type 6 (SCA6), an autosomal dominant triplet repeat disease, predominantly affects the cerebellum with a late onset and generally good prognosis. Dysphagia is commonly associated with the outcomes of neurodegenerative diseases such as SCA6. Although the characteristics of dysphagia have been rarely reported in SCA6, our previous study indicated that dysphagia is generally milder in SCA6 than in SCA3, another inherited ataxia with multisystem involvement. However, abnormalities in the pharyngeal phase in SCA6 were indistinguishable from those in SCA3, with no explainable reason...
January 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/28013388/swallowing-function-and-kinematics-in-stroke-patients-with-tracheostomies
#7
Han Gil Seo, Jeong-Gil Kim, Hyung Seok Nam, Woo Hyung Lee, Tai Ryoon Han, Byung-Mo Oh
The purpose of this study was to compare the swallowing function and kinematics in stroke patients with and without tracheostomies. In this retrospective matched case-control study, we compared stroke patients with (TRACH group, n = 24) and without (NO-TRACH group, n = 24) tracheostomies. Patients were matched for age, sex, and stroke-type. Swallowing function was evaluated using the videofluoroscopic dysphagia scale (VDS) and functional oral intake scale (FOIS) obtained from videofluoroscopic swallow study (VFSS) images...
December 24, 2016: Dysphagia
https://www.readbyqxmd.com/read/28004179/the-prevalence-of-oropharyngeal-dysphagia-in-danish-patients-hospitalised-with-community-acquired-pneumonia
#8
Dorte Melgaard, Ulrik Baandrup, Martin Bøgsted, Mette Dahl Bendtsen, Tina Hansen
Community-acquired pneumonia (CAP) and oropharyngeal dysphagia (OD) are prevalent conditions in the elderly. The aim of this study was to explore the relationship between CAP, OD, and frailty in patients admitted to a department of respiratory medicine at a regional hospital. The outcome was mortality during hospitalization and within 30 days of discharge and rehospitalization within 30 days of discharge. A total of 154 consecutive patients (54.5% male, mean age 77.4 years (SD 11.51)) hospitalized because of CAP from September 1, 2013 to March 31, 2014 at North Denmark Regional Hospital were included in this study...
December 22, 2016: Dysphagia
https://www.readbyqxmd.com/read/28004178/dysphagia-after-eating-raw-fish
#9
Jae-Gu Cho, Jeong-Soo Woo
No abstract text is available yet for this article.
December 22, 2016: Dysphagia
https://www.readbyqxmd.com/read/27913916/development-of-international-terminology-and-definitions-for-texture-modified-foods-and-thickened-fluids-used-in-dysphagia-management-the-iddsi-framework
#10
Julie A Y Cichero, Peter Lam, Catriona M Steele, Ben Hanson, Jianshe Chen, Roberto O Dantas, Janice Duivestein, Jun Kayashita, Caroline Lecko, Joseph Murray, Mershen Pillay, Luis Riquelme, Soenke Stanschus
Dysphagia is estimated to affect ~8% of the world's population (~590 million people). Texture-modified foods and thickened drinks are commonly used to reduce the risks of choking and aspiration. The International Dysphagia Diet Standardisation Initiative (IDDSI) was founded with the goal of developing globally standardized terminology and definitions for texture-modified foods and liquids applicable to individuals with dysphagia of all ages, in all care settings, and all cultures. A multi-professional volunteer committee developed a dysphagia diet framework through systematic review and stakeholder consultation...
December 2, 2016: Dysphagia
https://www.readbyqxmd.com/read/27913915/age-related-differences-in-clinical-characteristics-and-esophageal-motility-in-patients-with-dysphagia
#11
Rui Nakato, Noriaki Manabe, Tomoari Kamada, Hideo Matsumoto, Akiko Shiotani, Jiro Hata, Ken Haruma
Dysphagia in elderly patients has a major effect on nutrition and quality of life (QOL). Although several studies have shown that aging itself is associated with changes in esophageal motility, the impact of these changes on dysphagia symptoms and QOL is unknown. This study assessed the manometric diagnoses of elderly patients with dysphagia compared with diagnoses in younger counterparts. Participants included 116 consecutive patients examined for dysphagia from 2007 to 2014. We divided patients into three groups by age: Group A, 66 years and older (24 men, 23 women); Group B, 45-65 years (18 men, 24 women); and Group C, 44 years and younger (15 men, 12 women)...
December 2, 2016: Dysphagia
https://www.readbyqxmd.com/read/27904957/neck-pain-and-acute-dysphagia
#12
João Simões, José Romão, Anita Cunha, Sofia Paiva, António Miguéis
The acute tendinitis of the longus colli muscle is an unusual diagnosis in the cases of acute dysphagia with cervical pain. Is a self-limiting condition caused by abnormal calcium hydroxyapatite deposition in the prevertebral space and can cause pharyngeal swelling with impaired swallow. It is absolutely critical to make the differential diagnosis with deep cervical infections in order to avoid invasive treatments.
November 30, 2016: Dysphagia
https://www.readbyqxmd.com/read/27878598/implementing-the-free-water-protocol-does-not-result-in-aspiration-pneumonia-in-carefully-selected-patients-with-dysphagia-a-systematic-review
#13
Anna Gillman, Renata Winkler, Nicholas F Taylor
The Frazier Free Water Protocol was developed with the aim of providing patients with dysphagia an option to consume thin (i.e. unthickened) water in-between mealtimes. A systematic review was conducted of research published in peer-reviewed journals. An electronic search of the EMBASE, CINAHL and MEDLINE databases was completed up to July 2016. A total of 8 studies were identified for inclusion: 5 randomised controlled trials, 2 cohort studies with matched cases and 1 single group pre-post intervention prospective study...
November 23, 2016: Dysphagia
https://www.readbyqxmd.com/read/27873091/pre-pharyngeal-swallow-effects-of-recurrent-laryngeal-nerve-lesion-on-bolus-shape-and-airway-protection-in-an-infant-pig-model
#14
Francois D H Gould, B Yglesias, J Ohlemacher, R Z German
Recurrent laryngeal nerve (RLN) damage in infants leads to increased dysphagia and aspiration pneumonia. Recent work has shown that intraoral transport and swallow kinematics change following RLN lesion, suggesting potential changes in bolus formation prior to the swallow. In this study, we used geometric morphometrics to understand the effect of bolus shape on penetration and aspiration in infants with and without RLN lesion. We hypothesized (1) that geometric bolus properties are related to airway protection outcomes and (2) that in infants with RLN lesion, the relationship between geometric bolus properties and dysphagia is changed...
November 21, 2016: Dysphagia
https://www.readbyqxmd.com/read/27873090/evaluating-the-psychometric-properties-of-the-eating-assessment-tool-eat-10-using-rasch-analysis
#15
R Cordier, A Joosten, P Clavé, A Schindler, M Bülow, N Demir, S Serel Arslan, R Speyer
Early and reliable screening for oropharyngeal dysphagia (OD) symptoms in at-risk populations is important and a crucial first stage in effective OD management. The Eating Assessment Tool (EAT-10) is a commonly utilized screening and outcome measure. To date, studies using classic test theory methodologies report good psychometric properties, but the EAT-10 has not been evaluated using item response theory (e.g., Rasch analysis). The aim of this multisite study was to evaluate the internal consistency and structural validity and conduct a preliminary investigation of the cross-cultural validity of the EAT-10; floor and ceiling effects were also checked...
November 21, 2016: Dysphagia
https://www.readbyqxmd.com/read/27858156/a-supporting-platform-for-semi-automatic-hyoid-bone-tracking-and-parameter-extraction-from-videofluoroscopic-images-for-the-diagnosis-of-dysphagia-patients
#16
Jun Chang Lee, Kyoung Won Nam, Dong Pyo Jang, Nam Jong Paik, Ju Seok Ryu, In Young Kim
Conventional kinematic analysis of videofluoroscopic (VF) swallowing image, most popular for dysphagia diagnosis, requires time-consuming and repetitive manual extraction of diagnostic information from multiple images representing one swallowing period, which results in a heavy work load for clinicians and excessive hospital visits for patients to receive counseling and prescriptions. In this study, a software platform was developed that can assist in the VF diagnosis of dysphagia by automatically extracting a two-dimensional moving trajectory of the hyoid bone as well as 11 temporal and kinematic parameters...
November 17, 2016: Dysphagia
https://www.readbyqxmd.com/read/27848021/impact-of-compliance-on-dysphagia-rehabilitation-in-head-and-neck-cancer-patients-results-from-a-multi-center-clinical-trial
#17
Gintas P Krisciunas, Kerlly Castellano, Timothy M McCulloch, Cathy L Lazarus, Barbara R Pauloski, Tanya K Meyer, Darlene Graner, Douglas J Van Daele, Alice K Silbergleit, Lisa R Crujido, Denis Rybin, Gheorghe Doros, Tamar Kotz, Susan E Langmore
A 5-year, 16-site, randomized controlled trial enrolled 170 HNC survivors into active (estim + swallow exercise) or control (sham estim + swallowing exercise) arms. Primary analyses showed that estim did not enhance swallowing exercises. This secondary analysis determined if/how patient compliance impacted outcomes. A home program, performed 2 times/day, 6 days/week, for 12 weeks included stretches and 60 swallows paired with real or sham estim. Regular clinic visits ensured proper exercise execution, and detailed therapy checklists tracked patient compliance which was defined by mean number of sessions performed per week (0-12 times) over the 12-week intervention period...
November 16, 2016: Dysphagia
https://www.readbyqxmd.com/read/27844152/adherence-to-a-prophylactic-swallowing-therapy-program-during-chemo-radiotherapy-impact-of-service-delivery-model-and-patient-factors
#18
Laurelie R Wall, Elizabeth C Ward, Bena Cartmill, Anne J Hill, Sandro V Porceddu
Intensive, prophylactic swallowing therapy programs have been developed to improve dysphagia outcomes for patients with head/neck cancer (HNC) receiving (chemo)radiotherapy ([C]RT). Across studies, variable therapy adherence rates have been reported. Preliminary research suggests that service-delivery mode and demographic factors may influence adherence. This study examined patient adherence to a prophylactic swallowing therapy protocol across three service-delivery models: (1) clinician-directed face-to-face therapy, (2) technology-assisted therapy using the telepractice application, SwallowIT and (3) independent patient-directed therapy...
November 14, 2016: Dysphagia
https://www.readbyqxmd.com/read/27838793/evaluation-of-swallowing-functions-in-patients-with-sj%C3%A3-gren-s-syndrome
#19
Sibel Eyigör, Baha Sezgin, Gonca Karabulut, Kerem Öztürk, Sercan Göde, Tayfun Kirazlı
Patients with Sjögren's syndrome (SS) manifest symptoms such as dry eyes, dry mouth, and dysphagia. This study aims to evaluate the swallowing functions of the patients with SS. 69 patients with SS (65 females, 4 males) and 40 healthy individuals (33 females, 7 males) were included as study and control groups, respectively. Mean ages were 52.86 and 48.25 years for study and control groups, respectively. Swallowing functions were evaluated by fiberoptic endoscopic evaluation of swallowing (FEES). All the patients underwent FEES and were given 3, 5, and 10 ml water, yogurt, and fish-shaped crackers twice, respectively...
November 12, 2016: Dysphagia
https://www.readbyqxmd.com/read/27830392/acoustic-and-perceptual-profiles-of-swallowing-sounds-in-children-normative-data-for-4-36-months-from-a-cross-sectional-study-cohort
#20
Thuy T Frakking, Anne B Chang, Kerry-Ann F O'Grady, Julie Yang, Michael David, Kelly A Weir
Limited data on cervical auscultation (CA) sounds during the transitional feeding period of 4-36 months in healthy children exist. This study examined the acoustic and perceptual parameters of swallowing sounds in children aged 4-36 months over a range of food and fluid consistencies. Using CA, swallowing sounds were recorded from a microphone as children ate or drank. Acoustic parameters of duration, peak frequency and peak intensity were determined. Perceptual parameters of swallowing/breath sounds heard pre-, during and post-swallow were rated ('present', 'absent', 'cannot be determined') for each texture...
November 9, 2016: Dysphagia
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