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Dysphagia

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
https://www.readbyqxmd.com/read/27800566/acknowledgment-of-reviewers-2015
#12
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2016: Dysphagia
https://www.readbyqxmd.com/read/27687522/prevalence-of-tracheotomy-and-percutaneous-endoscopic-gastrostomy-in-patients-with-guillain-barr%C3%A3-syndrome
#13
Mitsuyoshi Yoshida, Junko Ikeda, Yukiko Urikane, Takashi Kashiwada, Yumiko Kaseda, Tatsuo Kohriyama
Some patients with Guillain-Barré syndrome require respiratory management by tracheotomy and/or nutritional management by tube feeding; however, few studies have reported the follow-up course in these patients. The objective of this study was to investigate the follow-up course of tracheotomy and gastrostomy in patients with Guillain-Barré syndrome. The study subjects were 50 patients with Guillain-Barré syndrome (25 males, 25 females; mean age, 51.1 ± 18.7 years) who were admitted to the Hiroshima City Rehabilitation Hospital during the period from April 2008 to December 2015...
September 29, 2016: Dysphagia
https://www.readbyqxmd.com/read/27687521/tongue-strength-is-associated-with-grip-strength-and-nutritional-status-in-older-adult-inpatients-of-a-rehabilitation-hospital
#14
Kotomi Sakai, Enri Nakayama, Haruka Tohara, Tomomi Maeda, Motonobu Sugimoto, Takahiro Takehisa, Yozo Takehisa, Koichiro Ueda
The aim of this cross-sectional study was to investigate whether tongue strength observed in older adult inpatients of a rehabilitation hospital is associated with muscle function, nutritional status, and dysphagia. A total of 174 older adult inpatients aged 65 years and older in rehabilitation (64 men, 110 women; median age, 84 years; interquartile range, 80-89 years) who were suspected of having reduced tongue strength due to sarcopenia were included in this study. Isometric tongue strength was measured using a device fitted with a disposable oral balloon probe...
September 29, 2016: Dysphagia
https://www.readbyqxmd.com/read/27677733/kinematic-visual-biofeedback-improves-accuracy-of-learning-a-swallowing-maneuver-and-accuracy-of-clinician-cues-during-training
#15
Alba M Azola, Kirstyn L Sunday, Ianessa A Humbert
Submental surface electromyography (ssEMG) visual biofeedback is widely used to train swallowing maneuvers. This study compares the effect of ssEMG and videofluoroscopy (VF) visual biofeedback on hyo-laryngeal accuracy when training a swallowing maneuver. Furthermore, it examines the clinician's ability to provide accurate verbal cues during swallowing maneuver training. Thirty healthy adults performed the volitional laryngeal vestibule closure maneuver (vLVC), which involves swallowing and sustaining closure of the laryngeal vestibule for 2 s...
September 28, 2016: Dysphagia
https://www.readbyqxmd.com/read/27757538/dysphagia-research-society-annual-meeting-february-25-27-2016-the-westin-la-paloma-resort-spa-tucson-arizona
#16
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Dysphagia
https://www.readbyqxmd.com/read/27503566/a-comparative-study-between-two-sensory-stimulation-strategies-after-two-weeks-treatment-on-older-patients-with-oropharyngeal-dysphagia
#17
Omar Ortega, Laia Rofes, Alberto Martin, Viridiana Arreola, Irene López, Pere Clavé
Oropharyngeal dysphagia (OD) is a prevalent geriatric syndrome. Treatment is based on compensatory strategies to avoid complications. New treatments based on sensory stimulation to promote the recovery of the swallowing function have proved effective in acute studies but prolonged treatment needs further research. Our aim was to evaluate and compare the effect of two, longer-term sensory treatment strategies on older patients with OD. 38 older patients (≥70 years) were studied with videofluoroscopy (pre/posttreatment) and randomized into two 10-day treatment groups: Group A-transient receptor potential vanilloid 1 (TRPV1) agonist (capsaicin 1 × 10(-5) M) and Group B-transcutaneous sensory electrical stimulation (TSES) (Intelect VitalStim, biphasic pulses, 300 μs, 80 Hz)...
October 2016: Dysphagia
https://www.readbyqxmd.com/read/27492408/effects-of-change-in-tongue-pressure-and-salivary-flow-rate-on-swallow-efficiency-following-chemoradiation-treatment-for-head-and-neck-cancer
#18
Nicole M Rogus-Pulia, Charles Larson, Bharat B Mittal, Marge Pierce, Steven Zecker, Korey Kennelty, Amy Kind, Nadine P Connor
Patients treated with chemoradiation for head and neck cancer frequently develop dysphagia. Tissue damage to the oral tongue causing weakness along with decreases in saliva production may contribute to dysphagia. Yet, effects of these variables on swallowing-related measures are unclear. The purpose of this study was (1) to determine effects of chemoradiation on tongue pressures, as a surrogate for strength, and salivary flow rates and (2) to elucidate relationships among tongue pressures, saliva production, and swallowing efficiency by bolus type...
October 2016: Dysphagia
https://www.readbyqxmd.com/read/27492407/drugs-related-to-oropharyngeal-dysphagia-in-older-people
#19
Marta Miarons, Lluís Campins, Elisabet Palomera, Mateu Serra-Prat, Mateu Cabré, Laia Rofes
Scientific evidence on the impact of medication on the physiology of swallowing is scarce and mainly based on clinical case reports. To evaluate the association between oropharyngeal dysphagia (OD) and chronic exposure to medication in older patients admitted to the acute geriatric unit (AGU) of a secondary hospital, we performed a retrospective cross-sectional study of 966 patients admitted to an AGU from 2008 to 2011. We reviewed (a) diagnosis of OD (assessed with the volume-viscosity swallow test, V- VST); (b) chronic patient medication classified by anatomical, therapeutic, chemical codes; and (c) demographic and clinical data...
October 2016: Dysphagia
https://www.readbyqxmd.com/read/27488370/treatment-effects-for-dysphagia-in-adults-with-multiple-sclerosis-a-systematic-review
#20
REVIEW
Dalal Alali, Kirrie Ballard, Hans Bogaardt
Dysphagia or swallowing difficulties have been reported to be a concern in adults with multiple sclerosis (MS). This problem can result in several complications including aspiration pneumonia, reduced quality of life and an increase in mortality rate. No previous systematic reviews on treatment effects for dysphagia in MS have been published. The main objective of this study is to summarise and qualitatively analyse published studies on treatment effects for dysphagia in MS. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were applied to conduct a systematic search of seven databases, using relevant key words, and subsequent analysis of the identified studies...
October 2016: Dysphagia
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