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Rachel W Mulheren, Yoko Inamoto, Charles A Odonkor, Yuriko Ito, Seiko Shibata, Hitoshi Kagaya, Marlis Gonzalez-Fernandez, Eiichi Saitoh, Jeffrey B Palmer
Pharyngeal residue, the material that remains in the pharynx after swallowing, is an important marker of impairments in swallowing and prandial aspiration risk. The goals of this study were to determine whether the 2D area of post-swallow residue accurately represents its 3D volume, and if the laterality of residue would affect this association. Thirteen patients with dysphagia due to brainstem stroke completed dynamic 320-detector row computed tomography while swallowing a trial of 10 ml honey-thick barium...
January 14, 2019: Dysphagia
Stephanie Watts, Joy Gaziano, John Jacobs, Joel Richter
The modified  barium swallow (MBS) study is a videofluoroscopic evaluation of oropharyngeal swallow function. Esophageal imaging is not routinely performed during an MBS, and few guidelines for implementation or interpretation exist. Aims of the current investigation were to (1) delineate the percentage of normal, oropharyngeal, esophageal, and mixed swallowing dysfunction, (2) develop operational definitions for rating our standardization cursory view of esophageal bolus flow, and (3) determine inter-rater reliability between speech pathology (SLP) and physician raters for categorizing esophageal abnormalities...
January 11, 2019: Dysphagia
Michiyuki Kawakami, Sara Simeoni, Sara Tremblay, Ricci Hannah, Toshiyuki Fujiwara, John C Rothwell
The aim of this study was to assess the effects of ice applied to the oral cavity on the excitability of corticobulbar projections to the swallowing muscles. The subjects were 8 healthy adult volunteers (mean age 29.0 ± 4.9 years). Motor-evoked potentials (MEPs) were recorded from the suprahyoid muscle complex using surface electrodes. Two blocks of 20 MEPs with a test stimulus intensity of 120% of the resting motor threshold were recorded at rest (baseline). Subjects then underwent 5-min thermal stimulation by either of 3 different types: (1) "ice-stick inside mouth," (2) "ice-stick on neck," and (3) "room temperature inside mouth...
January 8, 2019: Dysphagia
Jan Vanderwegen, Gwen Van Nuffelen, Rik Elen, Marc De Bodt
Tongue strength and its role in the pathophysiology of dysphagia in adults are well accepted and studied. An objective and reliable measurement of tongue strength in children necessitates equally good methodology, knowledge of influencing factors, and normative data. Only limited data on testing tongue strength in children are available thereby limiting its potential use. The present study examined tongue strength and several parameters known to be important in adults in the largest sample of healthy children from 3 to 11 years old to date using the Iowa Oral Performance Instrument with standard bulbs...
January 7, 2019: Dysphagia
Simone R Howells, Petrea L Cornwell, Elizabeth C Ward, Pim Kuipers
Factors including health policy reform and the aging population are increasing demand for quality healthcare in the community. People with dysphagia are supported by speech-language pathologists (SLPs) in hospital and community settings; however, little is known about the nature of dysphagia services offered by SLPs in the community. The aim of this study was to investigate SLP services and practices provided to community-based adults with dysphagia. A national cohort (n = 144) of SLPs working with community-based clients with dysphagia completed an online survey...
January 7, 2019: Dysphagia
Olle Ekberg
No abstract text is available yet for this article.
January 7, 2019: Dysphagia
Mari Nakao, Fumiko Oshima, Yutaka Maeno, Shinich Izumi
Although the sequence of events involved in swallowing varies among healthy adults, healthy adults demonstrate some consistent patterns, including opening of the upper esophageal sphincter (UES) prior to maximum laryngeal elevation (LE). Previous animal studies suggested that swallowing is regulated by a neuronal network in the medulla, and lateral medullary infarction, or Wallenberg syndrome, frequently causes dysphagia. This retrospective, observational, multicenter study aimed to determine if the sequence of swallowing events was disturbed in patients with Wallenberg syndrome compared with previously published reference data for healthy adults...
January 7, 2019: Dysphagia
You Gyoung Yi, Byung-Mo Oh, Han Gil Seo, Hyung-Ik Shin, Moon Suk Bang
There have been no quantitative studies on dysphagia and its impact on quality of life (QOL) of adults with cerebral palsy (CP). In this cross-sectional study, we aimed to investigate the characteristics of dysphagia symptoms and their impact on QOL in adults with CP on a full oral diet compared with healthy adults. Additionally, we aimed to determine the factors affecting dysphagia-related QOL in this population. We enrolled adults with CP on full oral diet (N = 117) and healthy individuals (N = 117) and interviewed them using the swallowing-quality of life (SWAL-QOL) questionnaire which includes 14 items regarding dysphagia symptoms and 30 items regarding swallowing-related QOL...
January 5, 2019: Dysphagia
Catriona M Steele, Rajat Mukherjee, Juha M Kortelainen, Harri Pölönen, Michael Jedwab, Susan L Brady, Kayla Brinkman Theimer, Susan Langmore, Luis F Riquelme, Nancy B Swigert, Philip M Bath, Larry B Goldstein, Richard L Hughes, Dana Leifer, Kennedy R Lees, Atte Meretoja, Natalia Muehlemann
Oropharyngeal dysphagia is prevalent in several at-risk populations, including post-stroke patients, patients in intensive care and the elderly. Dysphagia contributes to longer hospital stays and poor outcomes, including pneumonia. Early identification of dysphagia is recommended as part of the evaluation of at-risk patients, but available bedside screening tools perform inconsistently. In this study, we developed algorithms to detect swallowing impairment using a novel accelerometer-based dysphagia detection system (DDS)...
January 5, 2019: Dysphagia
Seungwoo Cha, Won-Seok Kim, Ki Woong Kim, Ji Won Han, Hak Chul Jang, Soo Lim, Nam-Jong Paik
Dysphagia is common in older adults and associated with increased socioeconomic burdens. Recently, sarcopenia is considered to be a possible contributor for dysphagia. The purpose of this study is to investigate the association of dysphagia with sarcopenia in a geriatric population in Korea. This is a cross-sectional study using data from the Korean Longitudinal Study on Health and Aging (KLoSHA). Community-dwelling men and women aged 65 years and older without common causes of dysphagia in Seongnam City, Korea were included (N = 236)...
January 5, 2019: Dysphagia
Nezehat Özgül Ünlüer, Çağrı Mesut Temuçin, Numan Demir, Selen Serel Arslan, Aynur Ayşe Karaduman
Repetitive transcranial magnetic stimulation (rTMS) is one of the non-invasive techniques, which is used to modulate cortical regions in patients with stroke. The aim of this single blind, controlled study was to investigate the effect of rTMS on swallowing function and quality of life of mono-hemispheric post-stroke patients with dysphagia. Twenty-eight patients were randomized and split between study and control group. Each group received conventional dysphagia rehabilitation 3 days a week for 4 weeks, and study group also received 1 Hz rTMS to unaffected hemisphere in the final week...
January 2, 2019: Dysphagia
Yael Shapira-Galitz, Ruth Yousovich, Doron Halperin, Michael Wolf, Yonatan Lahav, Michael Drendel
The Eating Assessment Tool-10 (EAT-10) is a 10-item patient-reported outcome measure (PROM) for dysphagia patients. The objective of this study was to translate and validate the EAT-10Heb and to test for a correlation between its score and residue, penetration and aspiration on Fiberoptic Endoscopic Examination of Swallowing (FEES). 136 patients visiting two specialized dysphagia clinics and undergoing FEES between April 2015 and August 2017, filled the EAT-10Heb . 23 patients refilled the EAT-10Heb during a 2-week period following their first visit...
January 2, 2019: Dysphagia
Laurelie R Wall, Sanjeewa Kularatna, Elizabeth C Ward, Bena Cartmill, Anne J Hill, Elizabeth Isenring, Joshua Byrnes, Sandro V Porceddu
Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides challenges to many international cancer facilities. Telepractice has been proposed as a potential method to provide patients with greater support in home-practice, whilst minimising burden to the health service...
December 4, 2018: Dysphagia
Erin Kamarunas, Seng Mun Wong, Christy L Ludlow
Previously, vibratory stimulation increased spontaneous swallowing rates in healthy volunteers indicating that sensory stimulation excited the neural control of swallowing. Here, we studied patients with severe chronic dysphagia following brain injury or radiation for head and neck cancer to determine if sensory stimulation could excite an impaired swallowing system. We examined (1) if laryngeal vibratory stimulation increased spontaneous swallowing rates over sham (no stimulation); (2) the optimal rate of vibration, device contact pressure, and vibratory mode for increasing swallowing rates; and (3) if vibration altered participants' urge to swallow, neck comfort, and swallow initiation latency...
November 28, 2018: Dysphagia
Eun Jae Ko, Kyoung Hyo Choi, Sun U Kwon
This study investigated the impact of leukoaraiosis (LA) involving the contralateral corticobulbar tract (CBT) on dysphagia in patients with unilateral corona radiata (CR) infarction with CBT involvement. Patients admitted to the Department of Neurology (September 2011-August 2014) were evaluated; those with a first episode of acute unilateral CR infarction involving the CBT and with LA were included. The 'Case' group comprised patients with LA involving the contralateral CBT; the 'Control' group comprised patients with LA not involving the contralateral CBT...
November 21, 2018: Dysphagia
Francesco Mozzanica, Rosaria Lorusso, Carlo Robotti, Tania Zambon, Pietro Corti, Nicole Pizzorni, Jan Vanderwegen, Antonio Schindler
One of the major limitations of the fiberoptic endoscopic evaluation of swallowing (FEES) is related to the challenging application of temporal measures. Among them, Whiteout (WO) is due to pharyngeal and tongue base contraction and might be used as an estimation of the pharyngeal phase duration. The aims of this study were to evaluate the inter- and intrarater reliability of WO duration and to appraise the effects of age, sex, volume, and texture of the boluses on this temporal measurement. A total of 30 healthy volunteers were recruited...
November 19, 2018: Dysphagia
Nogah Nativ-Zeltzer, Anaïs Rameau, Maggie A Kuhn, Matthew Kaufman, Peter C Belafsky
Although the precise etiology of cricopharyngeus muscle (CPM) dysfunction (CPMD) is uncertain, many have hypothesized that a hypertrophied CPM may develop as a protective compensation against gastroesophageal reflux disease (GERD). The purpose of this investigation was to evaluate the association between CPMD and the presence of hiatal hernia (HH) in an attempt to elucidate the potential etiology of CPMD. The charts of individuals who underwent video fluoroscopic esophagrams between 01/01/14 and 10/30/16 were reviewed from an electronic database...
November 7, 2018: Dysphagia
Corinne A Jones, Nicole M Rogus-Pulia, Angela L Forgues, Jason Orne, Cameron L Macdonald, Nadine P Connor, Timothy M McCulloch
High-resolution manometry (HRM) objectively measures swallowing-related pressures in the pharynx and esophagus. It has been used in many research applications, but it is unclear how HRM is perceived amongst speech-language pathologists (SLP) as it enters into clinical practice. The purpose of this study was to explore SLP perceptions of clinical HRM use. Based on qualitative data collected at four focus groups held at two national conferences and a survey based on open-ended questions, we found broad consensus among those queried regarding how HRM's objective and targeted data could enhance diagnosis and drive treatments...
October 31, 2018: Dysphagia
Thorsten Send, Jennifer L Spiegel, Goetz Schade, Annette Pantelis, Arno Olthoff, Friedrich Bootz, Martin Canis, Mark Jakob
Amyloidosis in the upper aerodigestive tract is a very rare disease with mainly case reports documented so far. In the pathogenesis, amyloid protein fibers are deposited in organs and tissue. In the upper aerodigestive tract, mostly localized amyloidosis occurs with unspecific symptoms, e.g., dysphagia. We conducted a retrospective multicenter study with two study centers in Germany (tertiary referral hospitals), the University Hospital of Bonn and the University Hospital of Goettingen. For a period of the last 7 years, data were analyzed and patients were recruited consecutively...
October 31, 2018: Dysphagia
Giannina Álvarez, Fernando José Dias, María Florencia Lezcano, Alain Arias, Ramón Fuentes
Deglutition is a complex oral function, and the study of the whole process requires a precise analysis of the elements involved, especially of the tongue biomechanics. We described a three-dimensional analysis of tongue movements during both saliva and water deglutition in participants with normal occlusion. Fourteen participants (25.36 ± 4.85 years) were evaluated, and the movements of anterior, middle, and posterior portions of the tongue were recorded using AG501 3D-electromagnetic articulograph. An average volume (AVS) for water deglutition was determined for each participant...
October 31, 2018: Dysphagia
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