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Dysphagia

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https://www.readbyqxmd.com/read/29218488/effect-of-body-position-on-pharyngeal-swallowing-pressures-using-high-resolution-manometry
#1
Sarah P Rosen, Suzan M Abdelhalim, Corinne A Jones, Timothy M McCulloch
The effect of body position and gravitational pull on the complex pressure-driven process of pharyngeal swallowing remains unknown. Using high-resolution manometry (HRM), this study aims to identify positional adaptations of pharyngeal physiology by evaluating swallowing pressure patterns in a series of inverted body positions. Ten healthy adults each underwent swallowing tasks with pharyngeal HRM at six body positions using an inversion table (0°[upright], 45°, 90°[supine], 110°, 135°, and 180°[fully inverted])...
December 7, 2017: Dysphagia
https://www.readbyqxmd.com/read/29214430/functional-cause-of-dysphagia-improved-with-cognitive-behavioural-treatment
#2
Burak Acikel, Mehmet Ak
No abstract text is available yet for this article.
December 6, 2017: Dysphagia
https://www.readbyqxmd.com/read/29185035/relationship-between-frequency-of-spontaneous-swallowing-and-salivary-substance-p-level-in-patients-with-acute-stroke
#3
Masachika Niimi, Gentaro Hashimoto, Takatoshi Hara, Naoki Yamada, Masahiro Abo, Hiroto Fujigasaki, Takafumi Ide
The frequency of spontaneous swallowing is useful for screening of dysphagia in acute stroke. Low levels of substance P (SP) in saliva attenuate the swallowing reflex. The aim of this study was to determine the relationship between the frequency of spontaneous swallowing and salivary SP levels. In 40 subjects, saliva was collected within 72 h after stroke onset and salivary SP levels were measured using ELISA kit at a later date. The frequency of spontaneous swallowing was measured over 1 h using a microphone placed on the neck...
November 28, 2017: Dysphagia
https://www.readbyqxmd.com/read/29170819/tongue-pressure-production-and-submental-surface-electromyogram-activities-during-tongue-hold-swallow-with-different-holding-positions-and-tongue-length
#4
Shigehiro Fujiwara, Masako Fujiu-Kurachi, Kazuhiro Hori, Yoshinobu Maeda, Takahiro Ono
Our previous study regarding the tongue-hold swallow (THS) demonstrated that the tongue-to-palate contact during THS could be influenced by the maximum tongue protrusion length (MTPL) of individual subjects, resulting in two different patterns of pressure generation. The present study further analyzed the influence of MTPL on the tongue pressure production along with submental surface electromyography (sEMG) during THS, in order to establish an index to better control THS effects. Tongue pressure using a sensor sheet system and concurrent submental sEMG activities were measured during swallowing tasks in 18 healthy young adults...
November 24, 2017: Dysphagia
https://www.readbyqxmd.com/read/29147920/dysphagia-in-multiple-sclerosis-evaluation-and-validation-of-the-dymus-questionnaire
#5
REVIEW
Dalal Alali, Kirrie Ballard, Steve Vucic, Hans Bogaardt
OBJECTIVE: The 10-item Dysphagia in Multiple Sclerosis (DYMUS) questionnaire is a self-administered tool used to identify swallowing problems in adults with MS. The questionnaire was not validated against other existing questionnaires to assess its convergent validity. Moreover, its test-retest reliability was not measured previously. Therefore, the purpose of this study was to assess the factor analysis, internal consistency and test-retest reliability of the DYMUS, as well as its convergent validity against an established and validated questionnaire, the EAT-10...
November 17, 2017: Dysphagia
https://www.readbyqxmd.com/read/29147919/alterations-to-swallowing-physiology-as-the-result-of-effortful-swallowing-in-healthy-seniors
#6
Sonja M Molfenter, Chuan-Ya Hsu, Ying Lu, Cathy L Lazarus
A significant proportion of healthy seniors report difficulty swallowing, thought to result from age-related decline in muscle bulk/function. Effortful Swallowing (ES) is used both as a compensatory maneuver to improve pharyngeal propulsion/clearance and has been proposed as an exercise to improve pharyngeal strength. This study sought to quantify the immediate kinematic, temporal, and functional changes during an ES maneuver to quantify its exercise potential to combat age-related changes in swallowing. Videofluoroscopy data were collected from 44 healthy seniors (21 male) over 65 years old (mean = 76...
November 17, 2017: Dysphagia
https://www.readbyqxmd.com/read/29128948/a-dramatic-case-of-odynophagia
#7
B Sopeña, J Limeres, L García-Caballero, M Diniz-Freitas, J Seoane, P Diz
We report the case of a 77-year-old male with a history of aortic stenosis and interstitial lung disease, who debuted 3 years ago with an outbreak of necrotic and very painful canker sores. The severity of the lesions and their refractory response to treatment led to several hospital admissions and multiple consultations to different specialists (ENT, rheumatology, dermatology, ophthalmology, cardiology, and internal medicine). During this time, the patient received central parenteral nutrition with an episode of catheter-related septicemia, and he came to require psychiatric assistance for autolytic ideation...
November 11, 2017: Dysphagia
https://www.readbyqxmd.com/read/29103155/evaluation-of-swallow-function-in-patients-with-craniofacial-microsomia-a-retrospective-study
#8
Lara S van de Lande, Cornelia J J M Caron, Britt I Pluijmers, Koen F M Joosten, Marloes Streppel, David J Dunaway, Maarten J Koudstaal, Bonnie L Padwa
Craniofacial microsomia (CFM) is characterized by underdevelopment of the structures derived from the first and second pharyngeal arches resulting in aesthetic, psychological, and functional problems including feeding and swallowing difficulties. The aim of this study is to gain more insight into swallowing difficulties in patients with CFM. A retrospective study was conducted in the population of patients diagnosed with CFM at three major craniofacial units. Patients with feeding difficulties and those who underwent video fluoroscopic swallow (VFS) studies were included for further analyses...
November 4, 2017: Dysphagia
https://www.readbyqxmd.com/read/29098398/evaluation-of-an-automated-swallow-detection-algorithm-using-visual-biofeedback-in-healthy-adults-and-head-and-neck-cancer-survivors
#9
Gabriela Constantinescu, Kristina Kuffel, Daniel Aalto, William Hodgetts, Jana Rieger
Mobile health (mHealth) technologies may offer an opportunity to address longstanding clinical challenges, such as access and adherence to swallowing therapy. Mobili-T(®) is an mHealth device that uses surface electromyography (sEMG) to provide biofeedback on submental muscles activity during exercise. An automated swallow-detection algorithm was developed for Mobili-T(®). This study evaluated the performance of the swallow-detection algorithm. Ten healthy participants and 10 head and neck cancer (HNC) patients were fitted with the device...
November 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/29098397/modification-of-masticatory-rhythmicity-leading-to-the-initiation-of-the-swallowing-reflex-in-humans
#10
Masaki Yoneda, Kazuya Saitoh
Modification of movements by proprioceptive feedback during mastication has an important role in shifting from the oral to the pharyngeal phase of swallowing. The aim of this study was to investigate the kinetics of masticatory muscles throughout a sequence of oropharyngeal swallowing and to present a hypothetical model of the involvement of the nervous system in the transition from mastication to the swallowing reflex. Surface electromyographic signals were recorded from the jaw-closing masseter muscles and the jaw-opening suprahyoid muscle group when a piece of bread (3-5 g) was ingested...
November 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/29052789/computational-analysis-of-pharyngeal-swallowing-mechanics-in-patients-with-motor-neuron-disease-a-pilot-investigation
#11
K L Garand, Ryan Schwertner, Amy Chen, William G Pearson
Swallowing impairment (dysphagia) is a common sequela in patients with motor neuron disease (MND). The purpose of this retrospective, observational pilot investigation was to characterize how pharyngeal swallowing mechanics are impacted in patients with MND using a comparison with healthy, non-dysphagic control group. Computational analysis of swallowing mechanics (CASM) was used to determine covariate biomechanics of pharyngeal swallowing from videofluoroscopic assessment in 15 patients with MND and 15 age- and sex-matched healthy controls...
October 20, 2017: Dysphagia
https://www.readbyqxmd.com/read/29052051/tongue-strengthening-exercises-in-healthy-older-adults-specificity-of-bulb-position-and-detraining-effects
#12
Leen Van den Steen, Charlotte Schellen, Katja Verstraelen, Anne-Sophie Beeckman, Jan Vanderwegen, Marc De Bodt, Gwen Van Nuffelen
Clinical tongue-strengthening therapy programs are generally based on the principles of exercise and motor learning, including the specificity paradigm. The aim of this study was to investigate the specific effect of anterior and posterior tongue-strengthening exercises (TSE) on tongue strength (TS) in healthy older adults and to measure possible detraining effects. Sixteen healthy elderly completed 8 weeks of TSE by means of the Iowa Oral Performance Instrument (IOPI). They were distributed in two different treatment arms and performed either exclusively anterior or posterior TSE (ATSE, n = 9 or PTSE, n = 7) depending on the treatment arm...
October 19, 2017: Dysphagia
https://www.readbyqxmd.com/read/29052050/inter-rater-reliability-of-the-dysphagia-outcome-and-severity-scale-doss-effects-of-clinical-experience-audio-recording-and-training
#13
Angeliki Zarkada, Julie Regan
The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospective research design was used. Seventeen speech and language pathologists (SLPs) were recruited from an acute teaching hospital, Dublin (> 3 years' VFSS experience, n = 10) and from a postgraduate dysphagia programme in a university setting (< 3 years' VFSS experience; n = 7)...
October 19, 2017: Dysphagia
https://www.readbyqxmd.com/read/29022113/a-significant-association-of-malnutrition-with-dysphagia-in-acute-patients
#14
Tsukasa Saito, Keisuke Hayashi, Hajime Nakazawa, Fumika Yagihashi, Leo O Oikawa, Tetsuo Ota
Dysphagia and malnutrition seem to be associated, but little research in detail has been reported. We aimed to clarify the association between dysphagia and malnutrition by adopting accurate diagnosis and mathematical evaluation of dysphagia using videofluorography and nutritional assessment calculated by a well-established nutritional risk index. We conducted a retrospective analysis of 165 enrolled patients who were admitted to our hospital for acute diseases and underwent videofluorography on suspicion of dysphagia in the year 2016...
October 11, 2017: Dysphagia
https://www.readbyqxmd.com/read/29022086/lesions-responsible-for-delayed-oral-transit-time-in-post-stroke-dysphagia
#15
Hyun Im Moon, Seo Yeon Yoon, Tae Im Yi, Yoon Jeong Jeong, Tae Hwan Cho
INTRODUCTION: Some stroke patients show oral phase dysphagia, characterized by a markedly prolonged oral transit time that hinders oral feeding. The aim of this study was to clarify the clinical characteristics and lesions responsible for delayed swallowing. METHODS: We reviewed 90 patients with stroke. The oral processing time plus the postfaucial aggregation time required to swallow semisolid food was assessed. The patients were divided into two groups according to oral transit time, and we analyzed the differences in characteristics such as demographic factors, lesion factors, and cognitive function...
October 11, 2017: Dysphagia
https://www.readbyqxmd.com/read/28988288/effects-of-mechanical-complications-on-radiation-exposure-during-fluoroscopically-guided-gastrojejunostomy-exchange-in-the-pediatric-population
#16
Kevin S H Koo, Joseph Reis, Jodi Manchester, Gulraiz Chaudry, Brian Dillon
The purpose of the article is to evaluate the effects of mechanical complications, such as clogging or coiling, of gastrojejunostomy tubes on radiation exposure during exchange in the pediatric population. In this HIPAA-compliant and IRB-approved study, we retrospectively reviewed procedural records for patients undergoing gastrojejunostomy (GJ) tube exchange during a 4-month period in 2014. Success of the procedure, specifications of the tube, age, and sex of the patient as well as radiation exposure during the procedure were included...
October 7, 2017: Dysphagia
https://www.readbyqxmd.com/read/28965240/patient-adherence-to-dysphagia-recommendations-a-systematic-review
#17
REVIEW
Brittany N Krekeler, Courtney K Broadfoot, Stephen Johnson, Nadine P Connor, Nicole Rogus-Pulia
Patient adherence to treatment recommendations is an important issue for healthcare providers, in a multitude of specialties, and is critical when assessing the efficacy and effectiveness of a particular treatment approach. Patients who have swallowing impairment often require complex and specific interventions requiring altered daily patterns of behavior. Patients with dysphagia who do not follow recommendations or prescribed exercises may not receive maximum benefit of an intervention. Poor adherence also makes it more difficult to evaluate efficacy of a treatment both clinically and in experimental settings...
September 30, 2017: Dysphagia
https://www.readbyqxmd.com/read/28965209/feasibility-of-a-mobile-application-to-enhance-swallowing-therapy-for-patients-undergoing-radiation-based-treatment-for-head-and-neck-cancer
#18
Heather M Starmer, Rina Abrams, Kimberly Webster, Jennifer Kizner, Beth Beadle, F Christopher Holsinger, Harry Quon, Jeremy Richmon
Dysphagia following treatment for head and neck cancer is one of the most significant morbidities impacting quality of life. Despite the value of prophylactic exercises to mitigate the impact of radiation on long-term swallowing function, adherence to treatment is limited. The purpose of this investigation was to explore the feasibility of a mobile health application to support patient adherence to swallowing therapy during radiation-based treatment. 36 patients undergoing radiation therapy were provided with the Vibrent™ mobile application as an adjunct to standard swallowing therapy...
September 30, 2017: Dysphagia
https://www.readbyqxmd.com/read/28932903/a-survey-of-australian-dysphagia-practice-patterns
#19
Anna Rumbach, Caitlin Coombes, Sebastian Doeltgen
Dysphagia assessment and rehabilitation practice is complex, and significant variability in speech-language pathology approaches has been documented internationally. The aim of this study was to evaluate swallowing-related assessment and rehabilitation practices of SLPs currently working in Australia. One hundred and fifty-four SLPs completed an online questionnaire administered via QuickSurveys from May to July 2015. Results were analysed descriptively. The majority of clinicians had accessed post-graduate training in dysphagia management and assessment (66...
September 20, 2017: Dysphagia
https://www.readbyqxmd.com/read/28932902/reply-to-the-letter-to-the-editor%C3%A2-concerning-changes-in-swallowing-related-quality-of-life-after-endoscopic-treatment-for-zenker-s-diverticulum-using-swal-qol-questionnaire
#20
LETTER
Charlotte Colpaert, O M Vanderveken, P Van de Heyning, C Van Laer
No abstract text is available yet for this article.
September 20, 2017: Dysphagia
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