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Dysphagia

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https://www.readbyqxmd.com/read/29774424/lingual-and-jaw-kinematic-abnormalities-precede-speech-and-swallowing-impairments-in-als
#1
Bridget J Perry, Rosemary Martino, Yana Yunusova, Emily K Plowman, Jordan R Green
Early identification of bulbar involvement in persons with ALS is critical for improving diagnosis and prognosis; however, efficacious diagnostic markers have not yet been identified. The purpose of this study was to determine whether kinematic changes of the tongue and jaw during swallowing, measured using 3D electromagnetic articulography (EMA), predate clinically identifiable symptoms of speech and swallowing impairment in persons diagnosed with ALS. Data were collected from 16 adults diagnosed with ALS and 18 neurotypical controls...
May 17, 2018: Dysphagia
https://www.readbyqxmd.com/read/29766275/implementing-cough-reflex-testing-in-a-clinical-pathway-for-acute-stroke-a-pragmatic-randomised-controlled-trial
#2
Makaela Field, Rachel Wenke, Arman Sabet, Melissa Lawrie, Elizabeth Cardell
Silent aspiration is common after stroke and can lead to subsequent pneumonia. While standard bedside dysphagia assessments are ineffective at predicting silent aspiration, cough reflex testing (CRT) has shown promise for identifying patients at risk of silent aspiration. We investigated the impact of CRT on patient and service outcomes when embedded into a clinical pathway. 488 acute stoke patients were randomly allocated to receive either CRT or standard care (i.e. bedside assessment). Primary outcomes included confirmed pneumonia within 3 months post stroke and length of acute inpatient stay...
May 15, 2018: Dysphagia
https://www.readbyqxmd.com/read/29761381/impaired-tongue-function-as-an-indicator-of-laryngeal-aspiration-in-adults-with-acquired-oropharyngeal-dysphagia-a-systematic-review
#3
Martin Checklin, Tania Pizzari
Tongue function assessment typically forms part of a clinical bedside swallowing evaluation (CBSE). The predictive value of lingual function for calculating aspiration risk in isolation is not known. The aim of this systematic review was to collate current evidence on the utility of assessing lingual deficits for predicting aspiration. Health databases Medline, CINAHL, Cochrane Library, SpeechBITE, AMED and Embase were searched from inception to November 2016. Studies were included if there was a comparison between a clinical lingual assessment (index test) and aspiration on instrumental assessments (reference test) in adults who had been diagnosed with oropharyngeal dysphagia...
May 14, 2018: Dysphagia
https://www.readbyqxmd.com/read/29761380/saliva-production-and-enjoyment-of-real-food-flavors-in-people-with-and-without-dysphagia-and-or-xerostomia
#4
Angela M Dietsch, Cathy A Pelletier, Nancy Pearl Solomon
Non-food gustatory stimulation has multiple potential therapeutic benefits for people with dysphagia and xerostomia. This study examined palatability and saliva flow associated with dissolvable flavored films. Taste strips with real-food flavors dissolved on the tongues of 21 persons with dysphagia and/or xerostomia and 21 healthy age- and sex-matched adults while sublingual gauze pads absorbed saliva over randomized 3-min trials. Participants rated taste enjoyment for each trial on a hedonic general labeled magnitude scale...
May 14, 2018: Dysphagia
https://www.readbyqxmd.com/read/29728769/correction-to-patient-adherence-to-dysphagia-recommendations-a-systematic-review
#5
Brittany N Krekeler, Courtney K Broadfoot, Stephen Johnson, Nadine P Connor, Nicole Rogus-Pulia
The original version of this article unfortunately contains mistakes. The second sentence in the section "Results", under the heading "Study Design" was incorrect. It should read as: Two studies [24, 29] used a prospective cohort study design with a JAMA rating of 2. Four studies [17, 25, 27, 34] completed retrospective studies earning a JAMA score of 3. Four studies [26, 28, 30, 33] earned a JAMA quality rating score of 4 and used the following designs: case series [26, 28, 33], and pilot study [30]...
May 4, 2018: Dysphagia
https://www.readbyqxmd.com/read/29725764/a-preliminary-videofluoroscopic-investigation-of-swallowing-physiology-and-function-in-individuals-with-oculopharyngeal-muscular-dystrophy-opmd
#6
Ashley A Waito, Catriona M Steele, Melanie Peladeau-Pigeon, Angela Genge, Zohar Argov
Dysphagia is one of the primary symptoms experienced by individuals with Oculopharyngeal Muscular Dystrophy (OPMD). However, we lack understanding of the discrete changes in swallowing physiology that are seen in OPMD, and the resulting relationship to impairments of swallowing safety and efficiency. This study sought to describe the pathophysiology of dysphagia in a small sample of patients with OPMD using a videofluoroscopy examination (VFSS) involving 3 × 5 mL boluses of thin liquid barium (22% w/v)...
May 3, 2018: Dysphagia
https://www.readbyqxmd.com/read/29713897/coordination-of-pharyngeal-and-laryngeal-swallowing-events-during-single-liquid-swallows-after-oral-endotracheal-intubation-for-patients-with-acute-respiratory-distress-syndrome
#7
Martin B Brodsky, Ishani De, Kalyan Chilukuri, Minxuan Huang, Jeffrey B Palmer, Dale M Needham
To evaluate timing and duration differences in airway protection and esophageal opening after oral intubation and mechanical ventilation for acute respiratory distress syndrome (ARDS) survivors versus age-matched healthy volunteers. Orally intubated adult (≥ 18 years old) patients receiving mechanical ventilation for ARDS were evaluated for swallowing impairments via a videofluoroscopic swallow study (VFSS) during usual care. Exclusion criteria were tracheostomy, neurological impairment, and head and neck cancer...
April 30, 2018: Dysphagia
https://www.readbyqxmd.com/read/29713896/pink1-rats-show-early-onset-swallowing-deficits-and-correlative-brainstem-pathology
#8
Kaylee P Cullen, Laura M Grant, Cynthia A Kelm-Nelson, Alexander F L Brauer, Luke B Bickelhaupt, John A Russell, Michelle R Ciucci
Parkinson disease (PD) compromises oropharyngeal swallowing, which negatively affects quality of life and contributes to aspiration pneumonia. Dysphagia often begins early in the disease process, and does not improve with standard therapies. As a result, swallowing deficits are undertreated in the PD population. The Pink1 -/- rat is used to model PD, and demonstrates widespread brainstem neuropathology in combination with early-onset sensorimotor dysfunction; however, to date, swallowing behaviors have not been evaluated...
April 30, 2018: Dysphagia
https://www.readbyqxmd.com/read/29687354/swallow-event-sequencing-comparing-healthy-older-and-younger-adults
#9
Erica G Herzberg, Cathy L Lazarus, Catriona M Steele, Sonja M Molfenter
Previous research has established that a great deal of variation exists in the temporal sequence of swallowing events for healthy adults. Yet, the impact of aging on swallow event sequence is not well understood. Kendall et al. (Dysphagia 18(2):85-91, 2003) suggested there are 4 obligatory paired-event sequences in swallowing. We directly compared adherence to these sequences, as well as event latencies, and quantified the percentage of unique sequences in two samples of healthy adults: young (< 45) and old (> 65)...
April 23, 2018: Dysphagia
https://www.readbyqxmd.com/read/29680946/the-importance-of-considering-anatomical-variables-in-high-resolution-manometry-measurements
#10
LETTER
Donghwi Park
No abstract text is available yet for this article.
April 21, 2018: Dysphagia
https://www.readbyqxmd.com/read/29680945/cilostazol-is-effective-to-prevent-stroke-associated-pneumonia-in-patients-receiving-tube-feeding
#11
Shizuka Netsu, Atsushi Mizuma, Masaki Sakamoto, Sachiko Yutani, Eiichiro Nagata, Shunya Takizawa
Stroke-associated pneumonia (SAP) is a frequent complication in acute ischemic stroke (IS) patients, especially those receiving tube feeding (TF). In this retrospective study, we investigated whether or not cilostazol, a pluripotent phosphodiesterase III-specific inhibitor with anti-platelet and vasculogenic effects, can prevent SAP in these patients and reduce their duration of stay in intensive care unit/hospitalization. We recruited 158 IS patients receiving TF. Patients' characteristics (including age, gender, past history), National Institute of Health Stroke Scale and serum albumin level on admission, concomitant medications associated with SAP prevention (including cilostazol), and stroke characteristics (bilateral subcortical white matter lesion, brainstem involvement, large infarction, and asymptomatic hemorrhagic infarction) were compared between the SAP(-) and SAP(+) groups...
April 21, 2018: Dysphagia
https://www.readbyqxmd.com/read/29637299/a-smooth-esophageal-stricture-causing-dysphagia
#12
Edoardo Forti, Giulia Bonato, Lorenzo Dioscoridi, Marcello Cintolo, Francesco Pugliese, Laura Cristoferi, Alberto Tringali, Valentina Caputo, Valentina Motta, Massimo Domenico Torre, Serena Conforti, Massimiliano Mutignani
Dysphagia in patients with lung cancer is usually due to direct invasion from bronchogenic carcinomas or nodal localizations, while metastases from distant lung neoplasms are considered rare. We report a case of a smooth esophageal narrowing secondary to intramural metastasis from pulmonary adenocarcinoma in a patient with no previous history of neoplasia. Since standard linear echoendoscope could not overpass the malignant stricture, we obtained a histological diagnosis by fine-needle aspiration biopsy using an echobronchoscope (EBUS), due to its lower diameter...
April 10, 2018: Dysphagia
https://www.readbyqxmd.com/read/29623425/unexpected-late-complication-causing-dysphagia
#13
Anıl Hişmi, Hilal Şahin, Burak Kınalı, İbrahim Çukurova
No abstract text is available yet for this article.
April 6, 2018: Dysphagia
https://www.readbyqxmd.com/read/29619560/dysphagia-and-oral-morbidities-in-chemoradiation-treated-head-and-neck-cancer-patients
#14
Yoshiaki Ihara, Michael A Crary, Aarthi Madhavan, David C Gregorio, Ikjae Im, Sarah E Ross, Giselle D Carnaby
This study prospectively evaluated relationships between oral morbidities and swallowing ability in head/neck cancer patients following chemoradiation therapy (CRT) and at 3 months following CRT. Thirty patients with confirmed head/neck cancer undergoing chemoradiation were assessed with a battery of swallowing measures and measures of oral morbidities related to chemoradiation (xerostomia, mucositis, pain, taste/smell, oral moisture). All measures were completed at baseline (within the first week of CRT), at 6 weeks (end of treatment), and at 3 months following chemoradiation...
April 4, 2018: Dysphagia
https://www.readbyqxmd.com/read/29619559/effect-of-nasogastric-tube-on-aspiration-risk-results-from-147-patients-with-dysphagia-and-literature-review
#15
Gowun Kim, Sora Baek, Hee-Won Park, Eun Kyoung Kang, Gyuhyun Lee
Nasogastric tube (NGT) is a common feeding strategy for patients at risk of endotracheal aspiration with an oral diet. With NGT feeding, however, swallowing of small amounts saliva cannot be avoided. We investigated whether the aspiration rate when swallowing 1 mL of fluid increased in patients using an NGT in different dysphagia severities. One hundred forty-seven patients who had been receiving NGT feeding underwent a videofluoroscopic swallowing study (VFSS). During VFSS, subjects were offered 1 mL of fluid twice: initially, with the tube inserted (NGT-in) and, subsequently, with the tube removed (NGT-out)...
April 4, 2018: Dysphagia
https://www.readbyqxmd.com/read/29607447/oropharyngeal-dysphagia-evaluation-tools-in-adults-with-solid-malignancies-outside-the-head-and-neck-and-upper-gi-tract-a-systematic-review
#16
REVIEW
Ciarán Kenny, Órla Gilheaney, Declan Walsh, Julie Regan
Dysphagia is often associated with head and neck and upper gastrointestinal (GI) tract cancers. Evidence suggests that those with solid malignancies in other primary sites may also have swallowing difficulties. Timely and accurate identification of dysphagia is important given the impact it has on hydration, medical treatment, nutrition, prognosis, and quality of life. A systematic review was conducted to identify swallow screening, evaluation, and quality of life tools for those with solid malignancies outside the head and neck and upper GI tract...
April 2, 2018: Dysphagia
https://www.readbyqxmd.com/read/29574541/speech-therapy-as-treatment-for-supragastric-belching
#17
Liesbeth Ten Cate, Thomas V K Herregods, Philippe H Dejonckere, Gerrit J M Hemmink, André J P M Smout, Albert J Bredenoord
The purpose of this study was to describe a newly developed speech therapy program as an innovating therapeutic approach and to assess the results of this intervention in patients with supragastric belching. This is a retrospective analysis of prospectively gathered data from 73 patients with supragastric belching who were treated with speech therapy between 2007 and 2017. Of these, 48 were included for evaluation of therapy. Thirty patients had supragastric belching proven by 24-h impedance measurements. Eighteen patients were diagnosed by an experienced speech language pathologist as having supragastric belching according to precise criteria...
March 24, 2018: Dysphagia
https://www.readbyqxmd.com/read/29572573/longitudinal-evaluation-of-swallowing-with-videofluoroscopy-in-patients-with-locally-advanced-head-and-neck-cancer-after-chemoradiation
#18
Ekaterini Xinou, Ioannis Chryssogonidis, Anna Kalogera-Fountzila, Dimitra Panagiotopoulou-Mpoukla, Athanasia Printza
The aim of this study was to investigate the prevalence, severity, and pattern of evolution of swallowing impairments encountered in head and neck cancer (HNC) patients before and after chemoradiation (CRT) with videofluoroscopy of swallowing study (VFSS), using the modified barium swallow impairment profile (MBSImP) protocol and scoring system, and to determine the appropriate time points in which these patients should undergo VFSS post-CRT. A prospective cohort of 69 patients with locally advanced HNC underwent VFSS with the MBSImP protocol at 5 evaluation points: pre-CRT, and 1, 3, 6, and 12 months post-CRT...
March 23, 2018: Dysphagia
https://www.readbyqxmd.com/read/29516172/reliability-of-untrained-and-experienced-raters-on-fees-rating-overall-residue-is-a-simple-task
#19
Jessica M Pisegna, James C Borders, Asako Kaneoka, Wendy J Coster, Rebecca Leonard, Susan E Langmore
The purpose of this study was to investigate the reliability of residue ratings on Fiberoptic Endoscopic Evaluation of Swallowing (FEES). We also examined rating differences based on experience to determine if years of experience influenced residue ratings. A group of 44 raters watched 81 FEES videos representing a wide range of residue severities for thin liquid, applesauce, and cracker boluses. Raters were untrained on the rating scales and simply rated their overall impression of residue amount on a visual analog scale (VAS) and a five-point ordinal scale in a randomized fashion across two sessions...
March 7, 2018: Dysphagia
https://www.readbyqxmd.com/read/29502135/correlation-of-patient-and-physician-scored-dysphagia-with-videofluoroscopies-in-patients-treated-with-radiotherapy-for-head-and-neck-cancer
#20
D Nevens, A Goeleven, F Duprez, A Laenen, E Dejaeger, W De Neve, S Nuyts
The aim of this study was to investigate the correlation between patient-scored dysphagia and physician-scored dysphagia in head and neck cancer patients treated with radiotherapy. Furthermore, we wanted to compare both patient- and physician-scored dysphagia with dysphagia evaluated on swallowing videofluoroscopies. Sixty-three patients from two different centers treated with radiotherapy for head and neck cancer were evaluated in the current study. Swallowing videofluoroscopies at baseline, 6, and 12 months following radiotherapy were evaluated by 2 observers using the Penetration Aspiration Scale (PAS) and Swallowing Performance Status Scale (SPS) and correlated with patient and physician scored dysphagia...
March 3, 2018: Dysphagia
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