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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
Ben Hanson, Catriona M Steele, Peter Lam, Julie A Y Cichero
No abstract text is available yet for this article.
October 31, 2018: Dysphagia
Hyun Im Moon, Gyu Seong Kim, Eunchae Lee
Older patients with stroke have poor functional prognosis compared to younger patients. Patients with stroke who have severe white matter (WM) lesions have been reported to have swallowing problems. The aim of this study was to determine whether the location of WM lesions affects swallowing function in older patients with mild stroke. We conducted a retrospective analysis of 88 patients aged > 65 years who had a National Institutes of Health Stroke Scale score  of ≤ 5 and who underwent videofluoroscopic swallowing examination after their first stroke...
October 31, 2018: Dysphagia
Donna R Scarborough, Michael Bailey-Van Kuren, Taylor N Creech
No abstract text is available yet for this article.
October 17, 2018: Dysphagia
Ikjae Im, Je-Pyo Jun, Michael A Crary, Giselle D Carnaby, Ki Hwan Hong
The aim of this study was to assess pharyngeal swallowing impairments in thyroidectomy patients and to delineate the contributory kinematic components. Forty consecutive patients (mean age = 47.33 years) and fourteen age- and sex-matched heathy adult volunteers (mean age = 42.64 years) participated in this study. A videofluoroscopic swallowing study (VFSS) was performed 1 day prior to surgery, and at 1 week and 3 months post-surgery. VFSS images were evaluated using the Modified Barium Swallowing Impairment Profile (MBSImp)...
October 8, 2018: Dysphagia
James E Jackson, Nigel J Anderson, Maureen Rolfo, Morikatsu Wada, Michal Schneider, Michael Poulsen, Maziar Fahandej, Anna Huynh, Sze Ting Lee, Daryl Lim Joon, Vincent Khoo
The purpose of this study was to investigate whether the metabolic tumor volume (MTV) of head and neck primary tumors may be a significant prognostic factor for feeding tube (FT) use and FT dependence. Seventy-nine patients with evaluable primary tumors, pre-therapy FDG-PET scans, treated with definitive intensity-modulated radiotherapy (IMRT) (± concurrent chemotherapy) for head and neck mucosal cancers were included. MTV was quantified and recorded for the primary lesion using a minimum standardized uptake value (SUV) threshold of 2...
September 28, 2018: Dysphagia
Maria Schwarz, Elizabeth C Ward, Petrea Cornwell, Anne Coccetti, Naomi Kalapac
Growing patient numbers, within a context of finite resources, has placed increased demands on dysphagia services in acute settings. Delegating some aspects of dysphagia management to other trained professional groups, such as allied health assistants (AHA), may help speech-language pathology (SLP) service efficiencies. The primary aim of this study was to explore the feasibility and initial validity of using trained AHAs to complete structured mealtime observations of patients. The secondary aims were to explore costs and user perceptions...
September 26, 2018: Dysphagia
Jong-Chi Oh
This study investigated differences in suprahyoid muscle activity in elderly adults during tongue-hold swallowing (THS) according to tongue protrusion length to determine the most effective tongue protrusion length during THS. A total of 52 healthy participants (34 females and 18 males) aged 69-92 years were included. Changes in suprahyoid muscle activation during normal swallowing and THS with 1/3rd and 2/3rd tongue protrusions using surface electromyography were observed. Suprahyoid muscle activation significantly increased with the increasing tongue protrusion length (p < 0...
September 24, 2018: Dysphagia
Fabio Azevedo Caparroz, Milena de Almeida Torres Campanholo, Danilo Anunciatto Sguillar, Leonardo Haddad, Sung Woo Park, Lia Bittencourt, Sergio Tufik, Fernanda Louise Martinho Haddad
There is evidence in the literature demonstrating that patients with obstructive sleep apnea (OSA) may present with dysphagia, but few studies have evaluated whether this complaint can be reversed with treatment of OSA. To assess whether findings of dysphagia in patients with OSA can be reversed with the use of continuous positive airway pressure (CPAP) devices. Seventy adult patients (age 18-70 years) with moderate or severe OSA were included in the study. All patients underwent fiberoptic endoscopic evaluation of swallowing (FEES) and completed the SWAL-QOL questionnaire on quality of life in dysphagia...
September 24, 2018: Dysphagia
Victoria Jean Earl, Mohamed Khaldoun Badawy
Videofluoroscopic swallowing studies expose both the patients and the staff to ionising radiation. Although the radiation exposure is considered low compared to other diagnostic procedures, it is still prudent to keep the radiation dose as low as reasonably achievable. This review aims to summarise the latest literature pertaining to staff and patient radiation dose, as well as to make evidence-based recommendations on dose optimisation strategies. The evidence shows that patient radiation dose is low; nonetheless, care must be taken for patients that require multiple examinations...
September 22, 2018: Dysphagia
Corinne A Jones, Angela L Forgues, Nicole M Rogus-Pulia, Jason Orne, Cameron L Macdonald, Nadine P Connor, Timothy M McCulloch
Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field at large. We hypothesized that younger SLPs, those working in outpatient settings, those with a strong knowledge base in HRM, and those with experience in other types of instrumentation are more likely to have interest in adopting HRM...
September 19, 2018: Dysphagia
Diane Sellers
No abstract text is available yet for this article.
September 19, 2018: Dysphagia
Taylor N Creech, Michael Bailey-Van Kuren, Jessica Sparks, Samantha B Becker, Rita S N Kou, Olivia C Wnek, Donna R Scarborough
The original version of this article unfortunately contained mistakes.
September 14, 2018: Dysphagia
Aimee Riley, Anna Miles, Catriona M Steele
Hyoid position and swallowing-related displacement has been studied in healthy adults and adults with dysphagia, but research is limited in children. The aim of this study was to investigate feasibility of visualizing and measuring position and swallowing-related displacement of the hyoid bone in children. We explored relationships between hyoid displacement, age and aspiration risk scores. Pediatric swallowing data were extracted from a videofluoroscopy database containing recordings from 133 children aged 9 days to 21 years (mean 36 months, SD 3 years) referred for videofluoroscopy due to concerns regarding their feeding...
September 12, 2018: Dysphagia
Leen Van den Steen, Jan Vanderwegen, Cindy Guns, Rik Elen, Marc De Bodt, Gwen Van Nuffelen
Tongue-strengthening exercises (TSE) are based on the principles of exercise and motor learning, including intensity. Intensity is manipulated by gradually adjusting the resistive load. This randomized controlled trial (RCT) investigates the effect of three different values resistive load during TSE in healthy older adults. Sixty subjects completed 8 weeks of TSE while exercising with Iowa Oral Performance Instrument (IOPI). They were randomly distributed to 4 different treatment arms: 3 exercise groups (EG1: n = 15; EG2: n = 16, EG3: n = 16) and 1 control group performing lip-strengthening exercises (CG: n = 13)...
September 12, 2018: Dysphagia
Sung Young Lee, Seung Hoon Han
The subcortex is an important region in terms of swallowing function that passes fibers from the swallowing center to the cortex. However, studies on the relationship between the hemorrhage size and characteristics of dysphagia were lacking. In the present study, the relationship between subcortical hemorrhage size and characteristics of dysphagia was assessed in patients with subcortical hemorrhage. This study recruited retrospectively 49 subcortical hemorrhage patients with dysphagia. The hemorrhage size was measured and the clinical dysphagia scale (CDS) was used to evaluate the severity of dysphagia...
August 25, 2018: Dysphagia
Emmelie Persson, Inger Wårdh, Per Östberg
Screening tests can be performed to identify stroke patients who require further assessment of swallowing function. The Repetitive Saliva Swallowing Test (RSST) is a screening test during which the patient is asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx. This study aimed to establish normative values for three age groups of non-patients (total N = 120) on RSST. One patient group (N = 40) was also recruited from a geriatric stroke unit to assess whether RSST scores predicted outcomes on the Standardised Swallowing Assessment-Svenska (SSA-S), a clinical screening tool here used as a reference test...
August 21, 2018: Dysphagia
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