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Swallow assessment

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https://www.readbyqxmd.com/read/29785679/drooling-in-parkinson-s-disease-evidence-of-a-role-for-divided-attention
#1
Hannah Reynolds, Nick Miller, Richard Walker
Drooling is a frequently reported symptom in Parkinson's Disease (PD) with significant psychosocial impact and negative health consequences including silent aspiration of saliva with the associated risk of respiratory infections. It is suggested that in PD drooling is associated with inefficient oropharyngeal swallowing which reduces the effective clearance of saliva rather than hyper-salivation. This is compounded by unintended mouth opening and flexed posture increasing anterior loss of saliva. It is reported to occur most frequently during cognitively distracting concurrent tasks suggesting an impact from divided attention in a dual-task situation...
May 21, 2018: Dysphagia
https://www.readbyqxmd.com/read/29782968/trainability-of-hemodynamic-parameters-a-near-infrared-spectroscopy-based-neurofeedback-study
#2
Silvia Erika Kober, Vanessa Hinterleitner, Günther Bauernfeind, Christa Neuper, Guilherme Wood
We investigated the trainability of the hemodynamic response as assessed with near-infrared spectroscopy (NIRS) during one neurofeedback (NF) session. Forty-eight participants were randomly assigned to four different groups that tried to either increase or decrease oxygenated (oxy-Hb) or deoxygenated hemoglobin (deoxy-Hb) over the inferior frontal gyrus during imagery of swallowing movements. Deoxy-Hb could be successfully up-regulated while oxy-Hb could be successfully down-regulated during NF. Participants were not able to down-regulate deoxy-Hb or to up-regulate oxy-Hb...
May 18, 2018: Biological Psychology
https://www.readbyqxmd.com/read/29781565/quality-of-life-and-swallowing-questionnaire-for-individuals-with-parkinson-s-disease-development-and-validation
#3
Juliana Garcia Diniz, Alfredo Carlos da Silva, Ana Caline Nóbrega
BACKGROUND: Individuals with Parkinson's disease (PD) may exhibit some degree of change in swallowing dynamics during the course of the disease. These changes can affect their physical, functional and emotional quality of life. AIMS: To develop a quality of life and swallowing questionnaire for individuals with PD. METHODS & PROCEDURES: The first version of the questionnaire comprised 29 items taken from the accounts of 50 patients treated over a 2-month period at Sarah Hospital in Salvador, Bahia, Brazil...
May 21, 2018: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/29779807/acceptance-of-texture-modified-in-between-meals-among-old-adults-with-dysphagia
#4
S L Okkels, M Saxosen, S Bügel, A Olsen, T W Klausen, A M Beck
BACKGROUND AND AIMS: Old adults suffering from dysphagia have difficulties swallowing, chewing and/or eating, and are therefore at high risk of undernutrition. In-between-meals that are texture modified are of particular importance for people suffering from dysphagia. To meet their adequate daily amount of food intake they are recommended to eat 3-5 in-between-meals daily. The aim of the current pilot study was to identify the most liked in-between-meals for old adults based on flavour and describe the basic sensory properties of these in-between-meals...
June 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29779602/swallowing-and-secretion-management-in-neuromuscular-disease
#5
REVIEW
Deanna Britton, Chafic Karam, Joshua S Schindler
Neuromuscular disease frequently leads to dysphagia and difficulty managing secretions. Dysphagia may lead to medical complications, such as malnutrition, dehydration, aspiration pneumonia, and other pulmonary complications, as well as social isolation and reduced overall quality of life. This review provides an overview of dysphagia associated with neuromuscular disease in adults, along with a concise review of swallowing assessment and intervention options.
June 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29778042/reliability-and-validity-of-the-dymus-questionnaire-for-the-assessment-of-dysphagia-in-multiple-sclerosis-greek-version-and-proposed-modification
#6
Athanasia Printza, Maria Kalaitzi, Christos Bakirtzis, Ioannis Nikolaidis, Hariklia Proios, Nikolaos Grigoriadis
BACKGROUND: Recent research confirmed that at least a third of people with multiple sclerosis (MS) are suffering from swallowing difficulties. Dysphagia is associated with significant morbidity and mortality, and has profound impact on physical ability and quality of life. Dysphagia related complications can be prevented through an effective screening protocol. The Dysphagia in Multiple Sclerosis (DYMUS) questionnaire is the first dysphagia questionnaire developed specifically for patients with MS...
May 10, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29774515/eating-disorder-or-oesophageal-achalasia-during-adolescence-diagnostic-difficulties
#7
REVIEW
Aurélie Letranchant, Bénédicte Pigneur, Martine Flament, Nathalie Godart
Marine was a fourteen and a half-year-old adolescent female hospitalized for an eating disorder (ED) of the anorexic type with purging behaviors. She has had a complicated life course, made up of disruptions and discontinuities, both family and school. Since the age of five, Marine had been intermittently treated in psychiatry for a diagnosis of oppositional defiant disorder. The current illness started with spontaneous and induced vomiting associated with major weight loss (body mass index, 15.27 kg m-2 )...
May 17, 2018: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/29770876/reliability-and-validity-of-the-eating-assessment-tool-10-greek-adaptation-in-neurogenic-and-head-and-neck-cancer-related-oropharyngeal-dysphagia
#8
Athanasia Printza, Athanasios Kyrgidis, Elena Pavlidou, Stefanos Triaridis, Jannis Constantinidis
PURPOSE: Dysphagia is a symptom associated with significant morbidity and mortality, with profound impact on physical ability and quality of life. Many questionnaires have been used to assess patient-reported dysphagia, but issues related to developmental and measurement properties affect their wide applicability. The purpose of this study was to assess the validity and reliability of the Eating Assessment Tool-10 (EAT-10, Greek adaptation) in neurogenic and head and neck cancer-related dysphagia...
May 17, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29766545/association-of-handgrip-strength-with-various-oral-functions-in-82-to-84-year-old-community-dwelling-japanese
#9
Yusuke Mihara, Ken-Ichi Matsuda, Kazunori Ikebe, Koudai Hatta, Motoyoshi Fukutake, Kaori Enoki, Taiji Ogawa, Hajime Takeshita, Chisato Inomata, Yasuyuki Gondo, Yukie Masui, Kei Kamide, Ken Sugimoto, Mai Kabayama, Tatsuro Ishizaki, Yasumichi Arai, Yoshinobu Maeda
OBJECTIVE: The purpose of this study was to elucidate the associations between muscle strength and several oral functions in a large cohort of community-dwelling, 82- to 84-year-old community-dwelling Japanese people. BACKGROUND DATA DISCUSSING THE PRESENT STATUS OF THE FIELD: Several studies have examined the relationships between physical performance and oral functions. However, no studies have investigated the associations of muscle strength with various objectively evaluated oral functional parameters in a large cohort of very old adults...
May 15, 2018: Gerodontology
https://www.readbyqxmd.com/read/29765873/characteristics-of-cricopharyngeal-dysphagia-after-ischemic-stroke
#10
Hyuna Yang, Youbin Yi, Yong Han, Hyun Jung Kim
Objective: To evaluate the characteristics of cricopharyngeal dysfunction (CPD), the frequency, and correlation with a brain lesion in patients with first-ever ischemic stroke, and to provide basic data for developing a therapeutic protocol for dysphagia management. Methods: We retrospectively reviewed the medical records of a series of subjects post-stroke who underwent a videofluoroscopic swallowing study (VFSS) from January 2009 to December 2015. VFSS images were recorded on videotape and analyzed...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29764478/improved-symptomatic-functional-and-fluoroscopic-outcomes-following-serial-series-of-three-double-balloon-dilation-for-cricopharyngeus-muscle-dysfunction
#11
Derrick R Randall, Lisa M Evangelista, Maggie A Kuhn, Peter C Belafsky
BACKGROUND: Cricopharyngeus muscle dysfunction (CPMD) is a common cause of dysphagia. We employ a progressive series of three double-balloon dilations separated by 4-6 weeks between procedures as a primary treatment option. The purpose of this study was to evaluate subjective, functional and objective improvement in swallowing after three serial dilations for CPMD. METHODS: We retrospectively evaluated patients between June 1, 2014, and June 30, 2016, who underwent a series of three double-balloon dilations for CPMD...
May 15, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29764099/assessment-of-treatment-field-isolation-during-scaling-root-planing-and-rinsing
#12
Michel Gigandet, Deborah Hofer, Thomas Attin, Philipp Sahrmann, Patrick R Schmidlin
Aim: Intensive application of highly concentrated antimicrobials during scaling and root planing may be hazardous if swallowed in quantity. This study evaluates two dental isolation systems for fluid leakage in conjunction with a sham treatment of scaling and root planing. Materials and methods: Eight volunteers were randomly assigned to wear a conventional rubber dam (RD) and a combined suction and isolation device (IsoLite® system [IL]) alternatively on contralateral maxillary and mandibular quadrants. RD was cut between the canine and the first molar and was fixed on the first molar with a rubber dam clamp and with a tissue adhesive (Histoacryl) on the gingiva...
May 16, 2018: Swiss Dental Journal
https://www.readbyqxmd.com/read/29763895/voice-and-swallowing-outcomes-after-hyoid-suspension-surgery-in-patients-with-obstructive-sleep-apnea
#13
Sherif M Askar, Amal S Quriba, Elham M Hassan, Ali M Awad, Ahmad A Bessar
OBJECTIVE: The role of hyoidthyroidpexia (HTP) surgery in the management of patients with obstructive sleep apnea (OSA) is well described with good reported outcomes. The effect of HTP on other laryngeal functions is not well discussed. This study was designed to evaluate voice and swallowing outcomes after HTP. PATIENTS AND METHODS: This study was applied on a selected group of OSA patients. HTP (as a sole procedure) was performed in 17 patients and 14 patients had simultaneous palatal procedures (e...
May 15, 2018: Folia Phoniatrica et Logopaedica
https://www.readbyqxmd.com/read/29762284/hss-dysphagia-and-dysphonia-inventory-hss-ddi-following-anterior-cervical-fusion-patient-derived-validated-condition-specific-patient-reported-outcome-measure-outperforms-existing-indices
#14
Alexander P Hughes, Stephan N Salzmann, Okezie K Aguwa, Courtney Ortiz Miller, Roland Duculan, Jennifer Shue, Frank P Cammisa, Andrew A Sama, Federico P Girardi, Ashutosh Kacker, Carol A Mancuso
BACKGROUND: Dysphagia and dysphonia are common complications after anterior cervical spine surgery; however, reported prevalences vary greatly due to a lack of reliable clinical standards for measuring postoperative swallowing and speech dysfunction. The Hospital for Special Surgery Dysphagia and Dysphonia Inventory (HSS-DDI) was developed as a patient-derived, patient-reported instrument to measure dysphagia and dysphonia more accurately after anterior cervical spine surgery than existing indices...
May 16, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29761543/influence-of-backrest-angle-on-swallowing-musculature-activity-and-physical-strain-during-the-head-lift-exercise-in-elderly-women-compared-with-young-women
#15
Naomi Koshi, Hiromi Matsumoto, Tetsuya Hiramatsu, Yoko Shimizu, Hiroshi Hagino
BACKGROUND: The head lift exercise (HLE) is the most common exercise for strengthening the swallowing musculature in clinical situations. OBJECTIVE: The present study investigated whether a change in the backrest angle of a bed influences swallowing musculature activity and physical strain during the HLE and whether it can generate an appropriate exercise load for swallowing musculature activity for older women compared with younger women. METHODS: Participants were 10 elderly women and 10 young women, each of whom performed the HLE with a backrest randomly angled at 0°, 15°, 30°, or 45°...
May 14, 2018: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/29761381/impaired-tongue-function-as-an-indicator-of-laryngeal-aspiration-in-adults-with-acquired-oropharyngeal-dysphagia-a-systematic-review
#16
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/29758228/differences-in-swallow-physiology-in-patients-with-left-and-right-hemispheric-strokes
#17
Janina Wilmskoetter, Bonnie Martin-Harris, William G Pearson, Leonardo Bonilha, Jordan J Elm, Janet Horn, Heather S Bonilha
BACKGROUND: We sought to determine the impact of lesion lateralization and lesion volume on swallow impairment on group-level by comparing patients with left and right hemisphere strokes and on patient-level by analyzing patients individually. METHODS: We performed a retrospective, observational, cross-sectional study of 46 patients with unilateral (22 left, 24 right), acute, first-ever, ischemic strokes who received a diffusion weighted MRI (DW-MRI) and modified barium swallow study (MBSS) during their acute hospital stay...
May 11, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29756180/anodal-tdcs-of-the-swallowing-motor-cortex-for-treatment-of-dysphagia-in-multiple-sclerosis-a-pilot-open-label-study
#18
G Cosentino, R Gargano, G Bonura, S Realmuto, E Tocco, P Ragonese, M Gangitano, E Alfonsi, B Fierro, F Brighina, G Salemi
Swallowing difficulties are a common symptom of multiple sclerosis (MS). The early detection and treatment of dysphagia is critical to prevent complications, including poor nutrition, dehydration, and lung infections. Recently, transcranial direct current stimulation (tDCS) has been proven to be effective in ameliorating swallowing problems in stroke patients. In this pilot study, we aimed to assess safety and efficacy of transcranial direct current stimulation (tDCS) in the treatment of dysphagia in MS patients...
May 13, 2018: Neurological Sciences
https://www.readbyqxmd.com/read/29755210/deep-learning-for-classification-of-normal-swallows-in-adults
#19
Joshua M Dudik, James L Coyle, Amro El-Jaroudi, Zhi-Hong Mao, Mingui Sun, Ervin Sejdić
Cervical auscultation is a method for assessing swallowing performance. However, its ability to serve as a classification tool for a practical clinical assessment method is not fully understood. In this study, we utilized neural network classification methods in the form of Deep Belief networks in order to classify swallows. We specifically utilized swallows that did not result in clinically significant aspiration and classified them on whether they originated from healthy subjects or unhealthy patients. Dual-axis swallowing vibrations from 1946 discrete swallows were recorded from 55 healthy and 53 unhealthy subjects...
April 12, 2018: Neurocomputing
https://www.readbyqxmd.com/read/29753584/a-novel-fluoroscopic-method-for-multidimensional-evaluation-of-swallowing-function
#20
Nobuyuki Arai, Kozo Hanayama, Takaharu Yamazaki, Tetsuya Tomita, Akio Tsubahara, Kazuomi Sugamoto
OBJECTIVE: Dynamic videofluoroscopic swallow study (VFSS) is used to investigate swallowing movements. However, it requires prolonged radiation exposure and mainly provides qualitative information. Herein, we present a multi-dimensional method for analyzing swallowing based on a pulsed, low-dose fluoroscopy technique that uses serial-shot images and evaluates the size, position, and temporal profile of the bolus to obtain a more comprehensive and realistic analysis of swallowing movements...
May 9, 2018: Auris, Nasus, Larynx
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