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JOURNAL ARTICLE
Nicolau Guanyabens, Noemí Tomsen, Ernest Palomeras, Lluís Mundet, Pere Clavé, Omar Ortega
OBJECTIVE: To characterize swallowing biomechanics and neurophysiology in older patients with oropharyngeal dysphagia (OD). METHODS: Observational study in 12 young healthy volunteers (HV), 9 older HV (OHV) and 12 older patients with OD with no previous diseases causing OD (OOD). Swallowing biomechanics were measured by videofluoroscopy, neurophysiology with pharyngeal sensory (pSEP) and motor evoked-potentials (pMEP) to intrapharyngeal electrical and transcranial magnetic stimulation (TMS), respectively, and salivary neuropeptides with enzyme-linked immunosorbent assay (ELISA)...
April 4, 2024: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
#2
JOURNAL ARTICLE
Bo-Ye Ni, Hua-Ping Jin, Wei Wu
BACKGROUND: Stroke patients often experience difficulty swallowing. OBJECTIVE: To assist in the improvement of dysphagia symptoms by introducing a novel approach to the treatment of patients with post-stroke aspiration. METHODS: A total of 60 patients with post-stroke aspiration were enrolled and divided into an experimental group (n = 30) and a control group (n = 30). The control group received standard treatment, sham intraoral stimulation, and the Masako maneuver, while the experimental group was administered standard treatment, deep pharyngeal electrical stimulation (DPES), and a modified Masako maneuver...
April 11, 2024: NeuroRehabilitation
#3
JOURNAL ARTICLE
Paul Muhle, Inga Claus, Bendix Labeit, Malte Roderigo, Tobias Warnecke, Rainer Dziewas, Sonja Suntrup-Krueger
PURPOSE: The aim of our study was to assess if PES before extubation can minimize the extubation failure risk in orally intubated, mechanically ventilated stroke patients at high risk of severe dysphagia. MATERIALS AND METHODS: Thirty-two ICU patients were prospectively enrolled in this study presenting with a high risk for dysphagia as defined by a DEFISS (Determine Extubation Failure In Severe Stroke) risk score and compared 1:1 to a retrospective matched patient control group...
April 5, 2024: Journal of Critical Care
#4
REVIEW
Jesse Dawson, Azmil H Abdul-Rahim, Teresa J Kimberley
Neurostimulation, the use of electrical stimulation to modulate the activity of the nervous system, is now commonly used for the treatment of chronic pain, movement disorders and epilepsy. Many neurostimulation techniques have now shown promise for the treatment of physical impairments in people with stroke. In 2021, vagus nerve stimulation was approved by the FDA as an adjunct to intensive rehabilitation therapy for the treatment of chronic upper extremity deficits after ischaemic stroke. In 2024, pharyngeal electrical stimulation was conditionally approved by the UK National Institute for Health and Care Excellence for neurogenic dysphagia in people with stroke who have a tracheostomy...
April 3, 2024: Nature Reviews. Neurology
#5
REVIEW
Lan Chen, Chang Liu, Mengmei Yuan, Xiaoxiao Yin, Shan Niu, Jiaying Tang, Haotian Chen, Bing Xiong, Xiuqin Feng
OBJECTIVE: This review evaluates the efficacy and safety of dysphagia interventions for patients with prolonged endotracheal intubation (⩾48 h) in critical care units. DATA SOURCES: We systematically searched PubMed, Cochrane Library, Medline, Embase, OVID, CINAHL, Wanfang (China), CNKI (China), and ProQuest Dissertations for studies published up to December 31, 2023. STUDY SELECTION: Inclusion criteria encompassed randomized controlled trials (RCTs), quasi-randomized trials, and cohort studies comparing dysphagia rehabilitation - such as swallowing stimulation, swallowing and respiratory muscle exercise, and neuromuscular electrical stimulation - with standard care or no treatment...
April 1, 2024: Dysphagia
#6
REVIEW
Bendix Labeit, Emilia Michou, Michaela Trapl-Grundschober, Sonja Suntrup-Krueger, Paul Muhle, Philip M Bath, Rainer Dziewas
After a stroke, most patients have dysphagia, which can lead to aspiration pneumonia, malnutrition, and adverse functional outcomes. Protective interventions aimed at reducing these complications remain the cornerstone of treatment. Dietary adjustments and oral hygiene help mitigate the risk of aspiration pneumonia, and nutritional supplementation, including tube feeding, might be needed to prevent malnutrition. Rehabilitative interventions aim to enhance swallowing function, with different behavioural strategies showing promise in small studies...
April 2024: Lancet Neurology
#7
JOURNAL ARTICLE
Yuta Nakajima, Takanori Tsujimura, Kojun Tsuji, Jin Magara, Makoto Inoue
Pharyngeal electrical stimulation (PES) applies electrical stimulation to pharyngeal mucosa (PhM) and represents a useful approach to improve swallowing function in patients with dysphagia. To determine the optimal PES modality to treat dysphagia, the mechanism underlying the effects of PES on swallowing function must be elucidated. In this study, we evaluated how PES and electrical stimulation of the superior laryngeal nerve (SLN) modulate the initiation of swallowing in anesthetized rats. A swallow was evoked by electrical stimulation of the PhM, SLN, and nucleus of the solitary tract (nTS) and pharyngeal mechanical stimulation using a von Frey filament...
February 14, 2024: Neuroscience Letters
#8
JOURNAL ARTICLE
Peter K M Ku, Alexander C Vlantis, Rita W M Wong, Thomas S C Hui, Thomas Law, Louisa K Y Ng, Eddy W Y Wong, W T Chang, David R Johnson, Florence S T Mok, K H Wong, Victor Abdullah, Andrew van Hasselt, Kathy Y S Lee, Michael C F Tong
BACKGROUND: Exercise-based swallowing training (EBST) and transcutaneous neuromuscular electrical stimulation (TNMES) are common modalities used to treat late dysphagia after radiotherapy for nasopharyngeal carcinoma (NPC). We aimed to investigate and compare the efficacies of EBST and TNMES as proactive treatments administered early after radiotherapy. METHODS: Patients with early post-radiotherapy NPC ( n = 120) underwent either TNMES or EBST. Flexible endoscopic evaluation of swallowing (FEES), quality of life (QOL), and swallowing function questionnaires were completed before the intervention as well as immediately, 6, and 12 months after the intervention...
December 2023: Laryngoscope Investigative Otolaryngology
#9
REVIEW
Zicai Liu, Jinling Cheng, Cheng Tan, Huiyu Liu, Dongmiao Han
Stroke is the leading cause of death and disability among adults. The incidence of stroke per 100, 000 patient-years was 2875. As many as 37% to 78% of patients with acute strokes suffer dysphagia. Dysphagia can easily lead to inhalation pneumonia, dehydration, malnutrition, and other serious complications, affecting the quality of life of stroke patients and increasing their mortality. Effective prevention and treatment of post-stroke dysphagia are of great significance to improving the prognosis and quality of life of patients...
December 20, 2023: Dysphagia
#10
REVIEW
Nerea Gómez-García, Lorena Álvarez-Barrio, Raquel Leirós-Rodríguez, Anxela Soto-Rodríguez, Elena Andrade-Gómez, Pablo Hernández-Lucas
BACKGROUND: Strokes may cause some swallowing difficulty or associated dysphagia in 25-80% of patients. This phenomenon has been linked to increased morbidity and mortality. Therefore, the aim of this study was to evaluate the efficacy of transcranial direct current stimulation in patients with dysphagia in post-stroke patients. METHODS: A systematic search in PubMed, Scopus, Web of Science and MEDLINE was conducted. The articles must have to evaluate an intervention that included transcranial direct current stimulation; the sample had to consist exclusively of patients with post-stroke dysphagia; and the experimental design consisted of randomized controlled trial...
December 11, 2023: Journal of Neuroengineering and Rehabilitation
#11
REVIEW
Rudolf Likar, Ilia Aroyo, Katrin Bangert, Björn Degen, Rainer Dziewas, Oliver Galvan, Michaela Trapl Grundschober, Markus Köstenberger, Paul Muhle, Joerg C Schefold, Patrick Zuercher
BACKGROUND: Dysphagia is common in intensive care unit (ICU) patients, yet it remains underrecognized and often unmanaged despite being associated with life-threatening complications, prolonged ICU stays and hospitalization. PURPOSE: To propose an expert opinion for the diagnosis and management of dysphagia developed from evidence-based clinical recommendations and practitioner insights. METHODS: A multinational group of dysphagia and critical care experts conducted a literature review using a modified ACCORD methodology...
February 2024: Journal of Critical Care
#12
JOURNAL ARTICLE
Mami Kaneko, Yoichiro Sugiyama, Ryoto Munekawa, Shota Kinoshita, Shigeyuki Mukudai, Toshiro Umezaki, Mathias Dutschmann, Shigeru Hirano
OBJECTIVES: To examine the sustained effects of oropharyngeal capsaicin stimulation on the regulation of swallowing, we recorded the swallowing-related nerve activities during continuous infusion of capsaicin solution into the oropharynx. METHODS: In 33 in situ perfused brainstem preparation of rats, we recorded the activities of the vagus, hypoglossal, and phrenic nerves during fictive swallowing. The interburst intervals (IBIs) of the swallowing-related nerves during sequential pharyngeal swallowing (sPSW) elicited by electrical stimulation of the superior laryngeal nerve (SLN) during concurrent capsaicin stimulation of 10, 1, and 0...
July 28, 2023: Laryngoscope
#13
JOURNAL ARTICLE
Seoyon Yang, Jin-Woo Park, Kyunghoon Min, Yoon Se Lee, Young-Jin Song, Seong Hee Choi, Doo Young Kim, Seung Hak Lee, Hee Seung Yang, Wonjae Cha, Ji Won Kim, Byung-Mo Oh, Han Gil Seo, Min-Wook Kim, Hee-Soon Woo, Sung-Jong Park, Sungju Jee, Ju Sun Oh, Ki Deok Park, Young Ju Jin, Sungjun Han, DooHan Yoo, Bo Hae Kim, Hyun Haeng Lee, Yeo Hyung Kim, Min-Gu Kang, Eun-Jae Chung, Bo Ryun Kim, Tae-Woo Kim, Eun Jae Ko, Young Min Park, Hanaro Park, Min-Su Kim, Jungirl Seok, Sun Im, Sung-Hwa Ko, Seong Hoon Lim, Kee Wook Jung, Tae Hee Lee, Bo Young Hong, Woojeong Kim, Weon-Sun Shin, Young Chan Lee, Sung Joon Park, Jeonghyun Lim, Youngkook Kim, Jung Hwan Lee, Kang-Min Ahn, Jun-Young Paeng, JeongYun Park, Young Ae Song, Kyung Cheon Seo, Chang Hwan Ryu, Jae-Keun Cho, Jee-Ho Lee, Kyoung Hyo Choi
OBJECTIVE: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one's physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications...
July 2023: Annals of Rehabilitation Medicine
#14
REVIEW
Signe Janum Eskildsen, Irene Wessel, Ingrid Poulsen, Carrinna Aviaja Hansen, Derek John Curtis
PURPOSE: Tracheostomy and dysphagia are independently associated with increased complications and poorer functional outcome after acquired brain injury (ABI). The aim of this study was to identify and evaluate rehabilitation to restore functional swallowing ability and respiratory capacity during tracheal tube weaning. MATERIALS AND METHODS: The review was conducted according to PRISMA guidelines. Any study design with adult patients with ABI and tracheostomy was eligible...
July 14, 2023: Disability and Rehabilitation
#15
JOURNAL ARTICLE
Ali Barikroo, Alyssa Zinser
The impaired swallow timing subsequent to dysphagia or aging can potentially endanger swallowing safety and efficiency. Preliminary evidence has suggested that transcutaneous electrical stimulation (TES) may have the potential to affect swallow timing. However, limited knowledge exists regarding which TES parameters can optimize swallow timing. Pulse frequency is one of the primary TES parameters that can affect the quality of muscle contraction. Yet, no clear information exists regarding how changing pulse frequency impacts the timing of swallowing events...
July 12, 2023: Dysphagia
#16
JOURNAL ARTICLE
Thomas M Kaffenberger, Ryan J Soose
Obstructive sleep apnea (OSA) is characterized by repetitive episodes of disrupted breathing during sleep. The most effective treatment for OSA is positive pressure ventilation; however, this treatment can be complicated by adherence difficulties. An array of alternative OSA therapies have emerged, including positional therapy, nasal exhalation devices, oral appliances, and various nasal, pharyngeal, and skeletal surgical treatments. One of the newest options, hypoglossal nerve stimulation (HNS) therapy, represents a hybrid medical and surgical treatment...
June 2023: Compendium of Continuing Education in Dentistry
#17
RANDOMIZED CONTROLLED TRIAL
Xue Cao, Hong-Juan Zhang, Gang Xu, Xing-Xing Ma, Xiu-Ling Pu, Wen-Juan Ma, Di Zhang, Zhao-di Tian, Wei-Hua Zhang
OBJECTIVE: To observe the clinical efficacy on post-stroke dysphagia treated with four-step acupuncture therapy for opening orifices and benefiting throat combined with neuromuscular electrical stimulation. METHODS: Sixty patients with post-stroke dysphagia were randomly divided into an observation group and a control group, with 30 cases in each group. The neuromuscular electrical stimulation was adopted in the control group. Besides the treatment as the control group, in the observation group, the four-step acupuncture therapy for opening orifices and benefiting throat was supplemented...
June 12, 2023: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
#18
REVIEW
Christian Ledl, Ulrike Frank, Ylva Y Ullrich
Persistent dysphagia is a major predictor of prolonged ventilation weaning and unsuccessful attempts at decannulation. Due to the high incidence of dysphagia in tracheotomized patients, tracheal cannula management and dysphagia treatment must be coordinated. A central element of tracheal cannula management in dysphagia treatment is the establishment of physiological airflow. This enables voluntary clearing functions, such as coughing and throat clearing and significantly reduces aspiration. A distinction is made between spontaneous and staged decannulation pathways with expansion of cuff unblocking times and occlusion training...
May 23, 2023: Der Nervenarzt
#19
JOURNAL ARTICLE
Kondwani Joseph Banda, Ko-Chiu Wu, Hsiu-Ju Jen, Hsin Chu, Li-Chung Pien, Ruey Chen, Tso-Ying Lee, Sheng-Kai Lin, Shih-Han Hung, Kuei-Ru Chou
BACKGROUND: Comparative therapeutic benefits of combined and single neurostimulation therapies including neuromuscular electrical stimulation (NMES), pharyngeal electrical stimulation (PES), repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), and traditional dysphagia therapy (TDT) remain unknown in post-stroke dysphagia (PSD) rehabilitation. Therefore, we performed the first network meta-analysis (NMA) to determine comparative effectiveness of combined and single neurostimulation and traditional dysphagia therapies for PSD...
April 2023: Neurorehabilitation and Neural Repair
#20
JOURNAL ARTICLE
Yueyang Zhuang, Xiaohua Wang, Xinbo Yin, Xiaoling Li, Weilin Liu
UNLABELLED: To compare the effects of various therapies in patients with post-stroke dysphagia. DATA SOURCES: We searched databases between January 1980 and 2022. STUDY ELIGIBILITY CRITERIA: Randomized controlled trials (RCTs) on therapy for dysphagia after stroke. STUDY APPRAISAL AND SYNTHESIS METHODS: The outcomes were improvement in dysphagia, case fatality, and chest infection or pneumonia, reported as OR (odd ratio), 95% CrI (confidence interval), and SUCRA (the surface under the cumulative ranking curve analysis) score...
March 26, 2023: Biotechnology & Genetic Engineering Reviews
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