keyword
https://read.qxmd.com/read/37934250/longitudinal-analysis-of-dysphagia-and-factors-related-to-postoperative-pneumonia-in-patients-undergoing-esophagectomy-for-esophageal-cancer
#1
JOURNAL ARTICLE
Asako Kaneoka, Haruhi Inokuchi, Rumi Ueha, Taku Sato, Takao Goto, Akihito Yamauchi, Yasuyuki Seto, Nobuhiko Haga
Few studies have quantified longitudinal changes in swallowing in patients undergoing esophagectomy for esophageal cancer. This study longitudinally analyzed the changes in the Modified Barium Swallow Study Impairment Profile (MBSImP™) scores, swallowing kinematic measurements, and swallowing-related symptoms in patients undergoing esophagectomy. We also examined the association between identified swallowing impairment and aspiration pneumonia after surgery. We included consecutive patients who underwent esophagectomy and completed laryngoscopy and videofluoroscopy before, two weeks, and three months after surgery...
November 7, 2023: Dysphagia
https://read.qxmd.com/read/37902448/quantifying-oropharyngeal-swallowing-impairment-in-response-to-bolus-viscosity
#2
JOURNAL ARTICLE
Kendrea L Focht Garand, Kent Armeson, Elizabeth G Hill, Julie Blair, William Pearson, Bonnie Martin-Harris
PURPOSE: The purpose of this study was to test the feasibility for quantifying changes in oropharyngeal swallowing impairment in response to alteration in bolus viscosity using a reliable and valid method of observational measurement-the Modified Barium Swallow Impairment Profile (MBSImP). METHOD: This retrospective analysis included a heterogeneous cohort of 119 patients with suspected dysphagia that underwent a videofluoroscopic swallowing study as part of clinical care...
October 30, 2023: American Journal of Speech-language Pathology
https://read.qxmd.com/read/37785884/reducing-the-risk-of-post-rt-aspiration-by-sparing-specific-aspiration-related-organs-at-risk
#3
JOURNAL ARTICLE
H P van der Laan, A Gawryszuk, A V D Hoek, R J H M Steenbakkers, A van der Schaaf, J A Langendijk
PURPOSE/OBJECTIVE(S): Radiotherapy (RT)-induced aspiration is a serious and potentially life-threatening side effect. We identified functional swallowing units (FSUs), musculature involved in larynx elevation and tongue base retraction (R&O 2019; 130:62). FSUs were strongly related to aspiration. We developed a prediction model with baseline aspiration status and dose in FSUs as factors which performed well in predicting videofluoroscopy assessed RT-induced aspiration, at 6 months...
October 1, 2023: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/37326668/biomechanical-and-cortical-control-of-tongue-movements-during-chewing-and-swallowing
#4
REVIEW
Callum F Ross, J D Laurence-Chasen, Peishu Li, Courtney Orsbon, Nicholas G Hatsopoulos
Tongue function is vital for chewing and swallowing and lingual dysfunction is often associated with dysphagia. Better treatment of dysphagia depends on a better understanding of hyolingual morphology, biomechanics, and neural control in humans and animal models. Recent research has revealed significant variation among animal models in morphology of the hyoid chain and suprahyoid muscles which may be associated with variation in swallowing mechanisms. The recent deployment of XROMM (X-ray Reconstruction of Moving Morphology) to quantify 3D hyolingual kinematics has revealed new details on flexion and roll of the tongue during chewing in animal models, movements similar to those used by humans...
June 16, 2023: Dysphagia
https://read.qxmd.com/read/36229718/relating-physiologic-swallowing-impairment-functional-swallowing-ability-and-swallow-specific-quality-of-life
#5
JOURNAL ARTICLE
R Jordan Hazelwood, Kent E Armeson, Elizabeth G Hill, Heather Shaw Bonilha, Bonnie Martin-Harris
Many studies include functional swallowing ability and quality of life information to indicate a response to a specific swallowing intervention or to describe the natural history of dysphagia across diseases and conditions. Study results are difficult to interpret because the association between these factors and actual swallowing impairment is not understood. We set out to test the associations between components of physiologic swallowing impairment, functional swallowing ability, and swallow-specific quality of life using standardized and validated measurement tools: Modified Barium Swallow Impairment Profile (MBSImP), Functional Oral Intake Scale (FOIS), Eating Assessment Tool (EAT-10), and Dysphagia Handicap Index (DHI)...
October 13, 2022: Dysphagia
https://read.qxmd.com/read/36075206/determining-swallowing-biomechanics-underlying-modified-barium-swallow-impairment-profile-scoring-using-computational-analysis-of-swallowing-mechanics
#6
JOURNAL ARTICLE
Brittany N Krekeler, Kate Davidson, Cagla Kantarcigil, William Pearson, Julie Blair, Bonnie Martin-Harris
PURPOSE: The elements of impaired swallowing biomechanics are visually assessed and scored by clinicians using a standardized and validated tool for assessing type and severity of physiological impairments using the Modified Barium Swallow Impairment Profile (MBSImP). However, the functional anatomical correlates that underly noted impairments using MBSImP scoring have not been measured. The purpose of this study was to determine whether differences in MBSImP component scores represent differences in underlying swallowing mechanics as measured by computational analysis of swallowing mechanics (CASM) to better define underlying mechanisms of impairment...
September 8, 2022: Journal of Speech, Language, and Hearing Research: JSLHR
https://read.qxmd.com/read/35590347/chin-tuck-against-resistance-exercise-with-feedback-to-improve-swallowing-eating-and-drinking-in-frail-older-people-admitted-to-hospital-with-pneumonia-protocol-for-a-feasibility-randomised-controlled-study
#7
JOURNAL ARTICLE
David G Smithard, Ian Swaine, Salma Ayis, Alberto Gambaruto, Aoife Stone-Ghariani, Dharinee Hansjee, Stefan T Kulnik, Peter Kyberd, Elizabeth Lloyd-Dehler, William Oliff
BACKGROUND: Swallowing difficulties (dysphagia) and community-acquired pneumonia are common in frail older people and maybe addressed through targeted training of the anterior neck musculature that affects the swallow. We have developed a swallowing exercise rehabilitation intervention (CTAR-SwiFt) by adapting a previously established swallowing exercise to ensure patient safety and ease of execution in the frail elderly population. The CTAR-SwiFt intervention consists of a feedback-enabled exercise ball that can be squeezed under the chin, with real-time feedback provided via a mobile application...
May 19, 2022: Pilot and Feasibility Studies
https://read.qxmd.com/read/31676923/dysphagia-in-progressive-supranuclear-palsy
#8
JOURNAL ARTICLE
Heather M Clark, Julie A G Stierwalt, Nirubol Tosakulwong, Hugo Botha, Farwa Ali, Jennifer L Whitwell, Keith A Josephs
Progressive supranuclear palsy (PSP) is the most common Parkinson-Plus syndrome and is associated with early onset of dysphagia relative to Parkinson Disease. The current study contributes to the growing understanding of swallowing dysfunction in PSP by describing oropharyngeal swallowing characteristics in a large prospective cohort of participants with PSP employing a nationally standardized videofluoroscopy protocol and a disease severity scale developed expressly for PSP. Participants were 51 adults diagnosed with PSP...
August 2020: Dysphagia
https://read.qxmd.com/read/31335240/taste-manipulation-and-swallowing-mechanics-in-trauma-related-sensory-based-dysphagia
#9
JOURNAL ARTICLE
Angela M Dietsch, H Duncan Dorris, William G Pearson, Katie E Dietrich-Burns, Nancy Pearl Solomon
Purpose This study explored the effects of high-concentration taste manipulation trials on swallow function in persons with sensory-based dysphagia. Method Dysphagia researchers partnered with clinical providers to prospectively identify traumatically injured U.S. military service members (N = 18) with sensory-based dysphagia as evidenced by delayed initiation and/or decreased awareness of residue/penetration/aspiration. Under videofluoroscopy, participants swallowed trials of 3 custom-mixed taste stimuli: unflavored (40% weight/volume [wt/vol] barium sulfate in distilled water), sour (2...
August 15, 2019: Journal of Speech, Language, and Hearing Research: JSLHR
https://read.qxmd.com/read/30999620/swallowing-safety-and-efficiency-after-open-partial-horizontal-laryngectomy-a-videofluoroscopic-study
#10
JOURNAL ARTICLE
Nicole Pizzorni, Antonio Schindler, Micol Castellari, Marco Fantini, Erika Crosetti, Giovanni Succo
Dysphagia is common after an open partial horizontal laryngectomy (OPHL). The mechanisms causing lower airways' invasion and pharyngeal residue are unclear. The study aims to examine physio-pathological mechanisms affecting swallowing safety and efficiency after OPHL. Fifteen patients who underwent an OPHL type IIa with arytenoid resection were recruited. Videofluoroscopic examination of swallowing was performed. Ten spatial, temporal, and scalar parameters were analyzed. Swallowing safety and efficiency were assessed through the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) scale...
April 17, 2019: Cancers
https://read.qxmd.com/read/30551889/functional-swallowing-units-fsus-as-organs-at-risk-for-radiotherapy-part-2-advanced-delineation-guidelines-for-fsus
#11
JOURNAL ARTICLE
Agata Gawryszuk, Hendrik P Bijl, Monique Holwerda, Gyorgy B Halmos, Jan Wedman, Max J H Witjes, Anton M van der Vliet, Bart Dorgelo, Johannes A Langendijk
BACKGROUND AND PURPOSE: In a separate article (PART 1), a rationale and explanation of the physiology-and-anatomy-based concept of Functional Swallowing Units (FSUs) was presented. FSUs are swallowing muscles not included in the set of commonly defined swallowing organs at risk (SWOARs). They are involved in three crucial swallowing components: hyolaryngeal elevation (HLE), tongue base retraction (TBR) and tongue motion. This paper is a continuation of PART 1 and it provides detailed computed tomography (CT)-based delineation guidelines for FSUs, which presumably are also at risk of radiation-induced dysphagia...
January 2019: Radiotherapy and Oncology
https://read.qxmd.com/read/29940681/computational-analysis-of-swallowing-mechanics-after-surgery-for-obstructive-sleep-apnea
#12
JOURNAL ARTICLE
Mark A Ellis, Mariah B Pate, Hugh D Dorris, William G Pearson, Jimmy J Brown
Multilevel upper airway surgery for obstructive sleep apnea (OSA) has been shown to cause clinically significant dysphagia in some patients. We describe the cases of 2 adults with OSA who developed persistent dysphagia after multilevel upper airway surgery. Patient-specific computational analysis of swallowing mechanics (CASM) revealed absent pharyngeal shortening and aberrant tongue base retraction in both patients. These findings are consistent with the OSA surgical goal of enlarging the hypopharyngeal airway but likely contributed to our patients' dysphagia...
April 2018: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/29882104/inter-rater-agreement-of-clinicians-treatment-recommendations-based-on-modified-barium-swallow-study-reports
#13
JOURNAL ARTICLE
Laurie Slovarp, Jennifer Danielson, Julie Liss
The modified barium swallow study (MBSS) is a commonly used radiographic procedure for diagnosis and treatment of swallowing disorders. Despite attempts by dysphagia specialists to standardize the MBSS, most institutions have not adopted such standardized procedures. High variability of assessment patterns arguably contribute to variability of treatment recommendations made from diagnostic information derived from the MBSS report. An online survey was distributed to speech-language pathologists (SLPs) participating in American Speech Language Hearing Association (ASHA) listservs...
June 7, 2018: Dysphagia
https://read.qxmd.com/read/29572573/longitudinal-evaluation-of-swallowing-with-videofluoroscopy-in-patients-with-locally-advanced-head-and-neck-cancer-after-chemoradiation
#14
JOURNAL ARTICLE
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...
October 2018: Dysphagia
https://read.qxmd.com/read/29052789/computational-analysis-of-pharyngeal-swallowing-mechanics-in-patients-with-motor-neuron-disease-a-pilot-investigation
#15
JOURNAL ARTICLE
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...
April 2018: Dysphagia
https://read.qxmd.com/read/28361201/swallowing-function-after-continuous-neuromuscular-electrical-stimulation-of-the-submandibular-region-evaluated-by-high-resolution-manometry
#16
JOURNAL ARTICLE
Michael Jungheim, Christoph Schubert, Simone Miller, Martin Ptok
Although neuromuscular electrical stimulation (NMES) is increasingly used in dysphagia therapy, patient responses to NMES are inconsistent and conflicting results have been reported. This, together with a lack of information about the effects of NEMS on the swallowing process, has led to an ongoing debate about its impact on swallowing function. In order to address this, we set out to (i) collect baseline information on the physiological effects of NMES on the complex pharyngeal phase of swallowing and (ii) to compare two different stimulation protocols...
August 2017: Dysphagia
https://read.qxmd.com/read/27426940/computational-analysis-of-swallowing-mechanics-underlying-impaired-epiglottic-inversion
#17
JOURNAL ARTICLE
William G Pearson, Brandon K Taylor, Julie Blair, Bonnie Martin-Harris
OBJECTIVES/HYPOTHESIS: Determine swallowing mechanics associated with the first and second epiglottic movements, that is, movement to horizontal and full inversion, respectively, to provide a clinical interpretation of impaired epiglottic function. STUDY DESIGN: Retrospective cohort study. METHODS: A heterogeneous cohort of patients with swallowing difficulties was identified (n = 92). Two speech-language pathologists reviewed 5-mL thin and 5-mL pudding videofluoroscopic swallow studies per subject, and assigned epiglottic component scores of 0 = complete inversion, 1 = partial inversion, and 2 = no inversion, forming three groups of videos for comparison...
August 2016: Laryngoscope
https://read.qxmd.com/read/26796743/relationship-between-tongue-base-region-pressures-and-vallecular-clearance
#18
JOURNAL ARTICLE
Molly A Knigge, Susan Thibeault
Tongue base pressures have been thought to provide primary bolus clearance through the pharynx during swallowing. The relationship between bolus driving pressures and residue remaining in the valleculae after the swallow has not been defined. Thirty-seven dysphagic patients who were evaluated with both videofluoroscopy (VFSS) and high-resolution manometry (HRM) were identified within the University of Wisconsin Voice and Swallowing Outcomes database. Patients were categorized according to binary ratings of presence or absence of vallecular stasis as well as incomplete or complete tongue retraction on VFSS...
June 2016: Dysphagia
https://read.qxmd.com/read/26256963/analysis-of-dysphagia-patterns-using-a-modified-barium-swallowing-test-following-treatment-of-head-and-neck-cancer
#19
JOURNAL ARTICLE
So-Yoon Lee, Bo Hwan Kim, Young Hak Park
PURPOSE: The purposes of this study were to evaluate specific dysphagia patterns and to identify the factors affecting dysphagia, especially aspiration, following treatment of head and neck cancer. MATERIALS AND METHODS: A retrospective analysis of 57 patients was performed. Dysphagia was evaluated using a modified barium swallow (MBS) test. The MBS results were rated on the 8-point penetration-aspiration scale (PAS) and swallowing performance status (SPS) score...
September 2015: Yonsei Medical Journal
https://read.qxmd.com/read/25498307/respiratory-swallow-training-in-patients-with-head-and-neck-cancer
#20
JOURNAL ARTICLE
Bonnie Martin-Harris, David McFarland, Elizabeth G Hill, Charlton B Strange, Kendrea L Focht, Zhuang Wan, Julie Blair, Katlyn McGrattan
OBJECTIVE: To test a novel intervention to train swallowing to occur in the midexpiratory to low expiratory phase of quiet breathing to improve swallowing safety and efficiency. DESIGN: Safety and efficacy nonrandomized controlled trial with 1-month follow-up. SETTING: Ambulatory clinics. PARTICIPANTS: Patients (N=30) with head and neck cancer (HNC) and chronic dysphagia completed the intervention. Fifteen of these patients participated in a 1-month follow-up visit...
May 2015: Archives of Physical Medicine and Rehabilitation
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