For older adults with dementia and swallowing difficulties, how do nectar/honey thick liquids compare with unmodified liquids consumed in the chin down head posture?

2019 ◽  
Author(s):  
Jane Burch ◽  
Dane Gruenebaum
Keyword(s):  
Older Adults ◽  
Head Posture ◽  
Swallowing Difficulties ◽  
Chin Down

scholarly journals Dysphagia Onset in Older Adults during Unrelated Hospital Admission: Quantitative Videofluoroscopic Measures

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 66 ◽  
Author(s):  
Marie Jardine ◽  
Anna Miles ◽  
Jacqui Allen
Keyword(s):  
Older Adults ◽  
Hospital Admissions ◽  
Disuse Atrophy ◽  
Age Related ◽  
Swallowing Difficulties ◽  
Hospitalized Older Adults ◽  
Pharyngeal Constriction ◽  
Pharyngeal Area ◽  
Prolonged Hospital ◽  
Swallowing Assessment

New-onset swallowing difficulties in older patients during unrelated hospital admissions are well recognized and may result in prolonged hospital stay and increased morbidity. Presbyphagia denotes age-related swallowing changes which do not necessarily result in pathological effects. The trajectory from presbyphagia to dysphagia is not well understood. This retrospective observational study compared quantitative videofluoroscopic measures in hospitalized older adults aged 70–100 years, reporting new dysphagia symptoms during admission (n = 52), to healthy asymptomatic older (n = 56) and younger adults (n = 43). Significant physiological differences seen in hospitalized older adults but not healthy adults, were elevated pharyngeal area (p < 0.001) and pharyngeal constriction ratio (p < 0.001). Significantly increased penetration (p < 0.001), aspiration (p < 0.001) and pharyngeal residue (p < 0.001) were also observed in the hospitalized older cohort. Reasons for onset of new swallow problems during hospitalization are likely multifactorial and complex. Alongside multimorbidity and polypharmacy, a combination of factors during hospitalization, such as fatigue, low levels of alertness, delirium, reduced respiratory support and disuse atrophy, may tip the balance of age-related swallowing adaptations and compensation toward dysfunctional swallowing. To optimize swallowing assessment and management for our aging population, care must be taken not to oversimplify dysphagia complaints as a characteristic of aging.

Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults

2013 ◽  
Vol 18 (1) ◽  
pp. 65-71 ◽  
Author(s):  
June Quek ◽  
Yong-Hao Pua ◽  
Ross A. Clark ◽  
Adam L. Bryant
Keyword(s):  
Older Adults ◽  
Range Of Motion ◽  
Thoracic Kyphosis ◽  
Forward Head Posture ◽  
Head Posture ◽  
Cervical Range Of Motion

scholarly journals Successful treatment of pill-swallowing difficulties with head posture practice

2010 ◽  
Vol 15 (5) ◽  
pp. e1-e5 ◽  
Author(s):  
Bonnie J Kaplan ◽  
Roberta A Steiger ◽  
Jamie Pope ◽  
Ashley Marsh ◽  
Maegan Sharp ◽  
...  
Keyword(s):  
Successful Treatment ◽  
Head Posture ◽  
Swallowing Difficulties

Preclinical Dysphagia in Community Dwelling Older Adults: What Should We Look For?

2021 ◽  
pp. 1-11
Author(s):  
Aarthi Madhavan
Keyword(s):  
Older Adults ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Early Identification ◽  
Community Dwelling ◽  
Pertinent Literature ◽  
Medical Diagnoses ◽  
Swallowing Difficulties ◽  
Neurological Conditions ◽  
Community Dwelling Older Adults

Purpose Traditionally, etiology of dysphagia is thought to be related to multiple medical diagnoses including stroke, head and neck cancer, degenerative neurological conditions, and so forth. However, community dwelling older adults (CDOA) can present with dysphagia in the absence of any specific etiology. The purpose of this research was to develop a multidimensional framework to help identify those CDOA at risk for dysphagia of nonspecific etiology. Method Pertinent literature was examined to identify support for the proposed framework and to explain how the various elements support the model. Results Several factors that are not traditionally thought to be associated with dysphagia can both initiate and exacerbate symptoms of swallowing difficulties. Swallowing difficulties may be subtle and underreported. Monitoring for symptoms related to preclinical dysphagia may be helpful for early identification. Conclusions Dysphagia in CDOA is complex and multidimensional. Clinicians working with older adults will benefit from considering elements described in this multidimensional framework to better understand the etiology of swallowing deficits and improve management. Supplemental Material https://doi.org/10.23641/asha.14150078

scholarly journals Modifying Puree Meals in Residential Aged Care Facilities: A Multi-Centre Feasibility and Acceptability Study

Geriatrics ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 108
Author(s):  
Dai Pu ◽  
Yuen-Yu Choi ◽  
Karen Man-Kei Chan ◽  
May Man-Wai Poon
Keyword(s):  
Older Adults ◽  
Aged Care ◽  
Nutritional Intake ◽  
Residential Aged Care ◽  
Subjective Experiences ◽  
Swallowing Function ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Swallowing Difficulties ◽  
Residential Aged Care Facilities

Purees are often recommended for older adults in residential aged care facilities (RACFs) to target swallowing difficulties and nutrition. However, they lack appeal and may have negative impacts on nutritional intake. This study investigated the subjective experiences and objective swallowing function and safety of older adults in response to a modified puree. Twenty-eight residents from three RACFs whose regular diets consisted of purees were recruited. Purees were modified to improve visual appeal by adding a commercial enzyme gellant. Each participant was observed during three puree and three modified puree meals, and completed a brief questionnaire after each meal. A videofluoroscopic swallowing study (VFSS) was performed with 16 of the participants. Compared to purees, modified purees were observed to be easier for oral processing and intake amount was higher, but participants required assistance more often and mealtimes were longer. Participants did not show preference for either type of puree. VFSS showed similar swallowing responses between the two puree types; however, a distinction was observed for modified pureed meat compared to other ingredients. Modifying puree meals in RACFs is a feasible approach to improve nutritional intake while maintaining swallowing safety, but their appeal to consumers is not definitive.

scholarly journals Effect of strength training with socializing and playful characteristics on depression in older adults with forward head posture

2021 ◽  
Vol 36 (2) ◽  
pp. 346-357
Author(s):  
Sebastian Andrés Astorga Verdugo ◽  
Fernanda Borges Silva ◽  
Soledad Patricia González Silva ◽  
Aldo Rodrigo Martínez Araya ◽  
Germán Rojas Cabezas
Keyword(s):  
Older Adults ◽  
Strength Training ◽  
Forward Head Posture ◽  
Head Posture

scholarly journals Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan

2021 ◽  
Vol 11 (7) ◽  
pp. 653
Author(s):  
Hsiu-Yueh Liu ◽  
Jen-Hao Chen ◽  
Kun-Jung Hsu ◽  
Ching-Teng Yao ◽  
Ping-Ho Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Education Level ◽  
Community Dwelling ◽  
Tongue Pressure ◽  
Cross Sectional ◽  
Abnormal Eating ◽  
Swallowing Difficulties ◽  
Community Dwelling Older Adults ◽  
Structured Questionnaire

Personalized tongue pressure (TP) training focuses on improving swallowing. This study aims to establish the TP values of different age levels and compare changes between different swallowing status among community-dwelling elders. In this cross-sectional study, 1000 participants, aged 60 years old and above, were recruited from community care centers. All participants were classified into non chewing and/or swallowing difficulties (NCSD) and with chewing and/or swallowing difficulties (CSD) groups and their diseases and dieting status were recorded using a structured questionnaire. A disposable oral probe was used to measure TP by asking participants to compress it against the hard palate with maximum voluntary effort. Among 1000 elders, 63.10% had CSD and their TP (from 31.76 to 18.20 kPa) was lower than the NCSD group (from 33.56 to 24.51 kPa). Both groups showed the same tendency for TP decline with increasing age. Decline of TP makes CSD elderly have a poor appetite, eat a soft or liquid diet, and take longer to eat a meal (all p < 0.050). The secondary risk factor dominating TP decline for NCSD and CSD elders is having an education level less than primary school and an abnormal eating assessment, respectively. Our results demonstrated that TP decline has a significant relationship with age changes. Education level and an abnormal eating assessment score are closely associated with TP decline. A series of TP values can be used as a reference indicator of personalized medicine during the aging process among community-dwelling older adults.

scholarly journals Head Posture and Postural Balance in Community-Dwelling Older Adults Who Use Dentures

Medicina ◽  
2020 ◽  
Vol 56 (10) ◽  
pp. 529
Author(s):  
Youngsook Bae ◽  
Yongnam Park
Keyword(s):  
Older Adults ◽  
Postural Balance ◽  
Postural Sway ◽  
Pearson Correlation ◽  
Community Dwelling ◽  
Neck Muscle ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Forward Head Posture ◽  
Head Posture

Background and objectives: Tooth loss and consequent denture use and impaired posture and postural balance are more prevalent in older adults than in the young ones. The aim of this cross-sectional study was to identify the association between denture use, head posture, postural balance, and neck muscle strength (NMS). Materials and methods: We included 107 participants (56 in the non-denture use group and 51 in the denture use group) and measured their NMS, forward head posture, and postural balance. Forward head posture was measured using the craniocervical angle (CRA). Postural balance was assessed using a timed up-and-go test (TUG) and postural sway. An independent t-test was used to analyze the differences between the groups; Pearson correlation analysis was used to analyze the correlation of period of denture use, head posture, and postural balance. Results: We found that the denture use group had lower NMS, smaller CRA, longer TUG, and longer postural sway length than the non-denture use group. Duration of denture use was significantly correlated with TUG. Conclusions: Our findings reveal that denture use does not help with NMS, forward head maintain NMS, head posture, and postural balance in older adults.

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