Mobili-T: A Mobile Swallowing-Therapy Device: An Interdisciplinary Solution for Patients with Chronic Dysphagia

2014 ◽  
Author(s):  
Gabriela Constantinescu ◽  
Eleni Stroulia ◽  
Jana Rieger
Keyword(s):  
Swallowing Therapy

scholarly journals Rehabilitation Therapy Utilization in Patients with Parkinson’s Disease in Korea

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Han Gil Seo ◽  
Sang Jun Park ◽  
Jiah Seo ◽  
Seong Jun Byun ◽  
Byung-Mo Oh
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Health Insurance ◽  
Clinical Practice ◽  
Patient Characteristics ◽  
National Sample ◽  
Present Evidence ◽  
Rehabilitation Therapy ◽  
Swallowing Therapy ◽  
Over Time

Objective. Although evidence and guidelines recommend appropriate rehabilitation from the beginning of diagnosis in patients with Parkinson’s disease (PD), there is a lack of data addressing the utilization of rehabilitation therapies for these patients in practice. The aim of this study is to investigate the rate of rehabilitation therapy utilization over time in patients with PD using a nationwide cohort in Korea. Methods. Patients were identified using the registration code for PD in the program for rare, intractable disease from the National Health Insurance Service-National Sample Cohort database, which consists of 979,390 Korean residents. Data were divided into four periods: 2004–2006, 2007–2009, 2010–2012, and 2013–2015. We assessed the utilization of rehabilitation therapies and the associated patient characteristics. Results. The numbers of patients with PD were 384 in 2004, 855 in 2007, 1,023 in 2010, and 1,222 in 2013. The numbers of physiatrist visits per person were 0.58, 0.96, 1.97, and 2.91, in the respective periods. Among the patients, 35–40% had claims for physical therapy, 16–19% for occupational therapy, and 4–6% for swallowing therapy. There were no remarkable differences between these rates between the study periods. Sex, age, income, disability, and levodopa-equivalent dose were significantly associated with the utilization of rehabilitation therapy. Conclusion. This study demonstrated that the rate of rehabilitation therapy utilization did not change remarkably in patients with PD from 2004 to 2015 in Korea although the number of physiatrist visits increased dramatically. The present evidence and guidelines may have not been adequately integrated into clinical practice during the period of study. Additional efforts may be warranted to provide adequate rehabilitation therapies in clinical practice for patients with PD.

Noninvasive Brain Stimulation for Poststroke Dysphagia: A Meta-Analysis for Randomized Controlled Trials

2021 ◽  
pp. 1-8
Author(s):  
Yixin Zhu ◽  
Lihua Gu
Keyword(s):  
Motor Cortex ◽  
Randomized Controlled Trials ◽  
Large Scale ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Swallowing Function ◽  
Swallowing Therapy ◽  
Randomized Controlled ◽  
Therapy Effect

<b><i>Background:</i></b> Past research has indicated that repetitive transcranial magnetic stimulation (rTMS) on the pharyngeal motor cortex may be beneficial to poststroke dysphagic patients. In addition, some studies have supported that transcranial direct current stimulation (tDCS) over the pharyngeal motor cortex can improve swallowing function in poststroke dysphagia. However, some studies showed that rTMS and tDCS show no effect on poststroke dysphagia. This study aims to make a meta-analysis to investigate the therapy effect of rTMS and tDCS on poststroke dysphagia in randomized controlled trials (RCTs). <b><i>Methods:</i></b> We searched for studies published before March 2021 in databases (PubMed, Web of Science, MEDLINE, EMBASE, and Google Scholar). Meta-analysis was made to compute the results of included studies using STATA 12.0 software. <b><i>Results:</i></b> The present study shows a significant increase in the swallowing function in poststroke dysphagia given rTMS compared to those given sham rTMS (standardized mean difference [SMD] = 1.08, 95% confidence interval [CI] = 0.37–1.80, <i>I</i><sup>2</sup> = 81.2%, <i>p</i> &#x3c; 0.001). In addition, the study shows a significant increase in the swallowing function in poststroke dysphagia given tDCS (combined or not combined with conventional swallowing therapy), compared to those given sham tDCS (combined or not combined with conventional swallowing therapy) (SMD = 1.43, 95% CI = 0.73–2.13, <i>I</i><sup>2</sup> = 77.6%, <i>p</i> &#x3c; 0.001). <b><i>Conclusions:</i></b> The study demonstrates that rTMS and tDCS over the pharyngeal motor cortex show therapy effects on poststroke dysphagia. Many more large-scale, blinded RCTs are essential to investigate the effect of rTMS and tDCS on poststroke dysphagia.

Adherence to a Prophylactic Swallowing Therapy Program During (Chemo) Radiotherapy: Impact of Service-Delivery Model and Patient Factors

Dysphagia ◽  
2016 ◽  
Vol 32 (2) ◽  
pp. 279-292 ◽  
Author(s):  
Laurelie R. Wall ◽  
Elizabeth C. Ward ◽  
Bena Cartmill ◽  
Anne J. Hill ◽  
Sandro V. Porceddu
Keyword(s):  
Service Delivery ◽  
Service Delivery Model ◽  
Patient Factors ◽  
Delivery Model ◽  
Swallowing Therapy ◽  
Therapy Program

The importance of preoperative swallowing therapy in subtotal laryngectomies

2009 ◽  
Vol 140 (6) ◽  
pp. 822-825 ◽  
Author(s):  
Andrea L. Cavalot ◽  
Eugenia Ricci ◽  
Antonio Schindler ◽  
Nicolò Roggero ◽  
Roberto Albera ◽  
...  
Keyword(s):  
Swallowing Therapy

Video-assisted swallowing therapy for patients with Parkinson's disease

2013 ◽  
Vol 19 (2) ◽  
pp. 207-211 ◽  
Author(s):  
Yael Manor ◽  
Rajshree Mootanah ◽  
Debora Freud ◽  
Nir Giladi ◽  
Jacob T. Cohen
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Swallowing Therapy ◽  
Video Assisted

Development of Innovative Feedback Device for Swallowing Therapy

2016 ◽  
Vol 36 (3) ◽  
pp. 357-368 ◽  
Author(s):  
Chih-Ming Li ◽  
Hsiao-Yu Lee ◽  
Shang-Heng Hsieh ◽  
Tyng-Guey Wang ◽  
Hsueh-Pei Wang ◽  
...  
Keyword(s):  
Swallowing Therapy

scholarly journals Successful treatment of dysphagia in a COVID-19 survivor

2021 ◽  
Vol 7 (10) ◽  
pp. 509
Author(s):  
Richa Rashmi ◽  
Joyanta C. Mandal ◽  
Kavita Kumari ◽  
Shruti S. Senapati
Keyword(s):  
Quality Of Life ◽  
Infectious Disease ◽  
Respiratory Compromise ◽  
Swallowing Therapy ◽  
Effortful Swallow ◽  
Successful Case ◽  
Icu Discharge ◽  
Swallowing Difficulty ◽  
Management Of Dysphagia

<p class="abstract">This study was aimed<strong> </strong>document a successful case of dysphagia management after coronavirus disease 2019 (COVID-19) infection. COVID-19 is highly infectious disease and causes 75 million infection and 1.66 million deaths worldwide. Clinical features of COVID-19 including respiratory compromise, microvascular thrombosis and neurologic dysfunction as well as well as prolonged intensive care unit (ICU) care in severe cases yield patients particularly susceptible to mild to severe swallowing impairment which can persist for months or years after ICU discharge. A 52 years old female was diagnosed with severe pharyngo-oesophageal dysphagia after COVID-19 infection and was advised for swallowing therapy. The swallowing therapy was given thrice a week for 45 minutes including Masako, Shaker’s and modified Shaker’s exercise along with effortful swallow, Mendelsohn maneuvers and super-supraglottic swallow. After 2 weeks of swallowing therapy patient started taking semisolid food orally and maintain normal SpO<sub>2 </sub>level during feeding. This study concluded early intervention is the key to boost faster recovery and helped to improve patient’s quality of life.<strong> </strong>Swallowing manuvers and exercises were very effective for the management of dysphagia secondary to COVID-19 infection. This can be generalized and efficacy can be determined with large group of patients having swallowing difficulty after COVID-19 infection.</p>

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