Swallowing Rehabilitation

10.31115/sr. ◽  
2020 ◽  
Keyword(s):  
Swallowing Rehabilitation

Swallowing Rehabilitation Using Chewing Gum Containing Capsaicin.

2002 ◽  
Vol 53 (3) ◽  
pp. 285-288 ◽  
Author(s):  
Hirohito Umeno ◽  
Sachiyo Hamakawa ◽  
Kyujirou Gondoh ◽  
Hidetaka Shirouzu ◽  
Yoshikazu Yoshida ◽  
...  
Keyword(s):  
Chewing Gum ◽  
Swallowing Rehabilitation

Swallowing Rehabilitation

2018 ◽  
Vol 69 (2) ◽  
pp. 170-170
Author(s):  
S. Horiguchi
Keyword(s):  
Swallowing Rehabilitation

Rehabilitation of Swallowing after Stroke

1983 ◽  
Vol 92 (4) ◽  
pp. 357-359 ◽  
Author(s):  
Henry J. Heimlich
Keyword(s):  
Clinical Evidence ◽  
Normal Diet ◽  
Oral Feeding ◽  
Stroke Patients ◽  
Cerebrovascular Accidents ◽  
Regular Diet ◽  
Swallowing Rehabilitation ◽  
Pharyngeal Muscles

Seven consecutive patients who had lost the ability to swallow saliva or ingest food following cerebrovascular accidents were subsequently taught to eat again. Five patients were restored to eating a regular diet and two showed improvement limited by their underlying conditions. Prior to swallowing rehabilitation, their nutrition had been maintained by tube feedings for periods of 5 months to 3.9 years. Patients were instructed in sucking, elevation of the larynx, and coordination of those functions. This method has not been reported previously for use in stroke patients. Oral feeding was initiated with ice chips and progressed to a normal diet. Speech also improved after regaining deglutition. The clinical evidence suggests that paralysis initiated the swallowing disability which persisted due to disuse of retrainable pharyngeal muscles. The reflex sequence of deglutition can be retaught if lost due to stroke.

scholarly journals Impact of Tracheal Tube on Swallowing in Post-Operative Head and Neck Cancer Patients: Scintigraphic Analysis

Dysphagia ◽  
2020 ◽  
Author(s):  
Jacopo Galli ◽  
Maria Raffaella Marchese ◽  
Tiziana Di Cesare ◽  
Laura Tricarico ◽  
Giovanni Almadori ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Tracheal Tube ◽  
Transit Time ◽  
Neck Cancer ◽  
Retention Index ◽  
Small Diameter ◽  
Swallowing Rehabilitation ◽  
The Impact

AbstractDysphagia is common in tracheostomized patients who underwent head and neck surgery for cancer treatment. The objective of this study was to evaluate, by means of oropharyngoesophageal scintigraphy (OPES), the impact of an occluded tracheal tube (TT) on swallowing in patients treated for head and neck cancer before hospital discharge, to provide further information to the benefit of out-patient care management. From October 2018 to November 2019, we enrolled 19 tracheostomized patients (6 females and 13 males; mean age 61 years) who underwent primary surgical resection of head and neck tumor and swallowing rehabilitation during hospitalization. All subjects underwent a double-standard OPES, one with occluded tracheal tube and the other without TT, with their tracheal stoma being closed directly by a plaster. For each study, we assessed and compared the following quantitative parameters: oral transit time (OTTsec), pharyngeal transit time (PTTsec), esophageal transit time (ETTsec), oral retention index (ORI%), pharyngeal retention index (PRI%), esophageal retention index (ERI%), and aspiration percentage (AP%). The mean values of OTT, PTT, ORI%, PRI%, and ERI% were abnormal during OPES both with TT and without TT and did not statistically differ between the two tests (p > 0.05). Aspiration was detected in 4 cases out of 19 (21.05%) cases during OPES with TT and in 4/19 (21.05%) cases without TT who showed a mean AP% of 11.4% and 11.5% respectively (p > 0.05). Patients with abnormal AP% (> 0%) during OPES with TT showed aspiration signs without TT. Our study showed that the mere presence of a closed tracheal tube does not impact significantly the oropharyngeal transit of bolus during swallowing. This result suggests the possibility to maintain a small-diameter occluded tracheal tube in place for the postsurgical management of head and neck cancer patients.

scholarly journals Clinical Effects and Safety of Electroacupuncture for the Treatment of Poststroke Dysphagia: A Comprehensive Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Jinke Huang ◽  
Yao Shi ◽  
Xiaohui Qin ◽  
Min Shen ◽  
Manli Wu ◽  
...  
Keyword(s):  
Rating Scale ◽  
Meta Analysis ◽  
Effective Rate ◽  
Control Treatment ◽  
Sufficient Evidence ◽  
Cochrane Library ◽  
Clinical Effects ◽  
Knowledge Infrastructure ◽  
Swallowing Rehabilitation ◽  
Chinese National Knowledge Infrastructure

Objectives. Electroacupuncture (EA), an extension of acupuncture, which is based on traditional acupuncture combined with modern electrotherapy, is commonly used for poststroke dysphagia (PSD) in clinical treatment and research. However, there is still a lack of sufficient evidence to recommend the routine use of EA for PSD. The aim of this study was to assess the efficacy and safety of EA in the treatment of PSD. Methods. Randomized controlled trials (RCTs) evaluating the effects of EA on PSD were identified through a comprehensive literature search of the PubMed, Embase, Cochrane Library, Web of Science, Chinese National Knowledge Infrastructure, Chinese Biomedical Database, and VIP databases from their inception to July 2020. The quality assessment of the included trials was performed based on the guidance of the Cochrane Reviewers’ Handbook, and meta-analysis (MA) was performed by using the RevMan 5.3 software. Results. Sixteen trials were identified, and these included 1,216 patients with PSD. The results demonstrated that EA in combination with swallowing rehabilitation training (SRT) was significantly superior to SRT alone with regard to effective rate (OR 5.40, 95% CI [3.78, 7.72], P < 0.00001 , water swallow test (WST) (MD −0.78, 95% CI [−1.07, −0.50], P < 0.00001 ), the video fluoroscopic swallowing study (VFSS) (MD 1.47, 95% CI [1.11, 1.84], P < 0.00001 ), the Ichiro Fujishima Rating Scale (IFRS) (MD 1.94, 95% CI [1.67, 2.22], P < 0.00001 ), and the incidence of aspiration pneumonia (IAP) (OR 0.20, 95% CI [0.06, 0.61], P = 0.005 ). Conclusions. The results showed that EA was better than the control treatment in terms of the effective rate, WST, VFSS, IFRS, and IAP of dysphagia after stroke. Strict evaluation standards and high-quality RCT designs are necessary for further exploration.

Sign in / Sign up

Export Citation Format

Share Document