Effects of Shaker exercise in stroke survivors with oropharyngeal dysphagia

Jong-Bae Choi; Sun-Hwa Shim; Jong-Eun Yang; Hyun-Dong Kim; Doo-Ho Lee; Ji-Su Park

doi:10.3233/nre-172145

The Effects of Dysphagia on Quality of Life in Stroke Survivors

Middle East Journal of Rehabilitation and Health ◽

10.5812/mejrh.105722 ◽

2020 ◽

Vol 7 (4) ◽

Author(s):

Jalal Bakhtiyari ◽

Hooshang Dadgar ◽

Marziyeh Maddah ◽

Raheb Ghorbani ◽

Faezeh Charkhi ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Oropharyngeal Dysphagia ◽

Cross Sectional Study ◽

Stroke Survivors ◽

Negative Effects ◽

Swallowing Function ◽

Cross Sectional ◽

And Gender

Background: Oropharyngeal dysphagia is a common problem in stroke survivors. Dysphagia and its complications have negative effects on quality of life in stroke survivors. Objectives: This study aimed to investigate the impacts of dysphagia on quality of life in Iranian stroke survivors and to determine potential relationships between demographic variables and the domains of quality of life. Methods: Sixty stroke survivors (aged 60 - 75 years old) with a diagnosis of dysphagia participated in this cross-sectional study. The swallowing function of patients was evaluated by Mann Assessment Swallowing Ability (MASA). The Persian version of the Dysphagia Handicap Index (DHI) was used to determine the impacts of swallowing disorder on the quality of life. Results: The mean total and SD of DHI was 73.03 ± 10.16. There was no statistically significant relationship between sex; age, time post-onset of stroke, and DHI total score as well as its subscales (P > 0.05), whereas there was a relationship between the functional subscale of the DHI and the level of education (r = 0.27, P = 0.037) and also with severity of dysphagia on the base of MASA scores (r = 0.267, P = 0.039). Besides, the severity of dysphagia was positively correlated with DHI’s total scores (r = 0.312, P = 0.017); this means that the higher the severity of dysphagia, resulting in even greater the DHI total scores, which indicates a further reduction in the patient’s quality of life. Conclusions: Based on the findings of this study, it can be concluded that dysphagia in stroke survivors has negative impacts on the quality of life. The relationship between clinical measures of dysphagia severity and quality of life also indicates that the higher the dysphagia severity the lower the quality of life. Dysphagia’s negative impact on the quality of life does not depend on age and gender.

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PCV55 Clinical and Economical Burden of Oropharyngeal Dysphagia Among Stroke Survivors in Europe and North America

Value in Health ◽

10.1016/j.jval.2011.08.776 ◽

2011 ◽

Vol 14 (7) ◽

pp. A374

Author(s):

C. Takizawa

Keyword(s):

North America ◽

Oropharyngeal Dysphagia ◽

Stroke Survivors

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Lingual Strengthening: Success in an Outpatient Setting

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd24.2.71 ◽

2015 ◽

Vol 24 (2) ◽

pp. 71-74

Author(s):

Ali Meier

Keyword(s):

Oropharyngeal Dysphagia ◽

Patient Discharge ◽

Outpatient Setting ◽

Oral Performance ◽

Exercise Protocol ◽

Anterior Position ◽

Tongue Position ◽

Bolus Propulsion ◽

Posterior Position

In the last decade or more, dysphagia research has investigated the effect of lingual strengthening on oropharyngeal dysphagia with promising results. Much of this research has utilized strengthening devices such as the Iowa Oral Performance Instrument (IOPI) or the Madison Oral Strengthening Therapeutic (MOST) Device. Patients are often given a device to use, and are able to complete an exercise protocol daily or multiple times per day. This case study was completed to determine the effectiveness of using the IOPI in an outpatient clinic where therapy was conducted two to three times per week. The patient was seen post tongue resection due to oropharyngeal cancer. From initiation of IOPI use to patient discharge, the patient demonstrated a 71% increase in lingual strength at the anterior position, a 61% increase at the posterior position, and a 314% increase at the base of tongue position. His diet advanced from NPO to general based on gains in lingual strength and bolus propulsion.

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Research Consumerism 101: Evaluating External Evidence of Treatment Effectiveness

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd17.2.43 ◽

2008 ◽

Vol 17 (2) ◽

pp. 43-49

Author(s):

James L. Coyle

Keyword(s):

Treatment Effectiveness ◽

Code Of Ethics ◽

Oropharyngeal Dysphagia ◽

Clinical Importance ◽

Professional Services ◽

Adverse Outcomes ◽

Professional Judgment ◽

Evidence Based ◽

Intervention Selection ◽

Published Research

Abstract The modern clinician is a research consumer. Rehabilitation of oropharyngeal impairments, and prevention of the adverse outcomes of dysphagia, requires the clinician to select interventions for which evidence of a reasonable likelihood of a successful, important outcome exists. The purpose of this paper is to provide strategies for evaluation of published research regarding treatment of oropharyngeal dysphagia. This article utilizes tutorial and examples to inform and educate practitioners in methods of appraising published research. It provides and encourages the use of methods of efficiently evaluating the validity and clinical importance of published research. Additionally, it discusses the importance of the ethical obligation we, as practitioners, have to use evidence-based treatment selection methods and measurement of patient performance during therapy. The reader is provided with tactics for evaluating treatment studies to establish a study's validity and, thereby, objectively select interventions. The importance of avoiding subjective or unsubstantiated claims and using objective methods of generating empirical clinical evidence is emphasized. The ability to evaluate the quality of research provides clinicians with objective intervention selection as an important, essential component of evidence-based clinical practice. ASHA Code of Ethics (2003): Principle I, Rule F: “Individuals shall fully inform the persons they serve of the nature and possible effects of services rendered and products dispensed…” (p. 2) Principle I, Rule G: “Individuals shall evaluate the effectiveness of services rendered and of products dispensed and shall provide services or dispense products only when benefit can reasonably be expected.” (p. 2) Principle IV, Rule G: “Individuals shall not provide professional services without exercising independent professional judgment, regardless of referral source or prescription.” (p. 4)

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