-
Folia Phoniatrica Et Logopaedica :... 2021Affective symptoms are common in patients with head-and-neck cancer. This study determined the association between the presence of aspiration and symptoms of anxiety and...
OBJECTIVE
Affective symptoms are common in patients with head-and-neck cancer. This study determined the association between the presence of aspiration and symptoms of anxiety and depression, as well as patient characteristics in patients with head-and-neck cancer and dysphagia.
METHODS
Eighty-four patients with head-and-neck cancer and dysphagia completed the Hospital Anxiety and Depression Scale and underwent a standardized fiberoptic endoscopic evaluation of swallowing. Linear regression analysis was performed to explore the associations.
RESULTS
Fifty-two (61.9%) patients presented clinically relevant symptoms of anxiety or depression. Forty-eight (57.1%) patients presented with aspiration during fiberoptic endoscopic evaluation of swallowing. A significant negative association was found between the presence of aspiration and affective (anxiety and depression) symptoms (p = 0.04). Male patients presented significantly lower symptom scores of anxiety compared to females (p = 0.04).
CONCLUSIONS
Clinically relevant affective symptoms were present in more than half of all patients with head-and-neck cancer and dysphagia. Surprisingly, a significant negative association was found between the presence of aspiration and these affective symptoms. Gender was also significantly associated with affective symptoms. These results suggest that there is a need for further investigation into the impact of psychological distress on patients with head-and-neck cancer and dysphagia.
Topics: Affective Symptoms; Anxiety; Deglutition; Deglutition Disorders; Female; Head and Neck Neoplasms; Humans; Male
PubMed: 32623431
DOI: 10.1159/000508367 -
Clinical Interventions in Aging 2019The aim of this study was to investigate improvements in swallowing function and physiology in a series of healthy older adults with radiographically confirmed...
PURPOSE
The aim of this study was to investigate improvements in swallowing function and physiology in a series of healthy older adults with radiographically confirmed dysphagia, following completion of an exercise-based swallowing intervention.
PATIENTS AND METHODS
Nine otherwise healthy older adults (six females, mean age =75.3, SD =5.3) had confirmed impairments in swallowing safety and/or efficiency on a modified barium swallow study. Each participant completed an 8-week swallowing treatment protocol including effortful swallows, Mendelsohn maneuvers, tongue-hold swallows, supraglottic swallows, Shaker exercises and effortful pitch glides. Treatment sessions were conducted once per week with additional daily home practice. Penetration-Aspiration Scale and the Modified Barium Swallowing Impairment Profile (MBSImP) were scored in a blind and randomized fashion to examine changes to swallowing function and physiology from baseline to post-treatment.
RESULTS
There were significant improvements in swallowing physiology as represented by improved oral and pharyngeal composite scores of the MBSImP. Specific components to demonstrate statistical improvement included initiation of the pharyngeal swallow, laryngeal elevation and pharyngeal residue. There was a nonsignificant reduction in median PAS scores.
CONCLUSION
Swallowing physiology can be improved using this standardized high-intensity exercise protocol in healthy adults with evidence of dysphagia. Future research is needed to examine the individual potential of each exercise in isolation and to determine ideal dose and frequency. Studies on various etiological groups are warranted.
Topics: Aged; Aged, 80 and over; Barium Sulfate; Contrast Media; Deglutition; Deglutition Disorders; Exercise Therapy; Female; Fluoroscopy; Humans; Male; Pharynx
PubMed: 30804667
DOI: 10.2147/CIA.S194723 -
Ideggyogyaszati Szemle Jul 2021Stroke associated dysphagia can have serious consequences such as aspiration pneumonia. The Hungarian guideline on nutritional therapy for stroke patients recommends... (Review)
Review
BACKGROUND AND PURPOSE
Stroke associated dysphagia can have serious consequences such as aspiration pneumonia. The Hungarian guideline on nutritional therapy for stroke patients recommends dysphagia assessment, as early screening can optimize disease outcome and hospital cost. Thus far, this may be the first study in Hungarian that has documented a systematic review about the available validated dysphagia assessments of acute stroke. Purpose - The aim of this study was to summarize the instrumentally validated bedside dysphagia screening tools for acute stroke patients, which were published in the last twenty years. Our objective was to describe the characteristics of the validation studies, examine their study design, and sample the sub-tests and the diagnostic accuracy of the assessments.
METHODS
A systematic research was carried out of the literature between 2001 and 2021 in eight scientific databases with search terms appropriate to our objectives. Subjects of the study - 652 articles were found and were reduced to eight. We made a comparative analysis of these.
RESULTS
The GUSS test reached a high level of sensitivity compared to the others. In our study sample, the prevalence of instrumentally confirmed dysphagia among acute stroke patients was 56.1%.
CONCLUSION
The focus and the composition of the analyzed studies differed and posed problems such as the ambiguity of the concept of dysphagia, the difference in outcome indicators, or the timing of screening. The GUSS test, which offers domestic management, is a suitable tool for the Hungarian clinical use.
Topics: Deglutition Disorders; Humans; Mass Screening; Stroke
PubMed: 34370414
DOI: 10.18071/isz.74.0235 -
Arquivos de Gastroenterologia 2020Dysphagia management, from screening procedures to diagnostic methods and therapeutic approaches, is about to change dramatically. This change is prompted not solely by... (Review)
Review
Dysphagia management, from screening procedures to diagnostic methods and therapeutic approaches, is about to change dramatically. This change is prompted not solely by great discoveries in medicine or physiology, but by advances in electronics and data science and close collaboration and cross-pollination between these two disciplines. In this editorial, we will provide a brief overview of the role of artificial intelligence in dysphagia management.
Topics: Artificial Intelligence; Deglutition Disorders; Humans
PubMed: 33331470
DOI: 10.1590/S0004-2803.202000000-66 -
Nutrients Feb 2022Sarcopenic dysphagia requires the presence of both dysphagia and generalized sarcopenia. The causes of dysphagia, except for sarcopenia, are excluded. The treatment for... (Review)
Review
Sarcopenic dysphagia requires the presence of both dysphagia and generalized sarcopenia. The causes of dysphagia, except for sarcopenia, are excluded. The treatment for sarcopenic dysphagia includes resistance training along with nutritional support; however, whether rehabilitation procedures are useful remains unclear. In this narrative review, we present possible rehabilitation procedures as a resistance training for managing sarcopenic dysphagia, including Shaker exercise, Mendelsohn maneuver, tongue-hold swallow exercise, jaw-opening exercise, swallow resistance exercise, lingual exercise, expiratory muscle strength training, neuromuscular electrical stimulation, and repetitive peripheral magnetic stimulation. We hope that some procedures mentioned in this article or new methods will be effective to treat sarcopenic dysphagia.
Topics: Deglutition Disorders; Humans; Muscle Strength; Nutritional Support; Resistance Training; Sarcopenia; Tongue
PubMed: 35215427
DOI: 10.3390/nu14040778 -
Digestion 2024Esophageal motility disorders (EMDs) are caused by the impaired relaxation of the upper/lower esophageal sphincter and/or defective esophageal peristaltic contractions,... (Review)
Review
BACKGROUND
Esophageal motility disorders (EMDs) are caused by the impaired relaxation of the upper/lower esophageal sphincter and/or defective esophageal peristaltic contractions, resulting in dysphagia and noncardiac chest pain. High-resolution manometry (HRM) is essential for the diagnosis of primary EMD; however, the recognition of EMD and HRM by general practitioners in Japan is limited. This review summarizes the diagnosis of and treatment strategies for EMD.
SUMMARY
HRM is a specific test for the diagnosis of EMD, whereas endoscopy and barium swallow as screening tests provide characteristic findings (i.e., esophageal rosette and bird's beak sign) in some cases. It is important to note that manometric diagnoses apart from achalasia are often clinically irrelevant; therefore, the recently updated guidelines suggest additional manometric maneuvers, such as the rapid drink challenge, and further testing, including functional lumen imaging, for a more accurate diagnosis before invasive treatment. Endoscopic/surgical myotomy, pneumatic dilation, and botulinum toxin injections need to be considered for patients with achalasia and clinically relevant esophagogastric junction outflow obstruction.
KEY MESSAGE
Since the detailed pathophysiology of EMD remains unclear, their diagnosis needs to be cautiously established prior to the initiation of invasive treatment.
Topics: Humans; Esophageal Achalasia; Esophageal Motility Disorders; Deglutition Disorders; Esophageal Sphincter, Lower; Manometry; Endoscopy, Gastrointestinal; Esophagogastric Junction
PubMed: 37634495
DOI: 10.1159/000533347 -
Archives of Physical Medicine and... Sep 2020
Topics: Betacoronavirus; COVID-19; Coronavirus Infections; Deglutition Disorders; Humans; Pandemics; Pneumonia, Viral; Risk Assessment; SARS-CoV-2
PubMed: 32534801
DOI: 10.1016/j.apmr.2020.05.006 -
Revista de Gastroenterologia de Mexico... 2023
Topics: Humans; Deglutition Disorders; Tomography, X-Ray Computed
PubMed: 38030418
DOI: 10.1016/j.rgmxen.2023.07.004 -
European Annals of Otorhinolaryngology,... Feb 2015Adjuvant radiotherapy after surgery or exclusive radiotherapy, with or without concurrent chemotherapy is a valuable treatment option in the great majority of patients... (Review)
Review
Adjuvant radiotherapy after surgery or exclusive radiotherapy, with or without concurrent chemotherapy is a valuable treatment option in the great majority of patients with head and neck cancer. Recent technical progress in radiotherapy has resulted in a decreased incidence of xerostomia. Another common toxicity of radiotherapy is dysphagia, which alters the nutritional status and quality of life of patients in remission. The objective of this review is to describe the physiology of swallowing function, the pathophysiology of radiation-induced dysphagia and the various strategies currently available to prevent this complication.
Topics: Deglutition; Deglutition Disorders; Head and Neck Neoplasms; Humans; Radiotherapy
PubMed: 24924114
DOI: 10.1016/j.anorl.2013.09.006 -
La Tunisie MedicaleDysphagia and cognitive decline are frequently found in stroke patients. Dysphagia can reduce the patients' quality of life and increase hospital stays and the risk of...
BACKGROUND
Dysphagia and cognitive decline are frequently found in stroke patients. Dysphagia can reduce the patients' quality of life and increase hospital stays and the risk of death.
AIM
To investigate the correlation between cognitive function and dysphagia in stroke patients.
METHODS
A total of 37 stroke patients with oropharyngeal dysphagia participated in this cross-sectional study. Mini-Mental State Examination (MMSE) was used to assess their cognitive levels. In addition, the swallowing function of patients was assessed using the Mann Assessment Swallowing Ability (MASA).
RESULTS
Most of patients (62.2%) were male, and the mean ± standard deviation of patients' age was 62± 8. The results showed that 35.1% of patients had impaired cognitive function, and 56.8 % had severe dysphagia. Moreover, there was a fair positive correlation between MMSE and MASA with a correlation coefficient equal to 0.373 (P = 0.023), indicating that the severity of dysphagia increases with increasing cognitive decline.
CONCLUSION
Our findings suggest that cognitive function may have a role in the severity of dysphagia in stroke patients.
Topics: Cognition; Cross-Sectional Studies; Deglutition Disorders; Female; Humans; Male; Quality of Life; Stroke
PubMed: 36155906
DOI: No ID Found