Prevalence of Self-Reported Swallowing Difficulties and Swallowing-Related Quality of Life Among Community-Dwelling Older Adults in India
AbstractSelf-reported swallowing difficulties are highly prevalent but underreported among older adults. The aging population in India is increasing, yet there is a lack of empirical data on self-reported swallowing difficulties in older adults. In the present study, we aimed to estimate the prevalence of self-reported swallowing difficulties and assess the swallowing-related quality of life (QOL) among community-dwelling older adults in India. We recruited 361 older adults (60 –91 years) from the community. Participants completed the Eating Assessment Tool-10 (EAT-10) to assess self-reported swallowing difficulties and...
Source: Dysphagia - April 18, 2024 Category: Speech-Language Pathology Source Type: research
The Psychological Impacts of Pill Dysphagia: A Mixed Methods Study
This study aimed to address this gap in the literature by investigating the effects of pill dysphagia on the wellbeing of older adults. A community sample of 132 Australians aged 65 –97 years completed a survey about their wellbeing and difficulty swallowing pills. Thirty-one participants who met the criteria for pill dysphagia completed further open-ended questions detailing the effects of pill dysphagia and how they manage it. Analyses of the quantitative data indicated tha t difficulty swallowing pills was unrelated to negative affect but negatively related to positive affect, life satisfaction, and eudemonic wellbein...
Source: Dysphagia - April 18, 2024 Category: Speech-Language Pathology Source Type: research
A Letter to the Editor on “Effect of Visual Biofeedback Obtained Using the Iowa Oral Performance Instrument on the Suprahyoid Muscle Activation Level During Effortful Swallowing Maneuver”
AbstractThe author has provided an alternative biofeedback method to help maintain the effortful swallowing (ES) maneuver target effort to utilize a constantly high swallowing pressure. The author has identified ES with visual feedback (i.e. the Iowa Oral Performance Instrument (IOPI)) produced higher EMG activation levels than without. However, the author accepted higher activation levels as higher muscle force production, attributed the lower EMG activation levels in 4th set to fatigue, and did not consider other possibilities. As the author stated in the discussion “his/her method caused participants to focus more eff...
Source: Dysphagia - April 6, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia in COVID-19 Patients on Extracorporeal Membrane Oxygenation
This study aimed to describe the swallow function and ability to maintain oral feeding in patients with COVID-19 while on ECMO. A retrospective study of patients with COVID-19 who started veno-venous ECMO at the beginning of the COVID-19 pandemic (March 2020 and August 2020) was conducted at a tertiary care hospital. Clinical swallow evaluations and videofluoroscopic swallow studies (VFSS) were analyzed using standardized measurement scales. Pearson ’s correlation coefficient (r) identified relationships between ECMO and swallowing function at different time points. 19 patients were included; all underwent clinical swall...
Source: Dysphagia - April 3, 2024 Category: Speech-Language Pathology Source Type: research
Sliced Jelly Whole Swallowing Reduces Deglutition Risk: A Novel Feeding Method for Patients with Dysphagia
This study aimed to examine the usefulness of SJWS. We analyzed the images of videofluoroscopic swallowing studies performed using the normalized residue ratio scale (NRRSv: vallecula, NRRSp: pyriform sinus), the penetration –aspiration scale (PAS), and pharyngeal transit time (PTT) in 50 patients with dysphagia and compared the results in a prospective study. SJWS had significantly less residue in both NRRSv and NRRSp than in moderately thickened liquid swallowing. No significant differences in PAS scores were found between SGJ and moderately thickened liquid. Additionally, no significant differences in PTT scores were ...
Source: Dysphagia - April 3, 2024 Category: Speech-Language Pathology Source Type: research
Interventions for Postextubation Dysphagia in Critically Ill Patients: A Systematic Review and Meta-analysis
Conclusion: The current evidence for the effectiveness of dysphagia intervent ions in critically ill patients with prolonged endotracheal intubation is limited. There is a pressing need for future research, particularly high-quality RCTs employing standardized outcome measures, to substantiate these findings. (Source: Dysphagia)
Source: Dysphagia - April 1, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia After Total Laryngectomy: An Exploratory Study and Clinical Phase II Rehabilitation Trial with the Novel Swallowing Exercise Aid (SEA 2.0)
AbstractThe aims of this exploratory study and clinical phase II trial were to assess the specific nature and extent of dysphagia in laryngectomized patients with self-reported dysphagia, and its rehabilitation potential using the novel Swallowing Exercise Aid (SEA 2.0). Twenty laryngectomized patients participated in a six-week exercise program with the SEA 2.0. Exercises consisted of Chin Tuck Against Resistance (CTAR), Jaw Opening Against Resistance (JOAR), and Effortful Swallow Against Resistance, conducted three times per day. Swallowing was assessed at baseline (T0), six (T1) and 14 (T2) weeks, consisting of patient-...
Source: Dysphagia - April 1, 2024 Category: Speech-Language Pathology Source Type: research
Prediction of Oral Intake at Discharge with Early Assessment of Swallowing Function within 24 h after Admission: A Retrospective Cohort Study
AbstractDysphagia is one of the most common symptoms of stroke and can lead to other complications such as pneumonia, dehydration, and malnutrition. This retrospective cohort study evaluated the predictive value of a comprehensive swallowing assessment tool, the Mann Assessment of Swallowing Ability (MASA), in the acute phase of stroke for oral intake status at discharge. Among 1,133 consecutive patients with acute stroke, 512 patients whose swallowing function was assessed using the MASA within 24 h of admission were included. Data including demographic information, stroke severity, MASA, Oral Health Assessment Tool, bo...
Source: Dysphagia - April 1, 2024 Category: Speech-Language Pathology Source Type: research
The Quantification of Radiation Fibrosis Using Clinically Indicated Magnetic Resonance Imaging for Head and Neck Cancer Patients
AbstractCurrently, no objective method exists to measure the extent of fibrosis in swallowing musculature in head and neck cancer (HNC) patients. We developed and psychometrically tested a method of quantifying fibrosis volume using magnetic resonance imaging (MRI). The overall aim of this study was to determine if clinical MRI is a reliable tool to measure fibrosis of the pharyngeal musculature in patients with HNC managed with RT and to assess its potential to capture changes in fibrosis over time. Eligible participants were adults with HNC treated with rad iation therapy (RT) who received minimally two MRIs and videof...
Source: Dysphagia - March 27, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia Prevalence in Progressive Supranuclear Palsy: A Systematic Review and Meta-Analysis
The objective of this systematic review was to determine the prevalence of dysphagia and aspiration in people with progressive supranuclear palsy (PSP). A search of six electronic databases was performed from inception to April 2022. No context restrictions were set. All primary research comprising figures to derive a prevalence rate were included. Two independent reviewers screened search results. Data were extracted by one reviewer. Conflicts were resolved by discussion with a third reviewer. The quality of included studies was assessed using the JBI Checklist for Prevalence Studies. From 877 studies, 12 were eligible fo...
Source: Dysphagia - March 24, 2024 Category: Speech-Language Pathology Source Type: research
A Case of Dysphagia Rehabilitation in a Patient in the Chronic Stage of Lateral Medullary Syndrome
(Source: Dysphagia)
Source: Dysphagia - March 23, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia Assessments as Criteria in the ‘Decision-Making Process’ for Percutaneous Endoscopic Gastrostomy Placement in People with Amyotrophic Lateral Sclerosis: A Systematic Review
AbstractTo review the assessment methods of dysphagia as a criterion for the decision-making process for Percutaneous Endoscopic Gastrostomy (PEG) placement in patients with Amyotrophic Lateral Sclerosis (ALS). Systematic review. A search was conducted in three databases (EMBASE, CINAHL, PUBMED) in December 2022 and updated in July 2023. Two reviewers independently screened, selected, and extracted data. Study quality was appraised using the Joanna Briggs Institute Critical Appraisal Tools. Systematic review registration number in the International Prospective Register of Systematic Reviews (PROSPERO): CRD42022385461. The ...
Source: Dysphagia - March 22, 2024 Category: Speech-Language Pathology Source Type: research
Hand Grip Strength Assessment Based on Sarcopenia Diagnostic Criteria Predicts Swallowing Function
AbstractThe purpose of this study is to clarify whether swallowing function can be inferred from grip strength. Based on the diagnostic criteria of sarcopenia, patients were divided into two groups according to grip strength, and it was analyzed whether there was a difference in the evaluation index for swallowing function between the two groups. Among the cases requesting evaluation of swallowing function from June 10, 2020 to October 28, 2020, 83 cases (mean age: 71.7 years, 59 males and 24 females) who received assessment tests and swallowing endoscopy were included. According to the diagnostic criteria for grip stren...
Source: Dysphagia - March 21, 2024 Category: Speech-Language Pathology Source Type: research
Examining the Outcomes of Project ECHO ® as an Interprofessional Community of Practice for Pediatric Feeding Clinicians
This study examined the outcomes of establishing a pediatric feeding ECHO network. Using a prospective, mixed-methods design, two cohorts of allied health professionals were recruited. Each cohort participated in eight, 90-min videoconference sessions incorporating a didactic presentation and clinical case presentation. The case was presented by a participant, with questions and recommendations provided by the ECHO network. Participants completed: (1) a learning needs analysis before the ECHO series, (2) a self-reported confidence questionnaire pre, post, and 3-month post, (3) a satisfaction questionnaire after each sessio...
Source: Dysphagia - March 21, 2024 Category: Speech-Language Pathology Source Type: research
Surface Electromyographic Activity of the Masseter Muscle During Regular and Effortful Saliva Swallows: A Preliminary Study
AbstractBiofeedback is a critical component in motor learning of new, complex behaviors such as modifications to swallowing. Surface electromyography (sEMG) is a commonly employed biofeedback tool in swallowing management to assess muscle activity patterns, determine amplitude and duration of swallowing, and train swallowing strategies such as the effortful swallow (EFS) maneuver. The EFS can potentially change multiple physiological components of the swallowing process such as pressure generation and movement of biomechanical structures. The purposes of this study were to determine whether the masseter muscle could differ...
Source: Dysphagia - March 21, 2024 Category: Speech-Language Pathology Source Type: research
