Validation of the Czech Version of the Dysphagia in Multiple Sclerosis Questionnaire (DYMUS)
AbstractDysphagia is a common symptom of neurological disease, including multiple sclerosis (MS). The DYsphagia in MUltiple Sclerosis (DYMUS) questionnaire was developed as a screening tool for swallowing problems. The purpose of the present study was to validate the Czech version of the DYMUS questionnaire. We validated the questionnaire on a sample of 435 patients with MS and 135 healthy controls (HC) chosen by accidental sampling from larger, long-term studies conducted by the Prague MS Center. For the purposes of this study, we used both electronic (primary method of distribution) and paper-based (backup) versions of t...
Source: Dysphagia - October 26, 2022 Category: Speech-Language Pathology Source Type: research
Effect of Repetitive Transcranial Magnetic Stimulation on Post-stroke Dysphagia in Acute Stage
AbstractRepetitive transcranial magnetic stimulation (rTMS) play a important role for rehabilitation in stroke. But therapeutic schedule of rTMS in dysphagia after acute stroke is still controversial. The purpose of this study was to investigate the therapeutic effect of rTMS with different frequencies on dysphagia after acute stroke. From August 2019 to December 2020, 45 patients with post-stroke dysphagia were selected as research subjects, and randomly divided into 3 groups: the high frequency stimulation on bilateral hemisphere group (High group), bilateral high frequency stimulation on the affected hemisphere and low ...
Source: Dysphagia - October 23, 2022 Category: Speech-Language Pathology Source Type: research
Effects of Food and Liquid Properties on Swallowing Physiology and Function in Adults
AbstractFoods and liquids have properties that are often modified as part of clinical dysphagia management to promote safe and efficient swallowing. However, recent studies have questioned whether this practice is supported by the evidence. To address this, a scoping review was conducted to answer the question:“Can properties of food and liquids modify swallowing physiology and function in adults?” Online search in six databases yielded a set of 4235 non-duplicate articles. Using COVIDENCE software, two independent reviewers screened the articles by title and abstract, and 229 full-text articles were selected for full-...
Source: Dysphagia - October 20, 2022 Category: Speech-Language Pathology Source Type: research
Oral Dysfunction in Patients with Oral Cancer Could Occur Before Treatment and Require Early Nutritional Improvement: A Cross-Sectional Study
AbstractPatients with oral cancer have poor nutritional status before treatment. However, there have been no reports of the detailed evaluation of preoperative oral function in patients with oral squamous cell carcinoma (OSCC). Therefore, this study aimed to evaluate the preoperative oral function of patients with OSCC and examine the relationship with nutritional status. Oral function measurements (microorganisms, oral dryness, occlusal force, tongue pressure, masticatory function, Eating Assessment Tool, and Postoperative Oral Dysfunction Scale) and Mini Nutritional Assessment-Short Form (MNA-SF) data were collected fr...
Source: Dysphagia - October 15, 2022 Category: Speech-Language Pathology Source Type: research
Potential of Rice-Flour Jelly Made from High-Amylose Rice as a Dysphagia Diet: Evaluation of Pharyngeal Residue by FEES
AbstractDysphagia diets are recommended to prevent choking and aspiration in people with dysphagia; however, rice-porridge and mashed rice-porridge, which are used as staple foods for people with dysphagia in Japan, are time-consuming to prepare. The National Agriculture and Food Research Organization has found jelly-like food products made from high-amylose rice-flour (rice-flour jelly) to be easy to prepare with a texture suitable for dysphagia diets. To investigate the potential of rice-flour jelly for the dysphagia diet, we evaluated the amount of pharyngeal residue after swallowing rice-flour jelly using fiberoptic en...
Source: Dysphagia - October 15, 2022 Category: Speech-Language Pathology Source Type: research
Evaluating the Therapeutic Application of Neuromodulation in the Human Swallowing System
Abstract
In the last two decades, the focus of neurogenic dysphagia management has moved from passive compensatory strategies to evidence-based rehabilitative approaches. Advances in technology have enabled the development of novel treatment approaches such as neuromodulation techniques, which target the promotion of neurological reorganization for functional recovery of swallowing. Given the rapid pace of development in the field, this review aims to summarize the current findings on the effects of neuromodulation techniques on the human swallowing system and evaluate their therapeutic potential for neurogenic dysphagi...
Source: Dysphagia - October 14, 2022 Category: Speech-Language Pathology Source Type: research
Relating Physiologic Swallowing Impairment, Functional Swallowing Ability, and Swallow-Specific Quality of Life
This study included a heterogeneous cohort of 273 outpatients who underwent a modified barium swallow study (MBSS). We found significant correlations between MBSImP total scores and FOIS scores and DHI total scores, but not between MBSImP total scores and EAT-10 total scores. Significant correlations were also found between MBSImP item-level component scores and FOIS scores, EAT-10 total scores, and DHI total scores. Detailed item-level analyses revealed the MBSImP components of bolus transport/lingual motion, oral residue, and tongue base retraction were correlated with EAT-10 item-level scores and DHI item-level scores. ...
Source: Dysphagia - October 13, 2022 Category: Speech-Language Pathology Source Type: research
Cross-Cultural Adaptation and Validation of the European Portuguese Dysphagia Handicap Index
This study demonstrates that EP-DHI is a valid tool for self-assessment of the handicapping effect of dysph agia on physical, functional, and emotional aspects of patient’s quality of life, among an European Portuguese sample. (Source: Dysphagia)
Source: Dysphagia - October 7, 2022 Category: Speech-Language Pathology Source Type: research
Assessment of Online Patient Education Material About Dysphagia
AbstractTo examine quality, readability, understandability, and actionability of English-language online educational materials about dysphagia. A Google search of “dysphagia” and related terms was conducted. Web page quality and accountability were measured using HON and URAC certification seals, the DISCERN instrument, and JAMA benchmark criteria. Understandability and actionability were assessed with the Patient Education Materials Assessment Tool for P rinted Material (PEMAT-P). Readability was assessed using the Flesch Reading Ease (FRE), Flesch–Kincaid Grade Level (F-KGL), Gunning Fog (FOG), and the Simple Measu...
Source: Dysphagia - October 7, 2022 Category: Speech-Language Pathology Source Type: research
Healthy Women and Men Do Not Show Differences in Tongue Strength and Regular Effort Saliva Swallows as Assessed by Piezo-Resistive Sensors: Results from a Reproducibility Study
AbstractThe aim of this study was to establish the reproducibility of tongue strength measurements in healthy women and men during maximum anterior isometric pressure (MAIP) and regular effort saliva swallows (RESS). In this cross-sectional study, 30 healthy young adults were required to push with the tip of the tongue on a piezo-resistive sensor glued to the hard palate, immediately above the central incisor line. Tongue pressures exerted on the sensor during MAIP and spontaneous RESS were recorded. Participants underwent a retest procedure within the same session to verify the reproducibility of measurements, as determin...
Source: Dysphagia - September 10, 2022 Category: Speech-Language Pathology Source Type: research
The Status of Dysphagia Clinics During the COVID-19 Pandemic
AbstractThe study aimed to determine the status of dysphagia clinics and procedures applied in dysphagia clinics during the COVID-19 pandemic. Clinicians working in an outpatient dysphagia clinic were included. A 30-question survey inquiring about the descriptive information of the participants and their clinics, their clinical practice, and the tele-health applications during the COVID-19 pandemic. The survey was administered via Google forms. The participants were asked to fill out the survey on behalf of their clinics. One survey was completed per dysphagia clinic. Twenty-three clinicians responded on behalf of their cl...
Source: Dysphagia - September 10, 2022 Category: Speech-Language Pathology Source Type: research
Structural Connectivity Affecting Aspiration After Stroke
In this study, we investigated brain structural connectivity associated with aspiration after unilateral supratentorial stroke. Patients on oral feeding after stroke were divided into liquid aspiration (22 patients) and normal (18 patients) groups based on videofluoroscopic swallowing studies. Voxel-based lesion –symptom mapping and voxel-wise group comparison of fractional anisotropy, mode of anisotropy, and mean diffusivity maps were conducted. Voxel-based lesion–symptom mapping revealed no significant lesion differences between groups. The aspiration group showed significantly increased fractional an isotropy and mo...
Source: Dysphagia - September 10, 2022 Category: Speech-Language Pathology Source Type: research
Translation, Cultural Adaptation, Reliability, and Validity Evidence of the Feeding/Swallowing Impact Survey (FS–IS) to Brazilian Portuguese
This study successfully translated and cross-cultura lly adapted the FS–IS instrument to the Brazilian Portuguese language and the investigation of its reliability and validity evidence suggests that the Pt–Br–FS–IS is a reliable and valid tool to measure the impact of feeding/swallowing disorders on the quality of life of caregivers of affect ed children. (Source: Dysphagia)
Source: Dysphagia - September 10, 2022 Category: Speech-Language Pathology Source Type: research
Fiberoptic Endoscopic Evaluation of Swallowing in Resistant Hypertensive Patients With and Without Sleep Obstructive Apnea
This study shows a high prevalence of swallow impairment both in hypertensive patients with OSA and without OSA. The characteristics of swallowing associated with hypertensive patients with OSA are spillage, piecemeal deglutition, and the onset of the pharyngeal phase in the hypophary nx. (Source: Dysphagia)
Source: Dysphagia - September 10, 2022 Category: Speech-Language Pathology Source Type: research
Biofeedback as an Adjunctive Treatment for Post-stroke Dysphagia: A Pilot-Randomized Controlled Trial
ConclusionsThe application of biofeedback based on sEMG in post-stroke dysphagia patients resulted in an effective rehabilitative technique, in particular for pharyngeal clearance improvements and safe swallowing, thus reducing the risk of aspiration and malnutrition. (Source: Dysphagia)
Source: Dysphagia - September 10, 2022 Category: Speech-Language Pathology Source Type: research
