Correction to: Acoustic Analysis of Swallowing of an Experimental Meal of Three Food Textures: A Comparative Aging Study
(Source: Dysphagia)
Source: Dysphagia - January 10, 2024 Category: Speech-Language Pathology Source Type: research
Impact of Presarcopenic Dysphagia on 1-Year Mortality After Videofluoroscopic Swallowing Study in Patients with Cancer
AbstractSarcopenic dysphagia is the term for swallowing difficulty associated with loss of mass, strength, and physical performance, which leads to increased pharyngeal residues. Unlike sarcopenia, presarcopenia is characterized by low muscle mass without decreased muscle strength or physical performance and can develop into dysphagia due to low skeletal muscle mass. This retrospective study investigated the impact of presarcopenic dysphagia (PSD) on 1-year mortality in patients with cancer and dysphagia who underwent a videofluoroscopic swallowing study (VFSS). An operational definition of PSD based on presarcopenia and p...
Source: Dysphagia - January 9, 2024 Category: Speech-Language Pathology Source Type: research
Predictive Factors for Successful Decannulation in Patients with Tracheostomies and Brain Injuries: A Systematic Review
AbstractNeurological patients frequently have disorders of consciousness, swallowing disorders, or neurological states that are incompatible with extubation. Therefore, they frequently require tracheostomies during their stay in an intensive care unit. After the acute phase, tracheostomy weaning and decannulation are generally expected to promote rehabilitation. However, few reliable predictive factors (PFs) for decannulation have been identified in this patient population. We sought to identify PFs that may be used during tracheostomy weaning and decannulation in patients with brain injuries. We conducted a systematic rev...
Source: Dysphagia - January 8, 2024 Category: Speech-Language Pathology Source Type: research
Integrated Relaxation Pressure and Its Diagnostic Ability May Vary According to the Conditions Used for HREM Recording
This study aimed to compare IRP values obtained under different situations and explore their potential clinical utility. We analyzed and compared the values of IRP obtained from healthy volunteers and patients with suspected achalasia during supine single swallows (Ssup-IRP), sitting single swallows (Ssit-IRP), supine multiple rapid swallows (Msup-IRP), and sitting multiple rapid swallows (Msit-IRP). We analyzed the HREM recordings of 40 healthy volunteers and 53 patients with suspected achalasia. The four metrics were significantly different from each other in healthy volunteers (Ssup-IRP > Msup-IRP > Ssi...
Source: Dysphagia - January 5, 2024 Category: Speech-Language Pathology Source Type: research
Feeding and Swallowing Outcomes in Children Who Use Long-Term Ventilation: A Scoping Review
AbstractThe last two decades have seen increasing use of long-term ventilation (LTV) as an intervention in childhood. Children who use LTV have many risk factors for feeding and swallowing difficulties, including their underlying respiratory and/or neurological etiology, long hospitalizations, medical interventions, and limited exposure to oral feeding experiences. This review aimed to answer two questions: 1) ‘What specific swallowing and feeding characteristics do these children experience?’; and 2) ‘What impacts do these swallowing and feeding characteristics have on health status and quality of life?’. Texts we...
Source: Dysphagia - January 5, 2024 Category: Speech-Language Pathology Source Type: research
Alterations in Swallowing Six Weeks After Primary Anterior Cervical Discectomy and Fusion (ACDF)
AbstractThis aim of this study is to characterize the nature and pathophysiology of dysphagia after ACDF surgery by precisely and comprehensively capturing within-subject changes on videofluoroscopy between preoperative and postoperative time points. 21 adults undergoing planned primary ACDF procedures were prospectively recruited and enrolled. Participants underwent standardized preoperative and six-week postoperative videofluoroscopic swallow studies. Videos were blindly rated using the Penetration-Aspiration Scale (PAS) and analysis of total pharyngeal residue (%C2-42), swallowing timing, kinematics, and anatomic change...
Source: Dysphagia - December 29, 2023 Category: Speech-Language Pathology Source Type: research
Validation of the DIGEST-FEES as a Global Outcome Measure for Pharyngeal Dysphagia in Parkinson ’s Disease
The objective of this study was, therefore, to investigate the validity of the DIGEST-FEES in patients with PD. Content validity was evaluated with a modified Delphi expert survey. Subsequently, 66 FEES videos in PD patients were scored with the DIGEST-FEES. Criterion validity was determined using Spearman's correlation coefficient between the DIGEST-FEES and the Penetration-Aspiration Scale (PAS), the Yale-Residue-Rating-Scale, the Functional-Oral-Intake-Scale (FOIS), and the swallowing-related Unified-Parkinson-Disease-Rating-Scale (UPDRS) items. Inter-rater reliability was determined using 10 randomly selected FEES-vide...
Source: Dysphagia - December 22, 2023 Category: Speech-Language Pathology Source Type: research
Pharyngeal Cavity Electrical Stimulation-Assisted Swallowing for Post-stroke Dysphagia: A Systematic Review and Meta-analysis of Randomized Controlled Studies
This study will evaluate the effects of PCES-assisted swallowing on post-stroke dysphagia, including swallowing function, withdrawal rate of nasal feeding tubes, duration of hospitalization, and so on. Randomized controlled trials (RCTs) of PCES-assisted swallowing in the treatment of post-stroke dysphagia were searched in eight databases, including Cochrane Library, Embase, PubMed, Web of Science, Chinese Biomedical Literature Database, VIP Information Resource System, CNKI, and Wanfang Medical Science. The retrieval time was from the database establishment to June 2022. Rayyan was used to screen the retrieved literature ...
Source: Dysphagia - December 20, 2023 Category: Speech-Language Pathology Source Type: research
Malnutrition, Dysphagia, Sarcopenia and Weakness in the Older Population: A Retrospective Review to Enlighten Future Directions for Health System Best Practices
This study utilized the National Hospital Discharge Survey of 2008 from the National Center of Health Statistics as secondary data to examine the associations amongst these four variables as well as possible correlations with age, days of care in the acute care hospital setting and frequency of rehabilitative and nutritional interventions received by these patients. Out of 165,630 cases, a sample size of 59,029 cases ages 65 and above were filtered by the researchers for desired diagnoses and procedure codes. After this, all neurological diagnoses were filtered and excluded by the researchers, resulting in 2458 cases. Usin...
Source: Dysphagia - December 11, 2023 Category: Speech-Language Pathology Source Type: research
A Pluridisciplinary Tracheostomy Weaning Protocol for Brain-Injured Patients, Outside of the Intensive Care Unit and Without Instrumental Assessment: Results of Pilot Study
AbstractConcurrently to the recent development of percutaneous tracheostomy techniques in the intensive care unit (ICU), the amount of tracheostomized brain-injured patients has increased. Despites its advantages, tracheostomy may represent an obstacle to their orientation towards conventional hospitalization or rehabilitation services. To date, there is no recommendation for tracheostomy weaning outside of the ICU. We created a pluridisciplinary tracheostomy weaning protocol relying on standardized criteria but adapted to each patient ’s characteristics and that does not require instrumental assessment. It was tested in...
Source: Dysphagia - December 7, 2023 Category: Speech-Language Pathology Source Type: research
An Evaluation of Psychometric Properties of EAT-10: A Malayalam Version
AbstractThe Eating Assessment Tool (EAT-10) is a 10-item self-administered questionnaire that assesses the severity of dysphagia symptoms, the impact of dysphagia on quality of life and treatment efficacy. EAT-10 has been adapted into several languages, including Malayalam. However, the information on the psychometric properties of EAT-10 MALAYALAM is not known. Therefore, the study aimed to evaluate the psychometric properties of the EAT-10 MALAYALAM. EAT-10 MALAYALAM questionnaire was administered to two groups of native Malayalam-speaking participants. Group 1 consisted of a total of 110 participants (76 males and 34 fe...
Source: Dysphagia - November 30, 2023 Category: Speech-Language Pathology Source Type: research
Effects of Bolus Types and Swallowing Maneuvers on Laryngeal Elevation: Analysis of Healthy Young Adult Men and Healthy Older Men
AbstractPeak velocity, distance, and time of laryngeal elevation during swallowing were measured with a laryngeal motion measurement system in eight healthy young adult men in their 20 and 30 s (33.0 ± 4.3 years) and ten healthy older men in their 60 and 70 s (74.0 ± 3.9 years). The participants performed swallowing five times each for a total of eight conditions: two bolus types (saliva and water) and four swallowing methods (normal swallow, effortful swallow, super-supra glottic swallow, and Mendelsohn maneuver). When the bolus type was saliva, peak velocity and distance increased more for swallowing maneu...
Source: Dysphagia - November 29, 2023 Category: Speech-Language Pathology Source Type: research
Understanding Dysphagia Care in Pakistan: A Survey of Current Speech Language Therapy Practice
This study aimed to explore SLTs practices for dysphagia assessment, signs and symptoms observed during evaluation, and management strategies, alongside barriers and facilitators to service delivery in Pakistan. A 45-item survey was distributed to SLTs online. Responses were received from 101 participants and analyzed descriptively, and open-text responses were analyzed using content analysis. Results revealed that 65.3% SLTs worked across the lifespan, and most (79.4%) had dysphagia-related experience of five years or less. SLTs were an active workforce engaged with varying ages, disorders, and settings, yet dysphagia con...
Source: Dysphagia - November 25, 2023 Category: Speech-Language Pathology Source Type: research
Exploring the Acceptability of Behavioral Swallowing Interventions for Head and Neck Cancer Patients During Radiotherapy: A Qualitative Study of Patients ’ Experience
This study explored patients’ perspectives using qualitative methodology. At 2 Canadian PRO -ACTIVE trial sites, 24 trial participants were recruited for individual semi-structured interviews, representing each of the 3 trial arms. Data collection and thematic analysis were guided by the Theoretical Framework of Acceptability (TFA). Member checking was conducted through follow-up focus gro ups. Seven themes were derived reflecting the TFA constructs. Overall, regardless of trial arm, patients reported a positive experience with therapy. Patients identified benefits of EAT-RT therapy, reporting that it provided meaningful...
Source: Dysphagia - November 22, 2023 Category: Speech-Language Pathology Source Type: research
Confidence, Accuracy, and Reliability of Penetration-Aspiration Scale Ratings on Flexible Endoscopic Evaluations of Swallowing by Speech Pathologists
This study investigated rater confidence when rating airway invasion with the penetration-aspiration scale (PAS) on flexible endoscopic evaluations of swallowing (FEES), raters ’ accuracy against a referent-standard, inter-rater reliability, and potential associations between clinician confidence, experience, and accuracy. Thirty-one clinicians who use FEES in their daily practice were asked to judge airway invasion with the PAS and to rate their confidence that their sc ore was correct (0–100) for 40 video clips, five in each of the 8 PAS categories. We found that raters were most confident in rating PAS 1, 7, and 8. ...
Source: Dysphagia - November 19, 2023 Category: Speech-Language Pathology Source Type: research
