Outcomes of Swallowing Rehabilitation in Patients with Dysphagia: A Retrospective Study
Main Article Content
Abstract
Introduction
Swallowing, as the first phase of digestion, is one of the most complicated neuromuscular processes of the central nervous system. The presence of dysphagia can itself cause medical, psychosocial, and economic complications. A medical complication of dysphagia includes aspiration pneumonia, malnutrition, significant weight loss, and dehydration.
Materials and Methods
It was a retrospective study. In information regarding speech and swallowing therapeutics were studied from the routine clinical records by speech pathologist.
Results
The present retrospective study was focused on highlighting the outcomes of swallowing rehabilitation in patients with dysphagia in various aetiologies. It was observed that swallowing compensatory strategies, postural changes, rehabilitative manoeuvres, thermal stimulation, indirect and direct therapy showed tremendous improvement in patients with dysphagia with various aetiologies.
Conclusion
This study provides further information regarding the severity of swallowing physiology in disorders and its improvement subsequent to traditional swallowing therapy which will contribute to literature in Indian context.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 2005; 36 (12):2756-63
Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis. 2000; 10(5):380-6
Langdon C, Blacker D. Dysphagia in stroke: a new solution. Stroke Res Treat. 2010;2010:570403. doi:10.4061/2010/570403
Langdon, PC, Lee AH, Binns CW. Dysphagia in acute ischaemic stroke: severity, recovery and relationship to stroke subtype. J Clin Neurosci. 2007; 14(7):630-4
Nilsson H, Ekberg O, Olsson R, Hindfelt B. Dysphagia in stroke: a prospective study of quantitative aspects of swallowing in dysphagic patients. Dysphagia 1998; 13(1):32-8
Vesey S. Dysphagia and quality of life. Br J Community Nurs. 2013 (Suppl: S14, S16, S18-S14, S16, S19)
Davis LA. Quality of Life Issues Related to Dysphagia. Topics in Geriatric Rehabilitation 2007; 23(4):352-65. doi: 10.4172/2329-9096.1000340
Murry T, Carrau RL. Clinical Management of Swallowing Disorders. 3rd ed. San Diego, CA: Plural Pub; 2012
Speyer R, Baijens L, Heijnen M, Zwijnenberg I. Effects of therapy in oropharyngeal dysphagia by speech and language therapists: a systematic review. Dysphagia 2010; 25(1):40-65
Logemann JL. Management of the patient with disordered oral feeding. In: Logemann JA, Ed: Evaluation and Treatment of Swallowing Disorders. Austin: Pro-Ed, 1983, 127-59
Huckabee ML. Outcomes of Swallowing Rehabilitation in Chronic Brainstem Dysphagia: A Retrospective Evaluation. Dysphagia1999; 14:93-109
Khedr EM, Abo-Elfetoh N. Therapeutic role of rTMS on recovery of dysphagia in patients with lateral medullary syndrome and brainstem infarction. J Neurol Neurosurg Psychiatry 2010; 81(5):495-9
Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol. 2006; 5(1):31-7
Takahata H, Tsutsumi K, Baba H, Nagata I, Yonekura M. Early intervention to promote oral feeding in patients with intracerebral hemorrhage: a retrospective cohort study. BMC Neurol. 2011; 11:6
Hagg M, Larsson B. Effects of motor and sensory stimulation in stroke patients with long-lasting dysphagia. Dysphagia 2004; 19(4):219-30
Babani N, Hattangadi GA. Bedside assessment protocol and grading scale for dysphagia in adults. Journal of Indian Speech Language & Hearing Association 2014; 28(1):10-24
Crary MA, Carnaby-Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005; 86:1516-20
Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physio. 1991; 260:G450-6
Kahrilas PH, Logemann JA, Lin S, Ergun GA. Pharyngeal clearance during swallow: a combined manometric and videofluoroscopic study. Gastroenterology 1992; 103:128-36
Kahrilas PJ, Lin S, Logemann JA, Ergun GA, Facchini F. Deglutitive tongue action: volume accommodation and bolus propulsion. Gastroenterology 1993; 104:152-62
Fujiu M, Logemann J. Effect of a tongue-holding maneuver on posterior pharyngeal wall movement during deglutition. Am J Speech Lang Pathol. 1996; 5:23-30
Fujiu M, Logemann J, Pauloski B. Increased Post-operative posterior pharyngeal wall movement in patients with anterior oral cancer: preliminary findings and possible implications for treatment. Am J Speech Lang Pathol. 1995; 4:24-30
Gupta H, Banerjee A. Case Report Recovery of Dysphagia in Lateral Medullary Stroke.Hindawi Publishing Corporation, Case Reports in Neurological Medicine 2014; Volume 2014, Article ID 404871, 4 pages http://dx.doi.org/10.1155/2014/404871
K Govathi N, Akanksha G, Sushant B, Arun G. Recovery Pattern of Dysphagia in Lateral Medullary Infarction- A Case Report. GlobOto 2017; 3(2): 555610. DOI: 10.19080/GJO.2017.03.555610
Rey-Matias R, Froilan C, Leochico D. Rehabilitation Techniques in Dysphagia Management among Stroke Patients: A Systematic Review. Int J Phys Med Rehabil. 2016; 4:340. doi:10.4172/2329-9096.1000340
Smithard DG, O'Neill PA, England RE, Park CL, Wyatt R, Martin DF, et al. The natural history of dysphagia following a stroke. Dysphagia 1997; 12(4):188-93
Waxman MJ, Durfee D, Moore M, Morantz RA, Koller W. Nutritional aspects and swallowing function of patients with Parkinson's disease. Nutr Clin Pract. 1990; 5:196-9
Shaker R, Kern M, Bardan E, Arndorfer RC, et al. Effect of isotonic/isometric head lift exercise on hypopharyngeal intrabolus pressure. Presented at the Fifth Annual Dysphagia Research Society Meeting [abstract]. Dysphagia 1997; 12:107
Shaker R, Kern M, Bardan E, Taylor A, et al. Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. Am J Physiol. 1997; 272:G1518-22.