A New Home Health Approach to SWALLOWING DISORDERS

Chetney, Rhonda; Waro, Karol

doi:10.1097/00004045-200410000-00011

Cited by 7 publications

(7 citation statements)

References 1 publication

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“…On the other hand, Chetney & Waro (2004) [19] evaluated the VitalStim device and found that it could be utilized by speech therapists in a home care setting.…”

Section: Discussionmentioning

confidence: 99%

Role of modified Barium Swallow Pre and Post VitalStim therapy In the rehabilitation of the swallowing mechanism

Darwish¹,

Kamel²,

Jeady³

et al. 2017

Med Imaging Radiol

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Aim: Of our study is to evaluate the efficacy of transcutaneous electrical stimulation (Vitalstim therapy) to treat patients with dysphagia and to determine the impact of the modified barium swallow study (MBSS) on patient management. Material and methods: From June 2014 to April 2016, seventy three patients with dysphagia were included. All the patients underwent pre vitalstim-therapy evaluation by speech-language pathologists, including clinical evaluation of swallowing and modified barium swallow study (MBSS). In MBSS we evaluate the following, delay in oropharyngeal swallowing phase, closure of epiglottis, laryngeal elevation, passage of contrast behind the epiglottis that denoting penetration, presence of aspiration and presence residual barium after swallowing. After VitalStim therapy, all patients underwent MBSS assessments and also underwent a follow up survey months (range, 1 to 6 months) after their therapy to assess whether the improvement was worthwhile and sustained. Results: In our study our 73 patients showing radiological findings denoting neurological swallowing disorders, 65 patients (89%) showing delay in oropharyngeal swallowing phase, weak laryngeal elevation found in 58 patients (79%) , 68 patients (93%) showing aspiration and 70 cases (96%) showing penetration and incomplete closure of the epiglottis. Presence of residual barium after swallowing within the vallecula was seen in 68 patients (93%). 52 of the 73 patients (71%) showing complete improvement at first follow up study after VitalStim therapy. 21 of the 73 patients (29%) showing some improvement and need another therapy sessions and in the next follow up study 15 cases showing complete improvement. However, 7 cases of the 21 patients having severe dysphagia before therapy, only 2 of 7 showed any improvement, and these patients still required a feeding tube for adequate nutrition, however, the 5 of 7 showing complete improvement after another session of therapy. Conclusion: We conclude that the modified barium swallow is valuable in the rehabilitation of patient with swallowing disorders helps speech pathologist to identify and modify swallowing abnormalities as well as management program. We also conclude that VitalStim therapy is effective and safe in the treatment of patients suffering with the swallowing difficulties.

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“…On the other hand, Chetney & Waro (2004) [19] evaluated the VitalStim device and found that it could be utilized by speech therapists in a home care setting.…”

Section: Discussionmentioning

confidence: 99%

Role of modified Barium Swallow Pre and Post VitalStim therapy In the rehabilitation of the swallowing mechanism

Darwish¹,

Kamel²,

Jeady³

et al. 2017

Med Imaging Radiol

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“…According to the company, Vital Stim® provides neuromuscular electrical stimulation controlled to strengthen the muscles involved in swallowing dynamics and is the only approved by the Food and Drug Administration (FDA) for use in swallowing disorders. 14 In 2011, a survey was conducted with 20 individuals, with carcinoma of the nasopharynx and dysphagia; where the volunteers were divided equally into two groups. The first was submitted to 15 sessions of NMES with Vital Stim®, whose electrodes were positioned between the hyoid bone and thyroid cartilage to stimulate the suprahyoid muscles.…”

Section: Discussionmentioning

confidence: 99%

“…20 In addition to Vital Stim®, other researchers have used various electrostimulators with differing configurations and achieved similar results. Hans et al 14 proposed NMES associated with swallowing with effort in 25 patients with multiple sclerosis, for 3 weeks with 2 sessions per week. In this study, we used the device ELECTROSTIMULATION Myomed 134® (Enraf-Nonius, Rotterdan, the Netherlands).…”

mentioning

confidence: 99%

Application and effects of neuromuscular electrical stimulation in the rehabilitation of oropharyngeal dysphagia: a literature review

et al. 2016

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Objective: To analyze the different methods of Neuromuscular Electrical Stimulation (NMES) in the intervention of oropharyngeal dysphagia. Methods: Review using the descriptors: "deglutition disorders" and "electrical stimulation" in PubMed, BVS, SciELO, and MedLine, from 1997 to 2015. Classified according to the CAPES Integrated System (SiCAPES), PEDro, and Jadad scales. Results: There were 165 articles found, from which 25 were selected according to the theme. Between 2009-2012 there were more publications (60%, n = 15). Case-control was the most reported type of study (28%, n = 7). Most individuals were investigated after a stroke (44%, n = 11). The most popular type of therapy considered NMES at rest and traditional therapy (TT) (28%, n = 8), NMES during swallowing and TT (28%, n = 7), and NMES at rest (24%, n = 3). Vital Stim® was the most cited electrical stimulation device (32%, n = 8). Transcutaneous electrical nerve stimulation was the most reported (76%, n = 19). As to location, electrodes placed on the neck (48%, n = 12) and submental (44%, n = 11) stood out. Electric current commonly used: FES (40%, n = 10) and TENS (24%, n = 6). Fluoroscopy was the prevailing evaluation method (52%, n = 13). For SiCAPES distribution, the greatest number of materials was classified as B2 (36%, n = 9) and A1 (16%, n = 4). On the PEDro scale, the studies mostly scored 11 (24%, n = 6) and 10 (16%, n = 4). Considering the Jadad scale, (24%, n = 6) the studies scored 3 points. Conclusion: A higher prevalence of therapeutic effect on hyolaryngeal complex elevation, an important airway defense mechanism during swallowing, and the use of FES current and electrodes placed on the submental region or neck. Further research is needed, with defined etiological groups, to prove the therapeutic effect in the medium and long term. Keywords: Electric Stimulation Therapy, Deglutition Disorders, RehabilitationApplication and effects of neuromuscular electrical stimulation in the rehabilitation of oropharyngeal dysphagia: a literature review

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“…An electrical stimulation device to help patients in a home-care setting is described by Chetney et al [16]. As there is pressure to undertake home management of dysphagia this gives useful guidance for domiciliary care.…”

Section: Methodology and Diagnosismentioning

confidence: 99%

Oropharyngeal dysphagia and nutritional management

Lister

2006

Current Opinion in Gastroenterology

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New techniques for quantifying the type and degree of dysphagia in patients are described. Prospective studies have emphasized that dysphagia frequently remains imperfectly diagnosed; some of these newer less expensive techniques may improve diagnosis. The benefits of using multidisciplinary teams for the effective management of dysphagia have been emphasized by a number of investigators. Quality of life issues in dysphagia are becoming more widely recognized and recommendations designed to improve patients' quality of life have been made, including improvements in nutrition and the use of psychological counselling. Cochrane Reviewers have identified shortcomings in the dysphagia knowledge base and have stressed the need for more properly controlled and randomized clinical trials.

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A New Home Health Approach to SWALLOWING DISORDERS

Cited by 7 publications

References 1 publication

Role of modified Barium Swallow Pre and Post VitalStim therapy In the rehabilitation of the swallowing mechanism

Role of modified Barium Swallow Pre and Post VitalStim therapy In the rehabilitation of the swallowing mechanism

Application and effects of neuromuscular electrical stimulation in the rehabilitation of oropharyngeal dysphagia: a literature review

Oropharyngeal dysphagia and nutritional management

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