Clinical Evaluation of Dysphagia

Pongpipatpaiboon, Kannit; Inamoto, Yoko; Aoyagi, Yoichiro; Shibata, Seiko; Kagaya, Hitoshi; Matsuo, Koichiro

doi:10.1007/978-981-10-5032-9_5

Cited by 14 publications

(24 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, our study monitored the subjects’ swallowing function until the end of study because people with dementia are prone to swallowing problems 4 . The MWST is a suitable tool for evaluating the swallowing function of people with dementia because it is easy to use, simple and safe 31 6 because this assessment may be less accurate given that it requires self‐reported responses from dementia patients 37 .…”

Section: Discussionmentioning

confidence: 99%

“…We did not employ the EAT‐10 questionnaire, which was recommended by the Japanese Society of Gerodontology, 6 because this assessment may be less accurate given that it requires self‐reported responses from dementia patients 37 . Furthermore, we did not use the repetitive saliva swallowing test, which is easier than the MWST, because patients with dementia may be unable to follow the instructions 31 …”

Section: Discussionmentioning

confidence: 99%

“…The swallowing function were graded in five stages. Scores 1, 2, 3, 4 and 5 indicated inability to swallow, swallow with changes in breathing, swallow with choking and/or wet‐hoarse voice, successful swallow and successful swallow plus at least 2 dry swallows in 30 s respectively 31 …”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Oral exercises significantly improve oral functions in people with mild and moderate dementia: A randomised controlled study

Somsak

Tangwongchai

Komin

et al. 2022

J of Oral Rehabilitation

View full text Add to dashboard Cite

Background There have been no standard protocols of oral exercises for maintaining and improving oral function for people with dementia. Objective This study aimed to determine the effects of home‐based oral exercises on the oral function of people with mild to moderate dementia. Methods Twenty‐two participants at King Chulalongkorn Memorial Hospital were randomly assigned to the exercise group (n = 11) or control group (n = 11). The exercise group was instructed to do three home‐based oral exercises, consisting of tongue‐strengthening, oral diadochokinesis (ODK) and mouth‐opening exercises, for 3 months, while the control group received advice on oral health care. The maximum tongue pressure (MTP) was the primary outcome. MTP, ODK rates of /pa/, /ta/, /ka/, modified water swallowing test (MWST) and oral moisture were measured at baseline, and after 1, 2 and 3 months of training. The generalised estimating equation analysis was used to evaluate the effects of oral exercises on the oral function. Results The MTP and all ODK rates in the exercise group were significantly increased after 3 months of training. There were significant interaction effects between time and intervention in MTP and all ODK rates. No significant interaction effects between time and intervention in oral moisture were found. The MWST scores in both groups did not change through the end of study, and no adverse effects were reported. Conclusion Home‐based oral exercises were found to be effective for improving tongue strength and tongue‐lip motor function in people with mild to moderate dementia.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Oral exercises significantly improve oral functions in people with mild and moderate dementia: A randomised controlled study

Somsak

Tangwongchai

Komin

et al. 2022

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Laryngeal penetration or aspiration by 4 ml of thin liquid were assessed on an 8-point penetration-aspiration scale (PAS) 14 before surgery, at discharge, and at the last follow-up (1 = no laryngeal penetration, 2-5 = laryngeal penetration, 6-8 = aspiration). The Dysphagia Severity Scale (DSS), 15 the Eating Status Scale (ESS), 15 and diet contents were also evaluated just before surgery, at discharge, and at the last follow-up. DSS is a 7-point ordinal scale that measures swallowing function.…”

Section: Methodsmentioning

confidence: 99%

Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease

Shibata

Kagaya

Ozeki

et al. 2020

Ann Otol Rhinol Laryngol

Self Cite

View full text Add to dashboard Cite

Objectives: Surgical procedure is considered in patients with severe dysphagia when conservative treatment fails. This study aimed to evaluate laryngeal suspension (LS) and upper esophageal sphincter (UES) myotomy for treating severe dysphagia due to brain disease. Methods: Fourteen patients underwent LS and UES myotomy, with a median follow-up of 5 years and 6 months when conservative treatment failed. The penetration-aspiration scale (PAS), the Dysphagia Severity Scale (DSS), the Eating Status Scale (ESS), and diet contents were evaluated just before surgery, at discharge, and at the last follow-up. Results: Preoperative intake was tube feeding in all patients. The patients learned the extended head and flexed neck posture to open the esophageal inlet. PAS, DSS and ESS scores, and diet contents were significantly improved at discharge compared with before surgery, and were maintained until the last follow-up. Eight patients had pneumonia during their hospital stay, and five had pneumonia between discharge and at the last follow-up. Age was significantly, negatively correlated with DSS and ESS at the last follow-up. Conclusion: Although LS and UES myotomy require a long inpatient rehabilitation and the risk of pneumonia after surgery is high, the outcome is favorable and the effects last for a long time.

show abstract

“…His speed of laryngeal ele-vation was also reduced. Because the patient refused to have his swallowing function evaluated by videofluoroscopy or videoendoscopy, we applied a Modified Water Swallowing Test (MWST), 11,12) a Food Test (FT), 11,12) a Dysphagia Severity Scale (DSS) evaluation, 12) cervical auscultation, visual inspection, and palpation of the laryngeal bulge and hyoid bone. The MWST and FT scores were three points, and the DSS score was four points, indicating occasional aspiration.…”

Section: Assessment and Diagnosis On The First Day After Dischargementioning

confidence: 99%

Home-based Combined Therapy with Rehabilitation and Aggressive Nutrition Management for a Parkinson’s Disease Patient with Sarcopenic Dysphagia: A Case Report

Yamada¹,

Shamoto

Maeda

et al. 2018

PRM

View full text Add to dashboard Cite

Background: Sarcopenic dysphagia is caused by decreased muscle mass and muscle weakness in the swallowing muscles that occurs because of sarcopenia. The key to treating sarcopenic dysphagia is combined therapy with rehabilitation and aggressive nutrition management. However, to our knowledge, no studies based in a home medical care setting have yet been published. Case: A 72-year-old man with Parkinson's disease developed sarcopenia and possible sarcopenic dysphagia during hospitalization for drug adjustment. At discharge, the patient's body weight was 39.0 kg (−33.8%/4 months, body mass index: 15.3 kg/m 2), the Barthel Index was 45, Functional Oral Intake Scale was level 4, and Dysphagia Severity Scale was 4. Sarcopenia was confirmed by a calf circumference of 23.8 cm, a handgrip strength of 22 kg, and a gait speed of 0.5 m/s. The patient was diagnosed with sarcopenic dysphagia, according to the consensus diagnostic criteria for sarcopenic dysphagia. After the patient was discharged, he underwent a combination of dysphagia rehabilitation, daily activity training, and aggressive nutrition management, which started from 1200 kcal/day and reached a maximum of 2800 kcal/day. Four months after discharge, the patient's swallowing function returned to normal (Functional Oral Intake Scale: 7, Dysphagia Severity Scale: 6) and his weight increased by 31% (body mass index: 20.1 kg/m 2). Increases in muscle mass (calf circumference: 32 cm), muscle strength (handgrip strength: 34 kg), physical function (gait speed: 1 m/s), and activities of daily living (Barthel Index: 90) indicated recovery from sarcopenia. Discussion: Sarcopenic dysphagia may be a complication of Parkinson's disease, and home-based combined therapy with rehabilitation and aggressive nutrition management may be effective for treating this condition.

show abstract

Clinical Evaluation of Dysphagia

Cited by 14 publications

References 39 publications

Oral exercises significantly improve oral functions in people with mild and moderate dementia: A randomised controlled study

Oral exercises significantly improve oral functions in people with mild and moderate dementia: A randomised controlled study

Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease

Home-based Combined Therapy with Rehabilitation and Aggressive Nutrition Management for a Parkinson’s Disease Patient with Sarcopenic Dysphagia: A Case Report

Contact Info

Product

Resources

About