Dysphagia in neurological diseases: a literature review

Panebianco, Mariangela; Marchese‐Ragona, Rosario; Masiero, Stefano; Restivo, Domenico A.

doi:10.1007/s10072-020-04495-2

Cited by 102 publications

(77 citation statements)

References 32 publications

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“…Dysphagia can be caused by various diseases or problems, including neurological impairment, and physiological and anatomical disorders in any part from the mouth to the esophagus [1][2][3][4]. To treat or improve symptoms of dysphagia, various methods have been reported.…”

Section: Introductionmentioning

confidence: 99%

YouTube as a Source of Patient Information Regarding Exercises and Compensated Maneuvers for Dysphagia

Lee

Park

2021

Healthcare

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Objective: Acquiring online health-related information has become increasingly widespread. In this study, we aimed to evaluate the quality of the most-viewed YouTube videos on dysphagia regarding exercises and compensated maneuvers. Method: We searched for the keywords “dysphagia exercise”, “dysphagia rehabilitation”, “dysphagia maneuver”, “dysphagia therapy”, and “dysphagia compensation” on YouTube on 5 February 2021. The educational quality of videos on YouTube was investigated based on the Global Quality Scale (GQS) and categorized into three groups: high-, intermediate-, and low-quality. The modified DISCERN tool was used to evaluate the reliability of the YouTube videos. Video parameters were compared between the groups according to the quality of the videos. Results: Of the 51 videos evaluated, according to the GQS, 54.9% (n = 28) were of high-quality, 35.3% (n = 18) were of intermediate-quality, and 9.8% (n = 5) were of low-quality, respectively. When the video parameters were compared among the groups, there were no significant differences in the number of views, likes, dislikes, or comments per day (p > 0.05). However, there was a significant difference in the DISCERN scores between the groups (p < 0.001). Conclusion: YouTube can be deemed as a predominant source for high-quality videos on dysphagia exercise and compensated maneuvers. However, YouTube should be accepted as a mixed pool, with high-, intermediate-, and low-quality videos. Therefore, healthcare professionals, such as physicians and therapists, should verify the suitability and quality of the video, and suggest it to the patient, to ensure that the patient obtains the appropriate information.

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Section: Introductionmentioning

confidence: 99%

YouTube as a Source of Patient Information Regarding Exercises and Compensated Maneuvers for Dysphagia

Lee

Park

2021

Healthcare

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“…According to a study conducted among elderly patients in Spain, about 68.4% of the patient with oropharyngeal dysphagia had dementia [ 3 ]. Dysphagia occurs in 50% and 31.3% of the patients with Parkinson’s disease and multiple sclerosis, respectively [ 12 ]. Etiologies of oropharyngeal dysphagia are listed in Table 1 [ 3 , 10 - 12 ].…”

Section: Reviewmentioning

confidence: 99%

“…Dysphagia occurs in 50% and 31.3% of the patients with Parkinson’s disease and multiple sclerosis, respectively [ 12 ]. Etiologies of oropharyngeal dysphagia are listed in Table 1 [ 3 , 10 - 12 ].…”

Section: Reviewmentioning

confidence: 99%

The Role of Imaging Modalities in Diagnosing Dysphagia: A Clinical Review

Ghazanfar

Shehi²,

Makker³

et al. 2021

Cureus

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Dysphagia, which is characterized by difficulty in oro-gastric bolus transit, is a common condition. It is broadly classified into oropharyngeal or esophageal pathology. A wide array of differentials for dysphagia and initial clinical suspicion of oropharyngeal or esophagus etiology can assist in further evaluation. Fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopic swallow study (VFSS) are the preferred modalities for assessing oropharyngeal bolus transit, residual, as well as determining the risk of laryngeal aspiration. High-resolution pharyngeal manometry (HRPM) is an emerging modality for optimal topographical and pressure assessment of pharyngeal anatomy. HRPM provides improved assistance in evaluating the strength of the pharyngeal muscular contraction. Esophagogastroduodenoscopy (EGD) is the preferred exam for patients with suspected esophageal etiology of dysphagia. Barium swallow provides luminal assessment and assists in evaluating esophageal motility; it is non-invasive, but therapeutic interventions like biopsy cannot be performed. High-resolution esophageal manometry (HREM) has added another dimension in the diagnosis of esophageal motility disorders. The purpose of this review article is to help internists and primary care providers get a better understanding of the role of various imaging modalities in diagnosing dysphagia in the elderly population. This article also provides a comprehensive review and detailed comparison of these imaging modalities based on the latest evidence.

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“…The most significant effect of early damage to central motor neurons is the occurrence of motor disorders. They are a characteristic causative mechanism of speech disorders-dysarthria, and as the disease progresses, leading to anarthria and swallowing disorders, occurring regardless of food type or consistence [19][20][21][22]. For this reason, neurologopedic measurement was carried out in parallel to the study using the ALSFRS-R.…”

Section: Neurologopedic Measurementmentioning

confidence: 99%

Validation of the revised Amyotrophic Lateral Sclerosis Functional Rating Scale in Poland and its reliability in conditions of the medical experiment

Maksymowicz

Kukołowicz²,

Siwek

et al. 2020

Neurol Sci

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Introduction Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) is a basic tool for monitoring disease progression in amyotrophic lateral sclerosis (ALS). This study analyses the reliability of the Polish version of the ALSFRS-R as a tool to assess the health condition of patients with ALS and presents experience related to the use of this tool in monitoring the effects of experimental medical therapy. Materials and methods The scale questionnaire was translated using the cross-translation method. The final tool was used by researcher, who was conducting the interview directly by telephone with patients and their caregivers and additionally compared with neurologopedic measurement. The health status of 60 patients was assessed between 4 and 7 times, which gives a total of 327 observations. Mean patient’s age was 57.5 ± 8.6. The division by sex was 23/35 (female/male). Patients’ health status and severity of symptoms varied. Statistical analysis was performed using explanatory factor analysis and Cronbach’s alpha. Result Validation of the Polish version of the ALSFRS-R supports the reliability and internal consistency of scale. The scale proved also to be a proper tool for monitoring the course of the experimental medical therapy for patients with ALS. However, a qualitative evaluation revealed certain weaknesses of the scale, resulting from a different understanding of the functional assessment by the patient and by the medical specialist and cultural differences. Discussion Although ALSFRS-R is a reliable enough for monitoring patient health, it seems reasonable to pay attention to some difficult points of the questionnaire and its improvement.

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Dysphagia in neurological diseases: a literature review

Cited by 102 publications

References 32 publications

YouTube as a Source of Patient Information Regarding Exercises and Compensated Maneuvers for Dysphagia

YouTube as a Source of Patient Information Regarding Exercises and Compensated Maneuvers for Dysphagia

The Role of Imaging Modalities in Diagnosing Dysphagia: A Clinical Review

Validation of the revised Amyotrophic Lateral Sclerosis Functional Rating Scale in Poland and its reliability in conditions of the medical experiment

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