Effectiveness of chin‐down posture to prevent tracheal aspiration in dysphagia secondary to acquired brain injury. A videofluoroscopy study

Terré, Rosa; Mearin, Fermı́n

doi:10.1111/j.1365-2982.2011.01869.x

Cited by 69 publications

(72 citation statements)

References 20 publications

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“…Thus, postures may not be suitable for some patients with TBI. Additionally, these postures are not effective in every patient [78][79][80] and there is a paucity of rigorous studies to demonstrate their efficacy, outcomes and limitations [78].…”

Section: Behavioral Managementmentioning

confidence: 99%

Management of Dysphagia Following Traumatic Brain Injury

Howle

Baguley

Brown

2014

Curr Phys Med Rehabil Rep

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Dysphagia is a common morbidity and cause of mortality following traumatic brain injury (TBI). Despite this, there is a paucity of evidence demonstrating the efficacy of dysphagia management strategies and treatments in this population. Typically, subjects with dysphagia following TBI are placed into non-specific 'neurogenic' dysphagia subject groups, which include subjects with degenerative neurological diseases, neurological cancers, and cerebrovascular accident. However, dysphagia following TBI has a multifactorial presentation, with causative and contributory factors including cognitivecommunication, behavioral, neurological, and mechanical issues. As such, the management for dysphagia post-TBI must be multifactorial, team-based and involve the patients' families and carers. Much of the research regarding the management and treatment of dysphagia in general is in its infancy: larger and more rigorous studies are required to demonstrate treatment efficacy. More studies specifically examining dysphagia and its management in the TBI population are required to ensure the future efficacy and accuracy of treatment.

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Section: Behavioral Managementmentioning

confidence: 99%

Management of Dysphagia Following Traumatic Brain Injury

Howle

Baguley

Brown

2014

Curr Phys Med Rehabil Rep

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“…1994; Abraham and Yun 2002; Warabi et al. 2008; Terré and Mearin 2012). Pharyngeal swallow delay frequently results in aspiration of thin liquids and potentially pneumonia (Morton et al.…”

Section: Introductionmentioning

confidence: 99%

“…2010; Kang et al. 2011; Terré and Mearin 2012). There is evidence that delay in triggering the pharyngeal swallow is related to a sensory disorder in which the cortex and brainstem take longer to recognize sensory input regarding the need to swallow and to trigger the pharyngeal stage of swallow (Power et al.…”

Section: Introductionmentioning

confidence: 99%

Orosensory contributions to dysphagia: a link between perception of sweet and sour taste and pharyngeal delay time

Pauloski

Nasir

2016

Physiol Rep

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Pharyngeal delay is a significant swallowing disorder often resulting in aspiration. It is suspected that pharyngeal delay originates from sensory impairment, but a direct demonstration of a link between oral sensation and pharyngeal delay is lacking. In this study involving six patients with complaints of dysphagia, taste sensation of the oral tongue was measured and subsequently related to swallowing kinematics. It was found that a response bias for sour taste was significantly correlated with pharyngeal delay time on paste, highlighting oral sensory contributions to swallow motor dysfunctions. Investigating the precise nature of such a link between oral sensation and dysphagia would constitute a basis for understanding the disorder. The results of this study highlight oral sensory contributions to pharyngeal swallow events and provide impetus to examine this link in larger samples of dysphagic patients.

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“…This could be due to patients preventing and compensating the aspiration with various compensation mechanisms, including some head and neck postures. In the literature, it is notified that there is a decrease in dysphagia and aspiration connected with posture in the studies including patients with dysphagia [23,24].…”

Section: Discussionmentioning

confidence: 99%

The Role of Electrophysiologic Evaluation in Dysphagia Diagnosis in Acute Stroke Patients

Umay¹

2014

Int J Phys Med Rehabil

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Background and Purpose: It was aimed at investigating the efficiency of electrophysiological evaluation procedure by compared to healthy controls in acute period stroke patients in this study. As a secondary aim, it was evaluated that whether the patient groups defined as "dysphagic" and "with normal swallowing" were different from each other or not, in respect to the stroke severity and disability.

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Effectiveness of chin‐down posture to prevent tracheal aspiration in dysphagia secondary to acquired brain injury. A videofluoroscopy study

Cited by 69 publications

References 20 publications

Management of Dysphagia Following Traumatic Brain Injury

Management of Dysphagia Following Traumatic Brain Injury

Orosensory contributions to dysphagia: a link between perception of sweet and sour taste and pharyngeal delay time

The Role of Electrophysiologic Evaluation in Dysphagia Diagnosis in Acute Stroke Patients

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