Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia

Jongprasitkul, Hathaya; Kitisomprayoonkul, Wasuwat

doi:10.1155/2020/2907293

Cited by 9 publications

(12 citation statements)

References 31 publications

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“…In our study, we found most of our patients' pharyngeal phase of swallowing was affected. This finding was similar to the studies of Martino et al 42 and Logemann et al 41 Similar finding was also reported by Priya et al 47 The baseline VDS score was 54.43 ± 11.23, quite higher than a study done by Park et al, 48 who included unilateral hemispheric stroke and post 1-month stroke. Pyriform fossa residue has been given a higher value (13.5) in the VDS score.…”

Section: Discussionsupporting

confidence: 91%

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Improvement Pattern of VFSS due to Swallowing Maneuvers in Patients of Dysphagia with Posterior Circulation Stroke

Pramanik¹,

Ray²,

Ghosal³

et al. 2021

Indian Journal of Physical Medicine and Rehabilitation

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Background: Post-stroke dysphagia is a leading cause of morbidity and prolonged hospitalization in stroke patients. The videofluoroscopic swallowing study (VFSS) is one of the gold standard techniques, designed to define the anatomy and physiology of a patient's oropharyngeal swallow and examine the effectiveness of selected rehabilitation strategies designed to eliminate aspiration or excess oral or pharyngeal residue (the symptoms of patient's dysphagia). Objective: To quantify the improvement of patients' subjective and objective symptoms. Materials and methods: Institutional ethics committee clearance was taken. Fifteen patients were selected who satisfy our inclusion criteria. A prospective interventional study was done in the Department of PMR, IPGME&R, Kolkata over 12 months. Videofluoroscopic swallowing study was done on all these patients at baseline and at 3 months interval and swallowing technique of head rotation to the paretic side applied at baseline and Mendelsohn maneuvers were applied for 3 months duration. Changes in VAS of swallowing (VASs) and videofluoroscopic dysphagia scale (VDS) were noted. Inclusion criteria: Clinical dysphagia in a patient with confirmed posterior circulation stroke, after 2 weeks of stroke. Exclusion criteria: Anterior circulation stroke, Other pertinent neurological diseases, any structural abnormalities in head-neck region, medically unstable patient. Results: Statistically significant improvements of both VASs and VDS were seen in all the patients in follow-up visits with the application of selected swallowing techniques and maneuvers. Conclusion:This study concludes that: • Simple swallowing techniques and maneuvers can improve the symptoms of dysphagia in patients with posterior circulation stroke.• Videofluoroscopy is helpful to diagnose and objectively quantify the improvement of dysphagia symptoms with different swallowing techniques and maneuvers.

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Section: Discussionsupporting

confidence: 91%

“…It has been reported that there was a significant improvement in swallowing in acute stroke patients with conventional swallowing therapy, which includes Mendelsohn maneuver and head rotation to paretic side. 48…”

Section: Introductionmentioning

confidence: 99%

Improvement Pattern of VFSS due to Swallowing Maneuvers in Patients of Dysphagia with Posterior Circulation Stroke

Pramanik¹,

Ray²,

Ghosal³

et al. 2021

Indian Journal of Physical Medicine and Rehabilitation

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“…Forty-two percent of patients with tube dependent change to total oral intake. The study concluded that Conventional swallowing therapy is an effective treatment in acute stroke with dysphagia [12] .…”

Section: Introductionmentioning

confidence: 95%

“…Brain controls most of the voluntary and involuntary activities of the human body. The major problem of cerebrovascular accident is the paralysis of swallowing muscles leading to swallowing difficulty which is known as dysphagia [1] . Approximately 90% of CVAs were attributed to 10 risk factors that are preventable (hypertension, regular physical inactivity, high apolipoprotein B/A1 ratio, insufficient diet quality, increased waist/hip ratio, psychosocial factors, current smoking, cardiac causes, heavy alcohol consumption, and diabetes mellitus [2] .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Swallow Therapy on Swallowing Ability among Patients with Cerebrovascular Accident

Parimala¹,

Kalpana²,

Maheshwari³

2022

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Cerebrovascular accident occurs when the blood supply to the brain is disturbed in some way. As a result the brain cells are deprived of oxygen. It is also known as stroke. It is being observed as a rapidly growing problem and an important cause of illness and death in Saudi arabia. The major problem of cerebrovascular accident is paralysis of swallowing muscles leading to swallowing difficulty which is known as dysphagia. It involves the mouth, throat and esophagus. The goal of this study was to see how swallow treatment affected patients with cerebrovascular accidents at Saveetha Medical College and Hospital in Chennai. The study used a quasi-experimental one-group pre- and post-test design. A total of 30 samples were chosen with care. The Mann Assessment of Swallowing Skills (MASA) was used to examine swallowing ability on regular basis. The results reveal that there is a significant difference in swallowing capacity before and after therapy when using descriptive and interferential statistical approaches. The average score of swallowing ability before swallow therapy was 155.0±16.34, while the average score after swallow therapy was 170.87±11.12. At p<0.001 level, the estimated paired ‘t’ test value of t = 7.171 was judged to be statistically highly significant. This obviously implies that administering swallow therapy to individuals with cerebrovascular accident was shown to be useful in enhancing post-test swallowing skills. The swallowing therapy was found to be one of the most successful traditional therapies for improving the swallowing skills of people with swallowing difficulties, according to the findings.

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“…[10][11][12][13][14] The effectiveness of behavioral therapy varies widely due to multiple factors including the underlying physiologic impairment, severity of deficits, type of intervention, and therapeutic engagement. [15][16][17][18][19][20][21][22][23][24] One potential explanation of this variation is an absence of sensitive, quantitative tools to monitor progress. There is a plethora of evidence suggesting that when patients are compliant and accurately execute therapy plans, swallowing outcomes improve.…”

Section: Introductionmentioning

confidence: 99%

Differentiation of Bolus Texture During Deglutition via High‐Density Surface Electromyography: A Pilot Study

et al. 2023

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ObjectiveSwallowing is a complex neuromuscular task. There is limited spatiotemporal data on normative surface electromyographic signal during swallow, particularly across standard textures. We hypothesize the pattern of electromyographic signal of the anterior neck varies cranio‐caudally, that laterality can be evaluated, and categorization of bolus texture can be differentiated by high‐density surface electromyography (HDsEMG) through signal analysis.MethodsAn HDsEMG grid of 20 electrodes captured electromyographic activity in eight healthy adult subjects across 240 total swallows. Participants swallowed five standard textures: saliva, thin liquid, puree, mixed consistency, and dry solid. Data were bandpass filtered, underwent functional alignment of signal, and then placed into binary classifier receiver operating characteristic (ROC) curves. Muscular activity was visualized by creating two‐dimensional EMG heat maps.ResultsSignal analysis results demonstrated a positive correlation between signal amplitude and bolus texture. Greater differences of amplitude in the cranial most region of the array when compared to the caudal most region were noted in all subjects. Lateral comparison of the array revealed symmetric power levels across all subjects and textures. ROC curves demonstrated the ability to correctly classify textures within subjects in 6 of 10 texture comparisons.ConclusionThis pilot study suggests that utilizing HDsEMG during deglutition can noninvasively differentiate swallows of varying texture noninvasively. This may prove useful in future diagnostic and behavioral swallow applications.Level of Evidence4 Laryngoscope, 133:2695–2703, 2023

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Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia

Cited by 9 publications

References 31 publications

Improvement Pattern of VFSS due to Swallowing Maneuvers in Patients of Dysphagia with Posterior Circulation Stroke

Improvement Pattern of VFSS due to Swallowing Maneuvers in Patients of Dysphagia with Posterior Circulation Stroke

Effectiveness of Swallow Therapy on Swallowing Ability among Patients with Cerebrovascular Accident

Differentiation of Bolus Texture During Deglutition via High‐Density Surface Electromyography: A Pilot Study

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