Grundlagen der funktionellen Dysphagietherapie (FDT)

Bartolome, Gudrun

doi:10.1016/b978-343747160-5.50014-x

Cited by 15 publications

(8 citation statements)

References 74 publications

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“…Of these patients, 17 (50%) had either transient or extended risk of aspiration in the early subacute phase at assessment 2 (mean, 7.8±1.2 days after admission). Patients with transient or extended risk of aspiration performed worse on several swallowing measures (50 mL water swallowing test, functional oral intake measured by Bogenhausener dysphagia score-2 27 ; see online-only Data Supplement for additional information on Bogenhausener dysphagia score-2). Patients with extended risk of aspiration were significantly more likely to suffer from chest infection or failed return to prestroke diet during hospitalization, had longer hospital stay and higher institutionalization rate, and received enteral tube feeding more frequently (Table 1).…”

Section: Resultsmentioning

confidence: 99%

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Lesion Location Predicts Transient and Extended Risk of Aspiration After Supratentorial Ischemic Stroke

Galovic

Leisi

Müller

et al. 2013

Stroke

103

108

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Section: Resultsmentioning

confidence: 99%

“…BODS-2 indicates Bogenhausener dysphagia score 27 (higher score signifies worse functional oral intake); CRP, C-reactive protein; and PEG, percutaneous endoscopic gastrostomy.…”

Section: Assessment 1: Acute Versus No Risk Of Aspirationmentioning

confidence: 99%

Lesion Location Predicts Transient and Extended Risk of Aspiration After Supratentorial Ischemic Stroke

Galovic

Leisi

Müller

et al. 2013

Stroke

103

108

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“…Five of the eight studies that included CSEs used standardized tools to interpret the assessment. Mouräo et al ( 2017 ) used the Dysphagia Disorder Survey, a validated clinical assessment of swallowing and feeding function for individuals with intellectual and developmental disability (Sheppard et al, 2014 ); three studies used the Bogenhausen Dysphagia Score, Part 2 (BODS-2) (Bartolome, 2006 ), which is a German assessment of oral intake; and two used the Functional Oral Intake Scale (FOIS) (Crary et al, 2005 ), i.e., a description of levels of oral intake, retrospectively. Three studies reported mixed methods for swallowing analysis, such as a variety of different clinical scales (see details on all methods in Supplementary Table C ).…”

Section: Resultsmentioning

confidence: 99%

The Role of White Matter in the Neural Control of Swallowing: A Systematic Review

Alvar

Arkenberg

McGowan

et al. 2021

Front. Hum. Neurosci.

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Background: Swallowing disorders (dysphagia) can negatively impact quality of life and health. For clinicians and researchers seeking to improve outcomes for patients with dysphagia, understanding the neural control of swallowing is critical. The role of gray matter in swallowing control has been extensively documented, but knowledge is limited regarding the contributions of white matter. Our aim was to identify, evaluate, and summarize the populations, methods, and results of published articles describing the role of white matter in neural control of swallowing.Methods: We completed a systematic review with a multi-engine search following PRISMA-P 2015 standards. Two authors screened articles and completed blind full-text review and quality assessments using an adapted U.S. National Institute of Health's Quality Assessment. The senior author resolved any disagreements. Qualitative synthesis of evidence was completed.Results: The search yielded 105 non-duplicate articles, twenty-two of which met inclusion criteria. Twenty were rated as Good (5/22; 23%) or Fair (15/22; 68%) quality. Stroke was the most represented diagnosis (n = 20; 91%). All studies were observational, and half were retrospective cohort design. The majority of studies (13/22; 59%) quantified white matter damage with lesion-based methods, whereas 7/22 (32%) described intrinsic characteristics of white matter using methods like fractional anisotropy. Fifteen studies (68%) used instrumental methods for swallowing evaluations. White matter areas commonly implicated in swallowing control included the pyramidal tract, internal capsule, corona radiata, superior longitudinal fasciculus, external capsule, and corpus callosum. Additional noteworthy themes included: severity of white matter damage is related to dysphagia severity; bilateral white matter lesions appear particularly disruptive to swallowing; and white matter adaptation can facilitate dysphagia recovery. Gaps in the literature included limited sample size and populations, lack of in-depth evaluations, and issues with research design.Conclusion: Although traditionally understudied, there is sufficient evidence to conclude that white matter is critical in the neural control of swallowing. The reviewed studies indicated that white matter damage can be directly tied to swallowing deficits, and several white matter structures were implicated across studies. Further well-designed interdisciplinary research is needed to understand white matter's role in neural control of normal swallowing and in dysphagia recovery and rehabilitation.

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“…For the evaluation of the swallowing status, we used FEES and the clinical logopedic evaluation with modified Evan's blue dye test [8]. The parameters assessed by these tests included penetration aspiration scale (PAS) [9], functional oral intake scale (FOIS) [10] and Bogenhausen dysphagia score (BODS) [11], as well as the swallowing frequency in the resting state. The terms penetration and aspiration are used to describe when the saliva or bolus penetrate in the larynx up to the vocal cords, or are aspirated below the vocal cords, respectively.…”

Section: Case Reportmentioning

confidence: 99%

“…Therefore, decannulation was postponed to the end of the whole rehabilitation process four weeks after the end of the third stimulation period. [9]; FOIS: functional oral intake scale [10]; BODS: Bogenhausen dysphagia score [11].…”

Section: Case Reportmentioning

confidence: 99%

Therapy of Dysphagia by Prolonged Pharyngeal Electrical Stimulation (Phagenyx) in a Patient with Brainstem Infarction

et al. 2020

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Dysphagia after stroke impacts quality of life and is a risk factor for respiratory infections. Patients frequently require prophylactic measures including nasogastric tube or percutaneous endoscopic gastrostomy. Until recently, therapy for dysphagia was limited to training with a speech and language specialist. Intraluminal pharyngeal electrical stimulation (PES) is a new technique that stimulates the pharyngeal sensory afferents to the higher swallowing center in cortex. The clinical trials published to date involved stimulation for 10 minutes over three days. We present a case of brainstem infarction with severe dysphagia in a 53-year-old woman with preserved cognitive functions. For airway protection, she had a surgical tracheotomy. The initial swallowing training achieved slight improvements, but stagnated after three months so PES was tried. Under good PES tube tolerance, a prolonged and repeated stimulation protocol was administered, with the main purpose of relieving her of the tracheal tube. Although the swallowing improved, she stayed tube-dependent with minimal attempts with puréed food during therapy, and could not be decannulated. Further studies are required to assess the value of this promising approach for the treatment of dysphagia.

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Grundlagen der funktionellen Dysphagietherapie (FDT)

Cited by 15 publications

References 74 publications

Lesion Location Predicts Transient and Extended Risk of Aspiration After Supratentorial Ischemic Stroke

Lesion Location Predicts Transient and Extended Risk of Aspiration After Supratentorial Ischemic Stroke

The Role of White Matter in the Neural Control of Swallowing: A Systematic Review

Therapy of Dysphagia by Prolonged Pharyngeal Electrical Stimulation (Phagenyx) in a Patient with Brainstem Infarction

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