Handgrip strength and dysphagia assessment following cardiac surgery

Hathaway, Bridget; Baumann, Brooke; Byers, Sara; Wasserman-Wincko, Tamara; Badhwar, Vinay; Johnson, Jonas T.

doi:10.1002/lary.25175

Cited by 19 publications

(11 citation statements)

References 8 publications

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“…Advanced age is independently associated with disadvantageous changes in biomechanical features of swallowing (Leonard, Kendall, & McKenzie, 2004;Logemann et al, 2000;Logemann, Pauloski, Rademaker, & Kahrilas, 2002) and an increased risk of aspiration in persons who have previously been intubated (Bordon et al, 2011;Kwok et al, 2013;Skoretz et al, 2014). In addition, hand strength is positively correlated to swallowing function (Butler et al, 2011;Hathaway et al, 2015), further supporting that the cohort included in this study may have more capacity to compensate for the effects of injury, artificial airways, and bolus manipulations than more aged or frail individuals. Nonetheless, CASM was useful for identifying significant differences in swallowing biomechanics associated with airway history groups.…”

Section: Discussionmentioning

confidence: 54%

Swallowing Mechanics Associated With Artificial Airways, Bolus Properties, and Penetration–Aspiration Status in Trauma Patients

Dietsch

Rowley

Solomon

et al. 2017

J Speech Lang Hear Res

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Section: Discussionmentioning

confidence: 54%

Swallowing Mechanics Associated With Artificial Airways, Bolus Properties, and Penetration–Aspiration Status in Trauma Patients

Dietsch

Rowley

Solomon

et al. 2017

J Speech Lang Hear Res

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“…A more common patient might be an elderly sarcopenic patient with low muscular reserve after an acute illness. Within days into their hospitalization, they may develop tongue weakness and dysphagia [19]. Such patients may benefit from a TPAD type device during their rehabilitation to avoid prolonged hospitalization and potential gastrostomy.…”

Section: Discussionmentioning

confidence: 99%

Use of Superelastic Nitinol and Highly-Stretchable Latex to Develop a Tongue Prosthetic Assist Device and Facilitate Swallowing for Dysphagia Patients

et al. 2019

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We introduce a new tongue prosthetic assist device (TPAD), which shows the first prosthetic application for potential treatment of swallowing difficulty in dysphagia patients. The native tongue has a number of complex movements that are not feasible to mimic using a single mechanical prosthetic device. In order to overcome this challenge, our device has three key features, including (1) a superelastic nitinol structure that transfers the force produced by the jaws during chewing towards the palate, (2) angled composite tubes for guiding the nitinol strips smoothly during the motion, and (3) highly stretchable thin polymeric membrane as a covering sheet in order to secure the food and fluids on top of the TPAD for easy swallowing. A set of mechanical experiments has optimized the size and angle of the guiding tubes for the TPAD. The low-profile TPAD was successfully placed in a cadaver model and its mobility effectively provided a simplistic mimic of the native tongue elevation function by applying vertical chewing motions. This is the first demonstration of a new oral device powered by the jaw motions in order to create a bulge in the middle of the mouth mimicking native tongue behavior.

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“…Tongue pressure should also have been adjusted, although there were many missing values (N = 79) in the study, because tongue pressure measurement instrument (JMS Hiroshima, Japan) was not available in several hospitals. Therefore, handgrip strength was adjusted instead, as it is known to be associated with both swallowing function ( 29 ) and tongue pressure ( 30 ). A P value < 0.05 was considered statistically significant.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

Wakabayashi

Kishima

Itoda

et al. 2022

The Journal of nutrition, health and aging

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Objectives To investigate the prevalence of hoarseness and its association with the severity of dysphagia in patients with sarcopenic dysphagia. Design Cross-sectional study using the Japanese sarcopenic dysphagia database. Setting 19 hospitals including 9 acute care hospitals, 8 rehabilitation hospitals, 2 long-term care hospitals, and 1 home visit rehabilitation team. Participants 287 patients with sarcopenic dysphagia, aged 20 years and older. Measurements Sarcopenic dysphagia was diagnosed using a reliable and validated diagnostic algorithm for the condition. The presence and characteristics of hoarseness classified as breathy, rough, asthenic, and strained were assessed. The prevalence of hoarseness and the relationship between hoarseness and Food Intake LEVEL Scale (FILS) were examined. Order logistic regression analysis adjusted for age, sex, naso-gastric tube, and handgrip strength was used to examine the relationship between hoarseness and FILS at baseline and at follow-up. Results The mean age was 83 ± 10 years. Seventy-four (26%) patients had hoarseness, while 32 (11%), 20 (7%), 22 (8%), and 0 (0%) patients had breathy, rough, asthenic, and strained hoarseness, respectively. Median FILS at the initial evaluation was 7 (interquartile range, 5–8). Hoarseness (β=0.747, 95% confidence intervals= 0.229, 1.265, p=0.005), age, sex, naso-gastric tube, and handgrip strength were associated independently with baseline FILS, while hoarseness (β=0.213, 95% confidence intervals= −0.324, 0.750, p=0.438) was not associated independently with the FILS at follow-up. Conclusions Hoarseness was associated with the severity of dysphagia at baseline, however not a prognostic factor for sarcopenic dysphagia. Resistance training of swallowing and respiratory muscles and voice training as part of rehabilitation nutrition might be useful for treating sarcopenic dysphagia.

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Handgrip strength and dysphagia assessment following cardiac surgery

Abstract: 4.

Cited by 19 publications

References 8 publications

Swallowing Mechanics Associated With Artificial Airways, Bolus Properties, and Penetration–Aspiration Status in Trauma Patients

Swallowing Mechanics Associated With Artificial Airways, Bolus Properties, and Penetration–Aspiration Status in Trauma Patients

Use of Superelastic Nitinol and Highly-Stretchable Latex to Develop a Tongue Prosthetic Assist Device and Facilitate Swallowing for Dysphagia Patients

Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

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