Impact of Transcutaneous Neuromuscular Electrical Stimulation for Dysphagia in Head-and-Neck Cancer Patients Treated With Definitive Chemoradiation

Bhatt, Alok; Goodwin, N.; Bhatt, Geetika; Silverman, Craig L.; Spanos, William J.; Bumpous, Jeffrey M.; Potts, Kevin; Wilson, Liz

doi:10.1016/j.ijrobp.2012.07.268

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…Although the FOIS was validated for use within the stroke population, recent clinical trials have extended its use as a primary and secondary outcome measure to patients with head and neck cancer [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] and in some trials it serves as a primary outcome of interest to index change in swallowing function. 2,[4][5][6][7]12,14,17,18 The FOIS has been implemented in an effort to demonstrate postsurgical changes related to swallowing in patients with head and neck cancer. Specifically, in a small cohort of patients with head and neck cancer, Bertolini et al (2016) 4 defined swallowing success following combined antegraderetrograde endoscopic dilation as improved oral intake as indexed by the FOIS (FOIS ≥3).…”

Section: Introductionmentioning

confidence: 99%

“…Additional studies have utilized the FOIS as a metric of swallowing impairment and as a means to monitor change prior to and following dysphagia treatment in patients with head and neck cancer. 2,12,14,18 Several studies have made inferences related to the efficacy of such treatments based on FOIS ratings alone in the absence of objective swallowing assessments. Kotz et al (2012) 12 conducted a randomized control trial comparing patients who received targeted and prophylactic swallowing intervention throughout CRT vs a usual care control group who received a baseline assessment and intervention only when dysphagia was present.…”

Section: Introductionmentioning

confidence: 99%

“…Messing et al (2017) 14 also utilized the FOIS as a primary outcome measure to assess the impact of prophylactic swallowing therapy for patients undergoing CRT for head and neck cancer. Bhatt et al (2014) 2 utilized the FOIS as a primary outcome to determine the impact of transcutaneous neuromuscular electrical stimulation on swallowing function in patients with head and neck cancer treated with definitive CRT.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between oral intake, patient perceived swallowing impairment, and objective videofluoroscopic measures of swallowing in patients with head and neck cancer

et al. 2018

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Background We aimed to: (1) examine relationships between the Functional Oral Intake Scale (FOIS), Eating Assessment Tool‐10 (EAT‐10), and objective measures of swallowing (Modified Barium Swallow Impairment Profile [MBSImP©] and penetration‐aspiration scale [PAS]) in patients with head and neck cancer, (2) compare outcomes between oral intake vs tube‐dependent patients, and (3) compare outcomes across time points. Methods A total of 58 patients with head and neck cancer completed the FOIS, EAT‐10, and underwent a standardized videofluoroscopy (VFSS). VFSS were analyzed using the PAS and MBSImP©. Nonparametric analyses were performed. Results A relationship between the FOIS and EAT‐10 (r = −0.46; P < .001) was revealed. No other associations were observed (P < .05). Feeding status did not impact PAS or MBSImP©; however, patients with head and neck cancer who were tube dependent demonstrated higher (worse) EAT‐10 scores (P = .01). Conclusions In this cohort, a relationship between patient‐perceived swallowing impairment and functional oral intake was revealed; however, no associations were observed between the FOIS and objective measures of swallowing impairment or swallowing safety.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between oral intake, patient perceived swallowing impairment, and objective videofluoroscopic measures of swallowing in patients with head and neck cancer

et al. 2018

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“…Swallowing Exercises For patients evaluated at levels III-V in the WST who are determined to be stable after the consultation between the nurse and the physician, swallowing exercise regimens are created after consultation with the rehabilitation department. For patients diagnosed with dysphagia, cold stimulation training [11], transcutaneous electrical nerve stimulation, and swallowing training are used to improve the sensory function of the oral cavity and swallowing function, thereby increasing the safety of swallowing [12]. Patients are re-evaluated weekly for swallowing function and detailed records are kept.…”

Section: Experimental Groupmentioning

confidence: 99%

Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients

Wen¹,

Yu²,

Huang³

et al. 2021

AJNS

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This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.

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Human papillomavirus-related oropharyngeal squamous cell carcinoma: a new context for dysphagia rehabilitation

Theurer

Yoo

Nichols

2014

Curr Phys Med Rehabil Rep

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Head and neck squamous cell carcinoma (HNSCC)' references a collection of malignant lesions located across several sites within the upper aerodigestive tract. Traditionally, the majority of HNSCCs arise within the oral cavity and larynx, resulting from the field cancerization effects of tobacco and alcohol exposure. However, over the last three decades, the incidence of cancers in the oropharynx has risen dramatically. Compelling evidence now links the epidemic of oropharyngeal squamous cell carcinomas (OPSCCs) to human papillomavirus (HPV) infection. This virally mediated disease boasts unique epidemiologic, mechanistic, and clinic-demographic features, of which clinicians and clinician-scientists should be aware, particularly in light of the estimated increasing prevalence of this disease in the foreseeable future. While survival and oncologic outcomes associated with HPVrelated OPSCC are very promising, what remains less clear is patient functioning following curative-intent therapeutic regimens designed relative to tobacco-and alcohol-related disease.

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Impact of Transcutaneous Neuromuscular Electrical Stimulation for Dysphagia in Head-and-Neck Cancer Patients Treated With Definitive Chemoradiation

Cited by 4 publications

References 25 publications

Relationship between oral intake, patient perceived swallowing impairment, and objective videofluoroscopic measures of swallowing in patients with head and neck cancer

Relationship between oral intake, patient perceived swallowing impairment, and objective videofluoroscopic measures of swallowing in patients with head and neck cancer

Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients

Human papillomavirus-related oropharyngeal squamous cell carcinoma: a new context for dysphagia rehabilitation

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