Rehabilitation of Swallowing Disorders

Ambrosi, Denise; Lee, Yong-Tae

doi:10.1016/b978-0-323-62539-5.00003-5

Cited by 3 publications

(3 citation statements)

References 58 publications

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“…Many preterm infants have significant difficulty feeding by mouth in the weeks following birth, particularly those who were born at a lower gestational age [3][4][5]8,11 . Feeding disorder are one of the most common problems that occur concomitantly with preterm birth and LBW or VLBW newborn infants [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

“…The primary goals of feeding and swallowing intervention for children are to support safe and adequate nutrition and hydration, and to determine the optimum feeding methods and techniques to maximize swallowing safety and feeding efficiency. Optimum feeding in LBW or VLBW neonate can accelerate weight gain and hospital discharge [3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

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Feeding Therapy in Preterm Infants

Manuaba¹,

Dharma²

2023

SPMRJ

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Low Birth Weight (LBW) or Very Low Birth Weight (VLBW) infants often have feeding difficulty issues that impact feeding abilities, leading to complications such as difficulty gaining weight and prolonged length of stay (LOS) in the hospital. Early feeding therapy interventions have good outcomes for LBW or VLBW preterm in accelerating feeding goals, gaining weight, and reducing LOS. This article reported two cases of VLBW patients who were referred from the Pediatric Department to the Physical Medicine and Rehabilitation Department because of feeding difficulties that led to prolonged LOS, in order to achieve better outcomes in spontaneous oral feeding. The feeding therapy intervention was given to the infants every day by the speech therapist. Feeding therapy intervention shows promising results in provoking the proper sucking reflex in VLBW preterm infants, which helps them to achieve better oral feeding ability that accelerates weight gain and reduces LOS in the hospital.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feeding Therapy in Preterm Infants

Manuaba¹,

Dharma²

2023

SPMRJ

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“…If the muscle strength of the oral muscles is reduced or coordinated movements for swallowing are not appropriately performed, bolus formation or oral transit of food becomes difficult. In particular, in the case of oropharyngeal dysphagia caused by neurogenic problems, the risk of aspiration of low-viscosity food, such as water, is high due to lack of bolus control, reduced lingual propulsion, or delayed swallowing response in the pharyngeal phase [143]. Aspiration occurring during swallowing can cause poor nutritional status and impede sufficient fluid intake, increasing the risk of aspiration pneumonia [144].…”

Section: Kq 15 Does Texture Modification Of Food or Liquid Affect The...mentioning

confidence: 99%

Clinical Practice Guidelines for Oropharyngeal Dysphagia

et al. 2023

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Objective: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one’s physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia. Methods: Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.Results: Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended. Conclusion: This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.

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