Swallow Characteristics in Patients With Oculopharyngeal Muscular Dystrophy

Palmer, Phyllis; Neel, Amy T.; Sprouls, Gwyneth; Morrison, Leslie

doi:10.1044/1092-4388(2010/09-0068)

Cited by 32 publications

(43 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our participants' tongue strength following oral endotracheal extubation (30.9 ± 14.7 to 36.7 ± 11.4 kPa) was substantially weaker than that reported for patients with Parkinson disease (44.3 ± 3.2 to 55.1 ± 13.8 kPa) [7,14], patients with oral and oropharyngeal cancer following primary radiotherapy with or without chemotherapy (37.1 ± 14.4 to 56.7 ± 9.35 kPa) [8,9], but not patients with oculopharyngeal muscular dystrophy (26.8 ± 7.8 kPa) [10]. Most importantly, tongue weakness for our participants after endotracheal extubation was comparable to the lower end of tongue strength for patients with swallowing difficulty (31.0 ± 15.9 to 48.3 ± 13.8 kPa [11,15], reiterating the need for clinical intervention.…”

Section: Tongue Motor Function Following Prolonged Oral Intubationcontrasting

confidence: 63%

See 1 more Smart Citation

Tongue Weakness and Somatosensory Disturbance Following Oral Endotracheal Extubation

Hsiao

et al. 2015

Dysphagia

View full text Add to dashboard Cite

The tongue plays important roles in mastication, swallowing, and speech, but its sensorimotor function might be affected by endotracheal intubation. The objective of this pilot study was to describe disturbances in the sensorimotor functions of the tongue over 14 days following oral endotracheal extubation. We examined 30 post-extubated patients who had prolonged (≥48 h) oral endotracheal intubation from six medical intensive care units. Another 36 patients were recruited and examined from dental and geriatric outpatient clinics served as a comparison group. Tongue strength was measured by the Iowa Oral Performance Instrument. Sensory disturbance of the tongue was measured by evaluating light touch sensation, oral stereognosis, and two-point discrimination with standardized protocols. Measurements were taken at three time points (within 48 h, and 7 and 14 days post-extubation) for patients with oral intubation but only once for the comparison group. The results show that independent of age, gender, tobacco used, and comorbidities, tongue strength was lower and its sensory functions were more impaired in patients who had oral intubation than in the comparison group. Sensory disturbances of the tongue gradually recovered, taking 14 days to be comparable with the comparison group, while weakness of the tongue persisted. In conclusion, patients with oral endotracheal intubation had weakness and somatosensory disturbances of the tongue lasting at least 14 days from extubation but whether is caused by intubation and whether is contributed to postextubation dysphagia should be further investigated.

show abstract

Section: Tongue Motor Function Following Prolonged Oral Intubationcontrasting

confidence: 63%

“…To avoid response burden, we took the best performance reading out of two trials after one practice trial. Test-retest reliability was 0.76-0.99 [2,[6][7][8][9][10][11].…”

Section: Data Abstractionmentioning

confidence: 99%

Tongue Weakness and Somatosensory Disturbance Following Oral Endotracheal Extubation

Hsiao

et al. 2015

Dysphagia

View full text Add to dashboard Cite

show abstract

“…Etiologic correlates associated with decreased lingual strength include cerebrovascular accident (CVA; Hori, Ono, Iwata, Nokubi, & Kumakura, 2005;Konaka et al, 2010), muscular dystrophy (HamanakaKondoh et al, 2014;Palmer, Neel, Sprouls, & Morrison, 2010), Parkinson's disease (Unemoto, Tsuboi, Kitashima, Furuya, & Kikuta, 2011), and oropharyngeal cancer (Lazarus, 2006;Lazarus et al, 2000). Although individuals in these diagnostic categories are potential candidates for lingual strength training, their outcomes are likely variable given factors related to the underlying nature of their diagnoses (e.g., remitting, progressive) and any concomitant interventions needed for disease treatment (e.g., radiation therapy).…”

Section: Intervention Protocols and Target Populationsmentioning

confidence: 99%

A Systematic Review of Isometric Lingual Strength-Training Programs in Adults With and Without Dysphagia

McKenna

Zhang

Haines

et al. 2017

Am J Speech Lang Pathol

View full text Add to dashboard Cite

Purpose: This systematic review summarizes the effects of isometric lingual strength training on lingual strength and swallow function in adult populations. Furthermore, it evaluates the designs of the reviewed studies and identifies areas of future research in isometric lingual strength training for dysphagia remediation. Method: A comprehensive literature search of 3 databases and additional backward citation search identified 10 studies for inclusion in the review. The review reports and discusses the isometric-exercise intervention protocols, pre-and postintervention lingual-pressure data (maximum peak pressures and lingual-palatal pressures during swallowing), and oropharyngeal swallowing measures such as penetration-aspiration scales, oropharyngeal residue and duration, lingual volumes, and quality-of-life assessments. Results: Studies reported gains in maximum peak lingual pressures following isometric lingual strength training for both healthy adults and select groups of individuals with dysphagia. However, due to the variability in study designs, it remains unclear whether strength gains generalize to swallow function. Conclusion: Although isometric lingual strength training is a promising intervention for oropharyngeal dysphagia, the current literature is too variable to confidently report specific therapeutic benefits. Future investigations should target homogenous patient populations and use randomized controlled trials to determine the efficacy of this treatment for individuals with dysphagia.

show abstract

“…Thus, the decrease in tongue pressure observed in some cases of stroke was basically associated with the presence of dysphagia. Several studies in the literature have related the decrease in tongue pressure to the symptom of dysphagia (10,20,21,22,23,24) . The results of this study indicated that tongue pressure in the subjects affected with stroke could trigger dysphagia.…”

Section: Discussionmentioning

confidence: 99%

Fatores associados à pressão de língua em pacientes pós-acidente vascular cerebral

Oliveira

Valentim

Vicente

et al. 2017

Audiol., Commun. Res.

View full text Add to dashboard Cite

Introduction:The clinical practice of speech pathology in hospitals shows that there is a high prevalence of dysphagia in post-stroke patients. Purpose: To verify whether the time of occurrence, type of stroke, affected hemisphere, severity of neurological deficit, presence or absence of dysphagia, and degree of dysphagia interfere with tongue pressure in post-stroke patients. Methods: This study was conducted in 31 stroke patients. Three evaluations were performed, one of tongue mobility, another of dysphagia, and another of tongue pressure using the Iowa Oral Performance Instrument. Three measurements were performed of anterior and three of posterior tongue pressure. Data were analyzed using appropriate statistics, considering a significance level of 5%. Results: Only the presence of dysphagia was associated with tongue pressure. Post-stroke patients with dysphagia had lower anterior and posterior tongue pressure (mean and maximum) than those without dysphagia. The time of occurrence, type, and affected hemisphere of the stroke and severity of the neurological deficit were not associated with tongue pressure. Regarding the degree of dysphagia, of the 15 participants who had swallowing difficulties, 14 were classified with mild and one with moderate dysphagia. Conclusion: Dysphagia was the most important factor in the decrease of tongue pressure in post-stroke patients.

show abstract

Swallow Characteristics in Patients With Oculopharyngeal Muscular Dystrophy

Abstract: This investigation provides further insight into the swallow function of patients with myopathic disease. Muscle fiber loss leads to weakness, which results in reductions in swallow function and quality of life. Weight and endurance are not greatly altered.

Cited by 32 publications

References 29 publications

Tongue Weakness and Somatosensory Disturbance Following Oral Endotracheal Extubation

Tongue Weakness and Somatosensory Disturbance Following Oral Endotracheal Extubation

A Systematic Review of Isometric Lingual Strength-Training Programs in Adults With and Without Dysphagia

Fatores associados à pressão de língua em pacientes pós-acidente vascular cerebral

Contact Info

Product

Resources

About