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Dysphagia - Crossref

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Last Updated: 13 August 2022

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Biochemical and Microbiological Aspects of the Oral Cavity of Children and Young People With Neurological Impairment and Oropharyngeal Dysphagia

Abstract Background The components and salivary flow have a direct influence on the composition of children and young people with oropharyngeal dysphagia, according to studies, there has already been a large accumulation of supra-subsequent dental calculus in people with enteral nutrition. This research was intended to evaluate oral hygiene, biochemical, and microbiological aspects of children and young people with neurological disease and oropharyngeal dysphagia. Methods Forty children and young people with medical abnormality and oropharyngeal dysphagia were admitted and divided into two groups: group I, which included 20 participants who were fed via gastrostomy; and group II, which included 20 participants who were fed via gastrostomy; and group II, which included 20 people who were fed via oral route, were divided into two groups: Methods Forty children and young people with neurological impairment and oropharyngeal dysphagia Conclusions children and young people using gastrostomy had a poorer oral hygiene, increased dental calculus deposition, and a higher salivary pH.

Source link: https://doi.org/10.21203/rs.3.rs-1929454/v1


Improvement of Post-stroke Dysphagia by Intermittent Theta Burst Stimulation

The present study seeks to investigate the effects of intermittent theta burst stimulation on post-stroke dysphagia and its effect on the suprahyoid muscle's motor cortical excitability. On the affected side, respectively, a total of 40 patients with post-stroke dysphagia were randomly divided into the iTBS and the sham stimulation groups, with the introduction of motor cortical iTBS and sham stimulation of the supraglottal muscle on the affected side. The iTBS team made a higher increase in the PAS score than the sham stimulation group at T1, as well as a larger decline in the WST and MSS scores at T2 in T2. At T1 and in the healthy hemisphere, the amplitude of the MEP wave of the suprahyoid muscle in the affected hemisphere was significantly higher in the iTBS group and the healthier hemisphere at T2. For the first time, the possibility of using iTBS in the affected hemisphere for the treatment of post-stroke dysphagia was demonstrated.

Source link: https://doi.org/10.3727/036012921x16321477053863


High-Frequency Cerebellar rTMS Improves the Swallowing Function of Patients with Dysphagia after Brainstem Stroke

The results of penetration aspiration scale and functional dysphagia scale in the patients after two weeks of rTMS in the unilateral stimulation group and bilateral stimulation group were higher than that in the sham stimulation group, and there was no significant difference between the two groups. The rise in the MEP amplitude of the cerebral hemisphere in the bilateral stimulation group was higher than that in the other two groups, and the MEP amplitude in the unilateral stimulation group was higher than in the sham stimulation group. In either the unilateral stimulation group or the bilateral stimulation group, there was no correlation between the improvement in patientsu2019 clinical swallowing function and the rise in MEP amplitude. Compared to unilateral cerebellar rTMS, bilateral stimulation enhanced the excitability of the cerebral swallowing cortex more than unilateral cerebellar rTMS, but there was no significant difference in clinical swallowing performance.

Source link: https://doi.org/10.1155/2022/6259693


Clinical Course of Dysphagia in Patients with Nemaline Myopathy

Nemaline myopathy is a rare congenital myopathy, a group of disorders that are both medically and genetically heterogeneous. Infants and children with NM often suffer from recurrent pulmonary infections and swallowing difficulties, contributing to hunger. We published the clinical course of two NM patients suffering from dysphagia in this research. Hence, dysphagia rehabilitation therapy based on a series of studies should be considered even in children with severe oral motor dysfunction. Physicians should be reassured that the signs of dysphagia in children with NM can be enhanced and be able to inspire their parents by describing this change.

Source link: https://doi.org/10.3390/children9081204


Hemodynamic signal changes and swallowing improvement of repetitive transcranial magnetic stimulation on stroke patients with dysphagia: A randomized controlled study

Objectives: Since rTMS intervention, we want to determine the cortical correlates of swallowing dysfunction in patients with dysphagia following repetitive transcranial magnetic stimulation therapy using functional near-infrared spectroscopy and monitor the change in brain activation in stroke patients with dysphagia. In addition, we tried to investigate the effect of rTMS on brain development in dysphagia patients with various lesion types. This research also focused on the effect of increasing the affected mylohyoid cortical region by 5 Hz rTMS, providing scientific support for rTMS therapy of dysphagia in stroke patients. According to the subgroup report, the rTMS group was divided into left-rTMS group and right-rTMS group, as well as sham rTMS group and sham right-rTMS faction. In LPFC and 16 in RMC, the differences were statistically significant between the left-rTMS group and sham left-rTMS group, with no difference in block average and block difference after interference between the left-rTMS group and the sham right-rTMS group, but not so much in block average and block average in RMC, but not in RMC channel 30. After intervention, both the sham left-rTMS group and the sham right-rTMS group demonstrated significant differences in block average and block difference in each brain region. Conclusions The present research found that a 5-Hz rTMS is safe in the affected mylohyoid cortical region in post-stroke patients with dysphagia and rTMS therapy can change cortical excitability.

Source link: https://doi.org/10.3389/fneur.2022.918974


Patient Reported Outcome Measures in Dysphagia Research Following Stroke: A Scoping Review and Qualitative Analysis

Abstract Patient reported outcome measures are often used to determine the effects of a health condition on quality of life. This research sought to identify the variety of PROMs used in clinical trials of dysphagia following stroke and to qualitatively assess these PROMs by mapping the data to both the International Classification of Functioning and Disability Framework and the Core Outcome Measures in Effectiveness Taxonomy for outcome classification. A scoping study was conducted to find commonly used PROMs in randomised controlled trials found in people with dysphagia stroke in people with dysphagia syndrome. Both tools considered the effects of u2019Role Functioning u2019 on the individual's experience of dysphagia, according to COMET Taxonomy. The establishment of a reliable and appropriate patient-reported assessment device for use in those with dysphagia following stroke is encouraged.

Source link: https://doi.org/10.1007/s00455-022-10448-y


Management of dysphagia and gastroparesis in Parkinson’s disease in real-world clinical practice – Balancing pharmacological and non-pharmacological approaches

Patients with Parkinson's disease are also affected by gastrointestinal problems. The most commonly reported GI disorders among patients with PD are those that affect the lower GI tract, such as constipation. These GI disorders may also be viewed by the healthcare team as less important than addressing PD motor symptoms. However, both dysphagia and gastroparesis, if left untreated, will have a significant effect on patients with PD and diabetes' effectiveness on oral PD drugs, with negative implications for motor control. Although a multidisciplinary approach to the management of GI issues in PD is encouraged, budget constraints may mean that this is not always feasible. Neurologists and PD care teams often need to make initial assessments and treatment or referral recommendations for patients with PD who are experiencing these difficulties in a'real-world'u2019 environment.

Source link: https://doi.org/10.3389/fnagi.2022.979826


Educational interventions for patients with oropharyngeal dysphagia and their informal caregivers: a scoping review

Introduction: Education of patients and their caregivers is an essential component of oropharyngeal dysphagia therapy. However, patient/caregiver education does not always have clear and concise recommendations. The aim of this essay is to summarize evidence published in the literature from 1996 to 2021 for therapeutic patient care in OD, with a focus on the modalities of the interventions, as well as the analysis of educational programs for adult patients with OD and their informal caregivers. Patient Education Research Characteristics (PESC) Model was used to collect data. Several variables have been used to determine the effectiveness of these educational interventions. Conclusion: There is no evidence directing educational interventions for OD patients and their ICG. Further studies are required to determine which TPE program will be effective in OD, but first, we must have a compromise on educational reforms.

Source link: https://doi.org/10.1051/tpe/2022002

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions