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Dysphagia - Europe PMC

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Last Updated: 13 September 2022

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Effects of dispersing media on the shear and extensional rheology of xanthan gum and guar gum-based thickeners used for dysphagia management

In this research, the effects of dispersing media, i. e. , water, apple juice, and low-fat milk, were investigated on shear and extensional rheology of thickened liquids made with xanthan gum or granular gum-based thickening powders. Both thickening powders in all dispersing media, e. g. , n = 3. 41u20135. 42 for xanthan gum-based, and r = 4. 63. 22 for xanthan gum-based. Shear rheological data showed a power law dependence of the relative zero shear viscosity for both thickening powders in all dispersing media, i. e. , n = 3. 41u20135. 42 u20135. 42 r rhe For a given thickening powder content, the zero shear viscosity was mainly affected by the dispersing media, although there was no evidence that the dispersing media had an effect on high shear viscosity, particularly at shear rate 50 bb9, which is a typical value used for oral processing. The flow behavior of all samples could be described more clearly by the updated Carreau-Yasuda model, making it more possible to compare the material characteristics among different samples.

Source link: https://europepmc.org/article/MED/IND607797844


The Effect of Repetitive Transcranial Magnetic Stimulation in Synchronization with Effortful Swallowing on Post-stroke Dysphagia.

This trial was designed to investigate the effects of rTMS and active swallowing exercise on patients with stroke-related swallowing function. Patients in group 1 and group 2 underwent 10 Hz rTMS sessions in a row. In addition, the mean change values of FEDSS, PAS, SSA, and FOIS in participants in group 1 and group 2 were significantly higher than in group 3's. The combination of rTMS and effortful swallowing training was an efficient way to aid swallowing function in stroke patients, according to the study. The present clinical trial demonstrated a new treatment approach for stroke patients with functional recovery of swallowing, which may help with swallowing function recovery in stroke patients with swallowing disorders.

Source link: https://europepmc.org/article/MED/36087120


Adhering to Eat and Exercise Status During Radiotherapy for Oropharyngeal Cancer for Prevention and Mitigation of Radiotherapy-Associated Dysphagia.

The current research aims to validate the authors' previously published results in a large prospective cohort of oropharynx cancer patients and address the limitations of the prior retrospective study using prospective, validated outcome measures. At a single-institution comprehensive cancer center, the primary RT/chemoradiotherapy or primary transoral robotic surgery for OPC at a single-institution comprehensive cancer center was found in the following sample: design, location, and participants. Exposures : Adherence to speech pathology swallowing intervention during RT coded as eat: oral intake at the end of RT; and exercise: swallowing exercise adherence. In this cohort study, a total of 595 patients who underwent primary RT, CRT, or primary transoral robotic surgery plus CRT were included. According to DIGEST, exercise was shown to have a greater chance of stable diet intake and improved swallow stability long-term; however, oral intake was not maintained long term; however, oral intake was not maintained long term; however, exercise was correlated with a higher likelihood of balanced diet intake and enhanced swallow safety. Conclusions and relevance The authors' earlier published results show that oral intake and swallowing exercise during RT are associated with positive outcomes, which are now shown in broad domains of function using validated measurements. Specifically, those who exercised independently of oral intake showed faster subacute quality of life and less severe dysphagia, respectively, as well as improved short-term diet and swallowing safety.

Source link: https://europepmc.org/article/MED/36074459


The course of pain and dysphagia after radiofrequency ablation for Barrett's esophagus-related neoplasia.

Background Radiofrequency ablation is highly effective in the removal of Barrett's esophagus neoplasia, but no information about pain and dysphagia after RFA is available. Patient and medical information and patients self-registered post-procedural signs in electronic symptom diaries for 14 days were collected from medical records and patients self-registered post-procedural signs. Post-RFA pain was reported for 95 percent of procedures, with significant pain for 64 percent. Patients with more pain, the risk of dysphagia decreased with age and escalated as a result of increased pain.

Source link: https://europepmc.org/article/MED/36070753


The relationship between sarcopenia, dysphagia, malnutrition, and frailty: making the case for proactive swallowing exercises to promote healthy aging.

Purpose of investigation The purpose of this paper is to summarize current research on the link between sarcopenia of the swallowing muscles, dysphagia, malnutrition, and frailty in the context of aging. This report will also include recommendations for proactive swallowing exercises to reduce and/or prevent sarcopenia of the swallowing muscles. This information serves as a basis for the design and testing of similar preventive exercises for the swallowing muscles. Summary: As the population is rapidly aging, it is crucial to know how the natural decline of muscle mass in aging affects swallowing function and the downstream effect on nutritional and physical health.

Source link: https://europepmc.org/article/MED/36004774


Evaluation of chronological changes in videofluorographic findings after transoral videolaryngoscopic surgery to reveal mechanism of dysphagia.

In most cases, transoral surgery maintains good swallowing ability, but postoperative dysphagia can lead to fatal complications such as aspiration pneumonia. In addition, the secondary aim of this research was to determine the relationship between dysphagia and risk factors of patients, in order to reduce postoperative complications. The swallowing function of 22 patients who underwent transoral videolaryngoscopic surgery for either supraglottic or hypopharyngeal cancer was determined. We conducted VF during the preoperative, postoperative, and stable phases, as well as investigating the varying patterns in the VF results. In addition, we investigated risk factors for postoperative aspiration by examining correlations between preoperative VF parameters, age of patients, history of radiation therapy, resection technique, tumor stage, and postoperative Numeric Rating Scale, as well as British and BRS ratings. In this analysis, the average time at which oral feeding was restored was 9 days was 9 days. Patients with postoperative acute PAS scores of 4 and above had difficulties in resuming oral ingestion after surgery. TOVS did not impair laryngeal extension and LEDT, according to the preoperative results, but the BRS and PAS scores modestly worsened in the acute phase. Patients with inadequate vertical distance in laryngeal elevation as measured by preoperative VF or with history of radiation therapy had lower PAS scores in postoperative acute phase VF. Patients with broad resection areas had lower BRS scores in postoperative acute phase VF.

Source link: https://europepmc.org/article/MED/36075789


Abnormal response after multiple rapid swallow provocation is not predictive of post-operative dysphagia following a tailored fundoplication approach.

Post-fundoplication dysphagia is a common problem among patients and physicians with pre-operative HRM. Suggestion that MRS improves prediction of dysphagia after fundoplication has not been investigated when using a bespoke strategy. After targeted fundoplication, we hypothesize that MRS' reaction is indicative of dysphagia. Methods MRS Provocation 5/2019-7/2021 at a single institution was performed as a prospective cohort survey. At the initial consultation and post-operative follow-up, patient-reported dysphagia frequency scores were collected. MRS response was classified as adequate deglutitive inhibition and MRS contractile response, according to the Normal MRS response. Patients undergoing partial fundoplication had a lower mean distal contraction number, distal esophageal contraction amplitude, and percent peristalsis. There was no statistical difference in the early or late dysphagia results between targeted fundoplication companies. Both younger age and the presence of pre-operative dysphagia were significant predictors of post-operative dysphagia.

Source link: https://europepmc.org/article/MED/36068387


Dysphagia terminology for texture modified fluid and food: a national survey of speech-language pathologists' practice.

Purpose: In Sweden, the following research was conducted: a target to investigate: Swedish Speech-Language Pathologists' dysphagia management with TMC, which includes terminology, inter-professional collaboration, and a grasp of current TMC guidelines; and the latest TMC terminology/guides used within university hospitals. SLPs from 19/21 countries were interviewed by Method Part One. Part Two of the seven university hospitals explored TMC guides. Result The initial survey revealed 78 Swedish TMC terms. By 97% of SLPs, collaboration with other occupations was reported, but almost half of collaboration was lacking, citing difficulties with the transfer of TMC findings. TMC terms/guides that were used within/across the university hospitals varied, with TMC terms/guides in place or outside the hospital settings.

Source link: https://europepmc.org/article/MED/36067123


Meat texture modification for dysphagia management and application of hydrocolloids: A review.

Dysphagia is a medical disorder that describes the difficulty of swallowing food, and texture modified diet is the most effective treatment for dysphagia. The International Dysphagia Diet Standardization Initiative (ID) has published the following guidelines on how to recognize dysphagia foods. The meat texture modification for dysphagia is not limited to tenderization, but it should also be focusing on safe swallowing characteristics. Several studies have demonstrated changes in texture as a result of the addition of various hydrocolloids; however, no studies have attempted to produce texture modified meat for people with dysphagia;.

Source link: https://europepmc.org/article/MED/36066499


Implementation of the VA Intensive Dysphagia Treatment Program: A Mixed-Methods Evaluation.

The Department of Veterans Affairs' Intensive Dysphagia Treatment service is a key component in supporting improvements to quality of care, standardization of outcomes, and increased access to structured therapy for Veterans with dysphagia. SLPs from All 23 IDT program SLPs were encouraged to enroll in an online survey. SLP consultants were asked to outline etiologies related to SLP review, the majority of which were clinically relevant program elements, and patient characteristics that were prescribed for therapy. Qualitative interviews/focus groups were then conducted with 9 SLPs at three facilities with varying levels of program expertise.

Source link: https://europepmc.org/article/MED/36081831

* 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