md-medicaldata

Authors

 

Staša Ivezić¹, Mila Veselinović^1,2, Jelena Vrućinić¹, Ivana Matić<sup>1

1</sup>Katedra za Specijalnu edukaciju i rehabilitaciju, Medicinski fakultet Univerziteta u Novom Sadu, Hajduk Veljkova 1, 21000 Novi Sad, Srbija
²Klinika za otorinolaringologiju i hirurgiju glave i vrata, Klinički centar Vojvodine, Novi Sad

 

616.32-008.1-085
615.851

The paper was received / Rad primljen: 28.02.2021.

Accepted / Rad prihvaćen: 24.03.2021.

 

Correspondence to:

Staša Ivezić
Medicinski fakultet
Univerziteta u Novom Sadu,
21000 Novi Sad, Srbija
Tel: +38165741174
e-mail: nsstasa@gmail.com

 

 

Sažetak

 

 

Orofaringealna disfagija predstavlja poremećaj gutanja sa primarnim patološkim procesom lokalizovanim u oblastima oralne i faringealne regije i čest je simptom bolesti različite etiologije sa generalno lošom prognoznom i razarajućim uticajem na fizičko i mentalno zdravlje pacijenta. Bihejvioralni pristup rehabilitaciji orofaringealne disfagije uključuje primenu kompenzatornih i rehabilitacionih strategija i tehnika uz aktivno uključivanje pacijenta u proces rehabilitacije. I pored postojanja velikog broja istraživanja o efikasnosti bihejvioralnih tehnika, evidentan je nedostatak dobro osmišljenih, multicentričnih studija koje bi dokazale efikasnost primenjenih tehnika uz sagledavanje svih faktora od značaja za uspešnost rehabilitacije. Neophodno je omogućiti interdisciplinarnu saradnju stručnjaka u kreiranju i sprovođenju istraživanja u ovoj oblasti u cilju implementacije rezultata istraživanja i unapređenja rehabilitacije poremećaja gutanja kao naučne i kliničke oblasti.

 

 

 

Ključne reči:

orofaringealna disfagija, bihejvioralni pristup, kompenzatorne strategije i tehnike, rehabilitacione strategije i tehnike

 

 

 

Abstract

Oropharyngeal dysphagia is a swallowing disorder with a primary pathological process localized in the areas of the oral and pharyngeal region and is a common symptom of diseases of various etiologies with a generally poor prognosis and a devastating effect on the patient’s physical and mental health. Behavioral treatment approach includes the application of compensatory and rehabilitative strategies and techniques with active patient participation in the rehabilitation process. Despite the existence of a large number of studies on the effectiveness of behavioral strategies and techniques in the rehabilitation of patients with swallowing disorders, there is a lack of well-designed multicenter studies that would prove the effectiveness of applied techniques with regards to all relevant factors of rehabilitation success. It is necessary to enable interdisciplinary cooperation of experts in the design and implementation of research in this field in order to implement the research results and further improve the rehabilitation of swallowing disorders as a scientific and a clinical field.

 

 

Key words:

oropharyngeal dysphagia, behavioral treatment, compensatory strategies and techniques, rehabilitative strategies and techniques

 

 

 

 

References:

1. Jones E, Speyer R, Kertscher B, Denman D, Swan K, Cordier R. Health-related quality of life and oropharyngeal dysphagia: a systematic review. Dysphagia. 2018;33(2):141-72.
2. Takizawa C, Gemmell E, Kenworthy J, Speyer R. A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson’s disease, Alzheimer’s disease, head injury, and pneumonia. Dysphagia. 2016;31(3):434-41.
3. Espinosa-Val MC, Martín-Martínez A, Graupera M, Arias O, Elvira A, Cabré M et al. Prevalence, risk factors, and complications of oropharyngeal dysphagia in older patients with dementia. Nutrients. 2020;12(3):863.
4. Sasegbon A, Hamdy S. The anatomy and physiology of normal and abnormal swallowing in oropharyngeal dysphagia. Neurogastroenterol Motil. 2017;29(11).
5. Lancaster J. Dysphagia: its nature, assessment and management. Br J Community Nurs. 2015;20;Suppl Nutrition:S28–32.
6. Attrill S, White S, Murray J, Hammond S, Doeltgen S. Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review. BMC Health Serv Res. 2018;18(1).
7. Speyer R, Baijens L, Heijnen M, Zwijnenberg I. Effects of therapy in oropharyngeal dysphagia by speech and language therapists: a systematic review. Dysphagia. 2010;25(1):40-65.
8. Lazarus CL. History of the use and impact of compensatory strategies in management of swallowing disorders. Dysphagia. 2017;32(1):3-10.
9. Crary MA. Treatment for adults. In: Groher M, Crary MA, ed. by. Dysphagia: clinical management in adults and children. 2nd ed. St. Louis: Elsevier; 2016. p. 207-235.
10. Sukkar SG, Maggi N, Travalca Cupillo B, Ruggiero C. Optimizing texture modified foods for oro-pharyngeal dysphagia: a difficult but possible target?. Front Nutr. 2018;5(68).
11. Butler SG, Stuart A, Case LD, Rees C, Vitolins M, Kritchevsky SB. Effects of liquid type, delivery method, and bolus volume on penetration-aspiration scores in healthy older adults during flexible endoscopic evaluation of swallowing. Ann Otol Rhinol Laryngol. 2011;120(5):288-95.
12. Butler SG, Stuart A, Leng X, Rees C, Williamson J, Kritchevsky SB. Factors influencing aspiration during swallowing in healthy older adults. Laryngoscope. 2010;120(11):2147-52.
13. Barata LF, de Carvalho GB, Carrara-de Angelis E, de Faria JCM, Kowalski LP. Swallowing, speech and quality of life in patients undergoing resection of soft palate. Eur Arch Otorhinolaryngol. 2013;270(1):305-12.
14. Bingjie L, Tong Z, Xinting S, Jianmin X, Guijun J. Quantitative videofluoroscopic analysis of penetration–aspiration in poststroke patients. Neurol India. 2010;58:42–7.
15. Watando A, Ebihara S, Ebihara T, Okazaki T, Takahashi H, Asada M, Sasaki H. Effect of temperature on swallowing reflex in elderly patients with aspiration pneumonia. J Am Geriatr Soc 2004; 52: 2143-4.
16. Dietsch AM, Dorris HD, Pearson WG, Dietrich-Burns KE, Solomon NP. Taste manipulation and swallowing mechanics in trauma-related sensory-based dysphagia. Speech Lang Hear Res. 2019;62(8):2703-12.
17. Cola PC, Gatto AR, da Silva RG, Spadotto AA, Schelp AO, Henry MACA. The influence of sour taste and cold temperature in pharyngeal transit duration in patients with stroke. Arq Gastroenterol. 2010;47(1):18-21.
18. Kagaya H, Inamoto Y, Okada S, Saitoh E. Body positions and functional training to reduce aspiration in patients with dysphagia. Japan Med Assoc J. 2011;54(1):35-8.
19. Ashford J, McCabe D, Wheeler-Hegland K, Frymark T, Mullen R, Musson N et al. Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Part III—impact of dysphagia treatments on populations with neurological disorders. J Rehabil Res Dev. 2009;46(2):195-204.
20. Swan K, Speyer R, Heijnen BJ, Wagg B, Cordier R. Living with oropharyngeal dysphagia: effects of bolus modification on health-related quality of life—a systematic review. Qual Life Res. 2015;24(10):2447-56.
21. Benjapornlert P, Kagaya H, Inamoto Y, Mizokoshi E, Shibata S, Saitoh E. The effect of reclining position on swallowing function in stroke patients with dysphagia. J Oral Rehabil. 2020;47(9):1120-8.
22. Rosen SP, Abdelhalim SM, Jones CA, McCulloch TM. Effect of body position on pharyngeal swallowing pressures using high-resolution manometry. Dysphagia. 2017;33(3):389-98.
23. Drake W, O’Donoghue S, Bartram C, Lindsay J, Greenwood R. Eating in side-lying facilitates rehabilitation in neurogenic dysphagia. Brain Inj. 1997;11(2):137–42.
24. Kim CK, Ryu JS, Song SH, Koo JH, Lee KD, Park HS et al. Effects of head rotation and head tilt on pharyngeal pressure events using high resolution manometry. Ann Rehabil Med. 2015;39(3):425-31.
25. Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ. Effects of postural change on aspiration in head and neck surgical patients. Otolaryngol Head Neck Surg. 1994;110(2):222
26. Park J, An D, Oh D, Chang M. Effect of chin tuck against resistance exercise on patients with dysphagia following stroke: A randomized pilot study. NeuroRehabilitation. 2018;42(2):191-7.
27. Terré R, Mearin F. Effectiveness of chin-down posture to prevent tracheal aspiration in dysphagia secondary to acquired brain injury. A videofluoroscopy study. Neurogastroenterol Motil. 2012;24(5):414-9.
28. Solazzo A, Monaco L, Del Vecchio L, Tamburrini S, Iacobellis F, Berritto D et al. Investigation of compensatory postures with videofluoromanometry in dysphagia patients. World J Gastroenterol. 2012;18(23):2973-8.
29. Zimmerman E, Carnaby G, Lazarus C, Malandraki G. Motor learning, neuroplasticity, and strength and skill training: moving from compensation to retraining in behavioral management of dysphagia. Am J Speech Lang Pathol. 2020;29(2S):1065-77.
30. Easterling C. 25 years of dysphagia rehabilitation: what have we done, what are we doing, and where are we going?. Dysphagia. 2017;32(1):50-4.
31. Speyer R. Behavioral treatment of oropharyngeal dysphagia. In: Ekberg O, ed. by. Dysphagia: diagnosis and treatment. 2nd ed. Cham: Springer International Publishing AG part of Springer Nature; 2019. p. 669-686.
32. Fukuoka T, Ono T, Hori K, et al. Effect of the effortful swallow and the Mendelsohn maneuver on tongue pressure production against the hard palate. Dysphagia. 2013;28:539–47.
33. Huckabee ML, Steele CM. An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal pressure during effortful swallow. Arch Phys Med Rehabil. 2006;87:1067–72.
34. Seong MY, Oh BM, Seo HG, Han TR. Influence of supraglottic swallow on swallowing kinematics: comparison between the young and the elderly. J Korean Dysphagia Soc. 2018;8(1):23-9.
35. Kasahara T, Hanayama K, Kodama M, Aono K, Masakado Y. The efficacy of supraglottic swallow as an indirect swallowing exercise by analysis of hyoid bone movement. Tokai J Exp Clin Med. 2009;34(3):72-5.
36. Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA. Super-supraglottic swallow in irradiated head and neck cancer patients. Head Neck 1997;19(6):535-40.
37. McCullough GH, Kim Y. Effects of Mendelsohn maneuver on extent of hyoid movement and UES opening post-stroke. Dysphagia. 2013;28:511–9.
38. Inamoto Y, Saitoh E, Ito Y, Kagaya H, Aoyagi Y, Shibata S et al. The Mendelsohn maneuver and its effects on swallowing: kinematic analysis in three dimensions using dynamic area detector CT. Dysphagia. 2018;33(4):419-30.
39. Hind JA, Robbins J. Oropharyngeal strengthening and rehabilitation of deglutitive disorders. In: Shaker R, Easterling C, Belafsky PC, Postma GN, ed. by. Manual of diagnostic and therapeutic techniques for disorders of deglutition. 1st ed. New York: Springer Science+Business Media; 2013. p. 237-55.
40. Zimmerman E, Carnaby G, Lazarus C, Malandraki G. Motor learning, neuroplasticity, and strength and skill training: moving from compensation to retraining in behavioral management of dysphagia. Am J Speech Lang Pathol. 2020;29(2S):1065-77.
41. Choi JB, Shim SH, Yang JE, Kim HD, Lee DH, Park JS. Effects of Shaker exercise in stroke survivors with oropharyngeal dysphagia. NeuroRehabilitation. 2017;41(4):753-7.
42. Shaker R, Easterling C, Kern M, et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122:1314–21.
43. Byeon H. Effect of the Masako maneuver and neuromuscular electrical stimulation on the improvement of swallowing function in patients with dysphagia caused by stroke. J Phys Ther Sci. 2016;28(7):2069-71.
44. Lazarus C, Logemann JA, Song CW, Rademaker AW, Kahrilas PJ. Effects of voluntary maneuvers on tongue base function for swallowing. Folia Phoniatr Logop. 2002;54(4): 171–6.
45. Hwang NK, Kim HH, Shim JM, Park JS. Tongue stretching exercises improve tongue motility and oromotor function in patients with dysphagia after stroke: a preliminary randomized controlled trial. Arch Oral Biol. 2019;108:104521.
46. Byeon H. Effect of orofacial myofunctional exercise on the improvement of dysphagia patients’ orofacial muscle strength and diadochokinetic rate. J Phys Ther Sci. 2016;28(9):2611-4.
47. Swan K, Speyer R, Heijnen B, Wagg B, Cordier R. Living with oropharyngeal dysphagia: effects of bolus modification on health-related quality of life—a systematic review. Qual Life Res. 2015;24(10):2447-56.
48. Umeki H, Takasaki K, Enatsu K, Tanaka F, Kumagami H, Takahashi H. Effects of a tongue-holding maneuver during swallowing evaluated by high-resolution manometry. Otolaryngol Head Neck Surg. 2009;141(1):119–22.
49. Bülow M, Olsson R, Ekberg O. Supraglottic swallow, effortful swallow, and chin tuck did not alter hypopharyngeal intrabolus pressure in patients with pharyngeal dysfunction. Dysphagia. 2002;17(3):197-201.
50. Bodén K, Hallgren Å, Witt Hedström H. Effects of three different swallow maneuvers analyzed by videomanometry. Acta Radiol. 2006;47(7):628-33.
    

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