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Journals / Gülhane Tıp Dergisi / 2022 / Cilt: 64 - Sayı: 1

Neurogenic dysphagia experiences/characteristics at a tertiary center-retrospective analysis

Berke ARAS
Rıdvan ALACA
Serdar KESİKBURUN
Evren YAŞAR
Özgü İNAL
Pages
89–95
Publication Date
2022-10-17
DOI
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In both groups, significant improvements were observed in all three consistencies (solid, pudding, and liquid) according to PAS after treatment (p

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Objective & Hypothesis:Aims: To compare demographic and clinical features and their relation to rehabilitation outcomes in patients impaired swallowing after stroke or traumatic brain injury (TBI), anoxic brain injury, encephalitis and glioma.
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Key Findings & Data:Patients who received swallowing therapy for 24 sessions (3 days a week for 8 weeks) were included.
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Conclusion & Impact:In both groups, significant improvements were observed in all three consistencies (solid, pudding, and liquid) according to PAS after treatment (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aims: To compare demographic and clinical features and their relation to rehabilitation outcomes in patients impaired swallowing after stroke or traumatic brain injury (TBI), anoxic brain injury, encephalitis and glioma. Methods: This retrospective study evaluated the medical records of patients with brain injury in our university rehabilitation. Patients who received swallowing therapy for 24 sessions (3 days a week for 8 weeks) were included. Swallowing was evaluated with a functional oral intake scale (FOIS) and videofluoroscopic swallowing study before and after rehabilitation. Videofluoroscopy images were scored using the Penetration Aspiration Scale (PAS). Functional status was assessed with the Functional Independence Measure. Results: The study included 271 patients [stroke: 175 (64.6%); TBI: 58 (21.4%); anoxic brain injury: 13 (4.8%); glioma: 18 (6.6%); and encephalitis 7 (2.6%)]. Significant improvement was observed on the FOIS in stroke (pretreatment: 5.9±1.9 vs. posttreatment: 6.1±1.9, p=0.011) and TBI groups (pretreatment: 5.3±2.4 vs. posttreatment: 5.9±7.0, p=0.007). In both groups, significant improvements were observed in all three consistencies (solid, pudding, and liquid) according to PAS after treatment (p

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Cite This Article

ARAS, B., ALACA, R., KESİKBURUN, S., YAŞAR, E., İNAL, Ö. (2022). Neurogenic dysphagia experiences/characteristics at a tertiary center-retrospective analysis. Gülhane Tıp Dergisi, Cilt: 64 - Sayı: 1, 89–95. https://ajindex.com/articles/526740

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References (17)

  1. Bakheit AM. Management of neurogenic dysphagia. Postgrad Med J. 2001;77:694-699
  2. Ertekin C, Aydogdu I, Yüceyar N, et al. Electrodiagnostic methods for neurogenic dysphagia. Electroencephalogr Clin Neurophysiol. 1998;109:331-340
  3. Wirth R, Dziewas R. [Neurogenic dysphagia]. Internist (Berl). 2017;58:132-140
  4. Black-Schaffer RM, Kirsteins AE, Harvey RL. Stroke rehabilitation
  5. Co-morbidities and complications. Arch Phys Med Rehabil. 1999;80(5 Suppl 1):8-16
  6. No authors listed. Consensus conference. Rehabilitation of persons with traumatic brain injury. NIH Consensus Development Panel on Rehabilitation of Persons With Traumatic Brain Injury JAMA. 1999;282:974-983
  7. Mackay LE, Morgan AS, Bernstein BA. Swallowing disorders in severe brain injury: risk factors affecting return to oral intake. Arch Phys Med Rehabil. 1999;80:365-371
  8. Palmer JB, Drennan JC, Baba M. Evaluation and treatment of swallowing impairments. Am Fam Physician. 2000;61:2453- 2462
  9. Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:309-311
  10. Luchesi KF, Campos BM, Mituuti CT. Identification of swallowing disorders: the perception of patients with neurodegenerative diseases. Codas. 2018;30:e20180027
  11. Karaduman A, Serel S, Ünlüer Ö, Demir N. The Penetration Aspiration Scale: an interrater reliability study. Turkish Journal of Physiotherapy and Rehabilitation. 2012;23:151-155
  12. Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86:1516-1520
  13. Bülow M, Speyer R, Baijens L, Woisard V, Ekberg O. Neuromuscular electrical stimulation in stroke patients with oral and pharyngeal dysfunction. Dysphagia. 2008;23:302- 309
  14. Kushner DS, Peters K, Eroglu ST, Perless-Carroll M, JohnsonGreene D. Neuromuscular electrical stimulation efficacy in acute stroke feeding tube-dependent dysphagia during inpatient rehabilitation. Am J Phys Med Rehabil. 2013;92:486- 495
  15. Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol. 2006;5:31-37
  16. Park JW, Kim Y, Oh JC, Lee HJ. Effortful swallowing training combined with electrical stimulation in post-stroke dysphagia: a randomised controlled study. Dysphagia. 2012;27:521-527
  17. Sdravou K, Walshe M, Dagdilelis L. Effects of carbonated liquids on oropharyng