Dysphagia: its nature, assessment and management

Lancaster, John

doi:10.12968/bjcn.2015.20.sup6a.s28

Cited by 48 publications

(48 citation statements)

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“…Treatments for dysphagia may include diet modifications, such as thickening liquids, changes in head posture that may improve safety of the swallow, and exercise programs targeting muscular adaptations. (14, 15) These approaches may be complex and time consuming to patients and their families, making adherence to these recommendations challenging. Almost all of these interventions require the patient to alter established patterns of behavior.…”

Section: Introductionmentioning

confidence: 99%

Patient Adherence to Dysphagia Recommendations: A Systematic Review

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Patient Adherence to Dysphagia Recommendations: A Systematic Review

et al. 2017

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“…Dysphagia is characterized as being worse for liquids than solids [ 33 ]. M1 has a substantial role in the neural control the voluntary swallowing.…”

Section: Discussionmentioning

confidence: 99%

Electroacupuncture Involved in Motor Cortex and Hypoglossal Neural Control to Improve Voluntary Swallowing of Poststroke Dysphagia Mice

Cui

Yao

et al. 2020

Neural Plasticity

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The descending motor nerve conduction of voluntary swallowing is mainly launched by primary motor cortex (M1). M1 can activate and regulate peripheral nerves (hypoglossal) to control the swallowing. Acupuncture at “Lianquan” acupoint (CV23) has a positive effect against poststroke dysphagia (PSD). In previous work, we have demonstrated that electroacupuncture (EA) could regulate swallowing-related motor neurons and promote swallowing activity in the essential part of central pattern generator (CPG), containing nucleus ambiguus (NA), nucleus of the solitary tract (NTS), and ventrolateral medulla (VLM) under the physiological condition. In the present work, we have investigated the effects of EA on the PSD mice in vivo and sought evidence for PSD improvement by electrophysiology recording and laser speckle contrast imaging (LSCI). Four main conclusions can be drawn from our study: (i) EA may enhance the local field potential in noninfarction area of M1, activate the swallowing-related neurons (pyramidal cells), and increase the motor conduction of noninfarction area in voluntary swallowing; (ii) EA may improve the blood flow in both M1 on the healthy side and deglutition muscles and relieve PSD symptoms; (iii) EA could increase the motor conduction velocity (MCV) in hypoglossal nerve, enhance the EMG of mylohyoid muscle, alleviate the paralysis of swallowing muscles, release the substance P, and restore the ability to drink water; and (iv) EA can boost the functional compensation of M1 in the noninfarction side, strengthen the excitatory of hypoglossal nerve, and be involved in the voluntary swallowing neural control to improve PSD. This research provides a timely and necessary experimental evidence of the motor neural regulation in dysphagia after stroke by acupuncture in clinic.

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“…Many patients with dysphagia are prescribed thickened liquids by Doctors of Medicine (MDs), dieticians, registered nurses (RNs), SLPs, and other professionals as a form of compensatory treatment; however, there is variability and a lack of standardization of the preparation of thickened liquids [1][2][3]. A recent study performed by Payne et al shows a statistically significant discrepancy between the thickened liquids prepared by hospital SLPs when compared to thickened liquids prepared in the laboratory, while both groups followed the same instructions [10].…”

Section: Int J Adv Res 5(8) 1197-1216mentioning

confidence: 99%