Effect of Supraglottic and Super-supraglottic swallows on Tongue Pressure Production against Hard Palate

Fujiwara, Shigehiro; Ono, Takahiro; Minagi, Yoshitomo; Fujiu-Kurachi, Masako; Hori, Kazuhiro; Maeda, Yoshinobu; Boroumand, Sara; Nitschke, Ina; Ursula, Vith; Bohlender, Jürgen

doi:10.1007/s00455-014-9556-3

Cited by 20 publications

(8 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This maneuver involves the patient holding a tight breath, swallowing while keeping the airway closed, then immediately coughing after the swallow. It has been shown in several studies that the super-supraglottic swallow has immediate effects on swallowing physiology [ 198 ]. Studies with relevant clinical endpoints are not available so far [ 164 ].…”

Section: Therapymentioning

confidence: 99%

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Dziewas

Allescher

Aroyo

et al. 2021

Neurol. Res. Pract.

Self Cite

View full text Add to dashboard Cite

Introduction Neurogenic dysphagia defines swallowing disorders caused by diseases of the central and peripheral nervous system, neuromuscular transmission, or muscles. Neurogenic dysphagia is one of the most common and at the same time most dangerous symptoms of many neurological diseases. Its most important sequelae include aspiration pneumonia, malnutrition and dehydration, and affected patients more often require long-term care and are exposed to an increased mortality. Based on a systematic pubmed research of related original papers, review articles, international guidelines and surveys about the diagnostics and treatment of neurogenic dysphagia, a consensus process was initiated, which included dysphagia experts from 27 medical societies. Recommendations This guideline consists of 53 recommendations covering in its first part the whole diagnostic spectrum from the dysphagia specific medical history, initial dysphagia screening and clinical assessment, to more refined instrumental procedures, such as flexible endoscopic evaluation of swallowing, the videofluoroscopic swallowing study and high-resolution manometry. In addition, specific clinical scenarios are captured, among others the management of patients with nasogastric and tracheotomy tubes. The second part of this guideline is dedicated to the treatment of neurogenic dysphagia. Apart from dietary interventions and behavioral swallowing treatment, interventions to improve oral hygiene, pharmacological treatment options, different modalities of neurostimulation as well as minimally invasive and surgical therapies are dealt with. Conclusions The diagnosis and treatment of neurogenic dysphagia is challenging and requires a joined effort of different medical professions. While the evidence supporting the implementation of dysphagia screening is rather convincing, further trials are needed to improve the quality of evidence for more refined methods of dysphagia diagnostics and, in particular, the different treatment options of neurogenic dysphagia. The present article is an abridged and translated version of the guideline recently published online (https://www.awmf.org/uploads/tx_szleitlinien/030-111l_Neurogene-Dysphagie_2020-05.pdf).

show abstract

Section: Therapymentioning

confidence: 99%

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Dziewas

Allescher

Aroyo

et al. 2021

Neurol. Res. Pract.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ultimately, the remedial approach works to improve swallowing function through various exercise and manoeuvres (e.g. head lift, Mendelsohn manoeuvre and supraglottic swallowing) . Conversely, the compensatory approach promotes safer swallowing with control of food intake, material, viscosity and the use of specific postures (e.g.…”

Section: Introductionmentioning

confidence: 99%

Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial

Park

Chang

et al. 2016

J of Oral Rehabilitation

View full text Add to dashboard Cite

Expiratory muscle strength training (EMST) involves forcible blowing as a means of generating high expiratory pressure, against adjustable resistance. EMST has recently been introduced as a potential treatment for dysphagia. This study was performed to investigate the effects of EMST on the activity of suprahyoid muscles, aspiration and dietary stages in stroke patients with dysphagia. Twenty-seven stroke patients with dysphagia were randomly divided into two groups. The experimental group performed EMST with a 70% threshold value of maximal expiratory pressure, using an EMST device, 5 days a week for 4 weeks. The placebo group trained with a sham device. The EMST regime involved 5 sets of 5 breaths through the EMST device for a total of 25 breaths per day. Activity in the suprahyoid muscle group was measured using surface electromyography (sEMG). Further, the penetration-aspiration scale (PAS) was used to assess the results of the videofluoroscopic swallowing study (VFSS). In addition, dietary stages were evaluated using the Functional Oral Intake Scale (FOIS). The experimental group exhibited improved suprahyoid muscle group activity and PAS results, when compared to the placebo group. Following intervention, statistical analysis indicated significant differences in measured suprahyoid muscle activity (P = 0·01), liquid PAS outcomes (P = 0·03) and FOIS results (P = 0·06), but not semisolid type PAS outcomes (P = 0·32), between the groups. This study confirms EMST as an effective treatment for the development of suprahyoid muscle activity in stroke patients with dysphagia. Additionally, improvements in aspiration and penetration outcomes were observed.

show abstract

“…A study previously had shown that supraglottic swallow applied in an intervention group could significantly improve the breathing-swallowing coordination, so that it protected the respiratory track better. 18 Effectiveness of swallowing therapy is also affected by the structure of the semisolid food used in the intervention. A previous study revealed a decrease of pharyngeal residue in patients with post-stroke dysphagia who consumed semisolid food.…”

Section: Discussionmentioning

confidence: 99%

Effect of swallowing therapy to avoid aspiration in patients with post-stroke dysphagia at the stroke unit of Harjono hospital, Indonesia

2019

View full text Add to dashboard Cite

Background: Aspiration is common complication of dysphagia stroke due to cranial nerve damage, especially cranial nerves V, VII, IX, X and XII. Existing therapies to prevent aspiration is the compensation strategy therapy and semisolid nutritional therapy, but each of these therapies is still have a weakness, so it needs a new therapeutic method namely swallowing therapy which combine the advantages and reduce the weaknesses of each of the therapy. Aim of the study is to determine the effect of swallowing therapy on aspiration prevention in patients with dysphagia stroke.Methods: This research was a quasi-experimental research involving 16 respondents in the intervention group and 16 respondents in the control group who obtained through consecutive sampling techniques. Data was collected from February-March 2016 at the Stroke Unit RSUD Dr. Harjono Ponorogo through observations using Gugging Swallowing Screen (GUSS) instruments. Data analysis used in this research was wilcoxon test to determine the difference of swallowing therapy effect before and after intervention. Mann-Whitney test was also used to determine the difference of swallowing therapy effect between intervention group and control group after intervention.Results: There was a differences of swallowing therapy effect between pre-test and post-test in the intervention group (p = 0.002). In addition, there was no differences between pre-test and post-test in the control group (p = 0.157).Conclusions: Swallowing therapy have a positive effect against aspiration prevention in patients with dysphagia stroke, so it can be recommended as an acute care intervention in stroke patients at stroke unit.

show abstract

Effect of Supraglottic and Super-supraglottic swallows on Tongue Pressure Production against Hard Palate

Cited by 20 publications

References 29 publications

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial

Effect of swallowing therapy to avoid aspiration in patients with post-stroke dysphagia at the stroke unit of Harjono hospital, Indonesia

Contact Info

Product

Resources

About