Functional and Physiological Outcomes from an Exercise-Based Dysphagia Therapy: A Pilot Investigation of the McNeill Dysphagia Therapy Program

Crary, Michael A.; Carnaby, Giselle; Lagorio, L; Carvajal, Pamela J.

doi:10.1016/j.apmr.2011.11.008

Cited by 99 publications

(76 citation statements)

References 30 publications

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“…However, it was unclear whether these results were due to improvements at the 'muscle level alone or neuroplastic modifications as well' [93]. [95], lingual-palatal pressures and laryngeal and hyoid elevations [96] and functional improvements in swallowing were noted [21]. However, as with many dysphagia studies, groups were heterogeneous, small and the authors noted the research was 'exploratory in nature and lack the rigor of larger controlled studies.'…”

Section: Oral Motor Exercise Programsmentioning

confidence: 97%

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Management of Dysphagia Following Traumatic Brain Injury

Howle

Baguley

Brown

2014

Curr Phys Med Rehabil Rep

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Dysphagia is a common morbidity and cause of mortality following traumatic brain injury (TBI). Despite this, there is a paucity of evidence demonstrating the efficacy of dysphagia management strategies and treatments in this population. Typically, subjects with dysphagia following TBI are placed into non-specific 'neurogenic' dysphagia subject groups, which include subjects with degenerative neurological diseases, neurological cancers, and cerebrovascular accident. However, dysphagia following TBI has a multifactorial presentation, with causative and contributory factors including cognitivecommunication, behavioral, neurological, and mechanical issues. As such, the management for dysphagia post-TBI must be multifactorial, team-based and involve the patients' families and carers. Much of the research regarding the management and treatment of dysphagia in general is in its infancy: larger and more rigorous studies are required to demonstrate treatment efficacy. More studies specifically examining dysphagia and its management in the TBI population are required to ensure the future efficacy and accuracy of treatment.

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Section: Oral Motor Exercise Programsmentioning

confidence: 97%

“…However, as with many dysphagia studies, groups were heterogeneous, small and the authors noted the research was 'exploratory in nature and lack the rigor of larger controlled studies.' [96] Thus, while promising, further research into this program is required.…”

Section: Oral Motor Exercise Programsmentioning

confidence: 99%

Management of Dysphagia Following Traumatic Brain Injury

Howle

Baguley

Brown

2014

Curr Phys Med Rehabil Rep

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“…Van der Molen et al in the first randomized controlled trial (RCT) about HNC patients undergoing CRT with rehabilitation concluded that preventive exercises were helpful in reducing extent and/or severity of various functional short-term effects [12 && ,38] , with limited problems at 1 and 2 years post-treatment [12 && ]. According to Carnaby-Mann et al and Crary et al [13,17], prophylactic exercises may result in maintenance of oral and oropharyngeal musculature, improved (strength of) swallowing function, and less dysphagia-related aspiration pneumonia. If exercises are introduced pre-treatment, swallowing function is still (more or less) intact and radiotherapy and/or atrophy-related muscle damage has not occurred yet, as was stressed in the review of Cousins et al and the RCT of van der Molen et al [12 && ,16 & ].…”

Section: Use It or Lose Itmentioning

confidence: 97%

Current assessment and treatment strategies of dysphagia in head and neck cancer patients

Kraaijenga

Molen

Brekel

et al. 2014

Current Opinion in Supportive &Amp; Palliative Care

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Regarding dysphagia evaluation, there is still a lack of a uniform 'gold-standard' for both assessment and treatment strategies. More high-quality data, adequately controlled, adequately powered and randomized, on prophylactic and therapeutic swallowing exercises are needed, with longer follow-up and better adherence to treatment, for better understanding the effects of chemo and radiotherapy dosage, and of frequency, timing and duration of treatment, to improve swallowing function and optimize quality of life.

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“…In the thesis, a new electrostimulation therapeutic apparatus-ZTY-Ⅱmidfrequency electrostimulation therapeutic apparatus with dysfunction is introduced. Generally speaking, generation mechanism of swallow is that after surrounding or central nerves of the supporting the swallow muscle are damaged, movement of the tongue is limited; pressure in the paralysis mouth of the soft palate and the pharynx cannot be raised fully; food cannot move from the mouth to the pharyngeal and the esophagus; the process is extended obviously; the retention is increased, which would lead to suffocation and aspiration easily [10].…”

Section: Introductionmentioning

confidence: 99%