Functional outcomes of standard dysphagia treatment in first time documented stroke patients

McMicken, Betty L.; Muzzy, Cheryl L

doi:10.1080/09638280802354992

Cited by 10 publications

(6 citation statements)

References 29 publications

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“…55% of acute (60% of cases) and subacute (40% of cases) stroke could off the NG tube after participating in a conventional swallowing therapy. Total time of swallowing therapy in that study is 2–11 hours [ 27 ]. In a previous study that used an early swallowing therapy in acute stroke, 64% of patients who requiring NG tube were discharged with no NG tube [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia

Jongprasitkul

Kitisomprayoonkul

2020

Rehabilitation Research and Practice

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Background. Dysphagia is a common problem in acute stroke patient. Aspiration pneumonia increases in this group. Swallowing therapy is immediately conducted in a stable stroke patient. An effectiveness of our program has not been determined. Objective. To determine an effectiveness of conventional swallowing therapy in acute stroke patients with dysphagia. Methods. We retrospectively reviewed data from medical records of acute stroke patients with dysphagia who participated a swallowing therapy from January 2017 to June 2017. Fifty-seven acute stroke patients with dysphagia (26 males and 31 females) were participating in a conventional swallowing therapy (50 minutes a day for 3 days per week). A functional oral intake scale (FOIS) and swallow function scoring system (SFSS) were used to determine an effectiveness of the swallowing therapy. FOIS and SFSS scores before the first therapy session and after the last therapy session were compared using a paired t-test. Results. The mean age of the patient was 69.5±15.35 years. The period from stroke onset to the first swallowing therapy session was 7.5±6.69 days. The number of therapy was 5.6±2.83 sessions. Participants showed a significant improvement of the FOIS (mean score increased from 1.74 to 3.30 points, P=0.001) and SFSS (mean score increased from 2.51 to 3.68 points, P=0.001). Forty-two percent of patients with tube dependent change to total oral intake. Conclusion. Conventional swallowing therapy is an effective treatment in acute stroke with dysphagia.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia

Jongprasitkul

Kitisomprayoonkul

2020

Rehabilitation Research and Practice

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“…Early screening for swallowing function after stroke is recommended; however, currently, there are no randomised controlled studies on the optimal timing of screening for swallowing function. 5 …”

Section: Rehabilitation Of Stroke Dysfunctionmentioning

confidence: 99%

Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of stroke rehabilitation

Zhang

Zhao

Li³

et al. 2020

Stroke Vasc Neurol

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Stroke is the third leading cause of long-term disability. Effective stroke rehabilitation should be provided to patients with a moderate or severe stroke so as to achieve functional recovery. Also, stroke rehabilitation is moving towards more intense therapy models that incorporate technologies such as robotics and computer games. Evidence-based guidelines are useful for promoting the best possible clinical practices. This guideline summarises the modes of stroke rehabilitation in China—three-stage rehabilitation network, rehabilitation of stroke dysfunction, training for activities of daily living, stroke complications and rehabilitation care. The aim of this guideline was to provide a synopsis of best clinical practices in the stroke rehabilitation of adult patients in China.

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“… 6 – 8 Effective rehabilitation is believed to shorten the course of this impairment, lighten the burden for both patients and society, and reduce the mortality rate. 9 – 11 A review by Cochrane from 2012 12 concluded that insufficient data remains related to swallowing therapy effects on functional outcome and death in dysphagic patients with either acute or subacute stroke, but behavioral interventions and acupuncture can reduce dysphagia. The standard swallowing training includes the most basic and traditional methods, involving compensation strategies such as postural adjustment or diet modification, strengthening weak oropharyngeal musculature through oral exercise, following oropharyngeal swallowing maneuvers to augment impaired anatomy, heightening sensory input through thermal-tactile stimulation, and developing a feeding-swallowing training program.…”

Section: Introductionmentioning

confidence: 99%

Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke? a randomized controlled trial

et al. 2015

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Objective:To assess the effect of adding acupuncture to standard swallowing training for patients with dysphagia after stroke.Design:Single-blind randomized controlled trial.Setting:Inpatient and outpatient clinics.Subjects:A total of 124 patients with dysphagia after stroke were randomly divided into two groups: acupuncture and control.Interventions:The acupuncture group received standard swallowing training and acupuncture treatment. In comparison, the control group only received standard swallowing training. Participants in both groups received six days of therapy per week for a four-week period.Main measures:The primary outcome measures included the Standardized Swallowing Assessment and the Dysphagia Outcome Severity Scale. The secondary outcome measures included the Modified Barthel Index and Swallowing-Related Quality of Life, which were assessed before and after the four-week therapy period.Results:A total of 120 dysphagic subjects completed the study (60 in acupuncture group and 60 in control group). Significant differences existed in the Standardized Swallowing Assessment, Dysphagia Outcome Severity Scale, Modified Barthel Index, and Swallowing-Related Quality of Life scores of each group after the treatment (P < 0.01). After the four-week treatment, the Standardized Swallowing Assessment (mean difference − 2.9; 95% confidence interval (CI) – 5.0 to − 0.81; P < 0.01), Dysphagia Outcome Severity Scale (mean difference 2.3; 95% CI 0.7 to 1.2; P < 0.01), Modified Barthel Index (mean difference 17.2; 95% CI 2.6 to 9.3; P < 0.05) and Swallowing-Related Quality of Life scores (mean difference 31.4; 95% CI 3.2 to 11.4; P < 0.01) showed more significant improvement in the acupuncture group than the control group.Conclusions:Acupuncture combined with the standard swallowing training may be beneficial for dysphagic patients after stroke.

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Functional outcomes of standard dysphagia treatment in first time documented stroke patients

Abstract: These results demonstrate that separate and specific dietary ratings in addition to the SFAM assistive/ independence levels are necessary to obtain a comprehensive assessment of the stroke patient with dysphagia.

Cited by 10 publications

References 29 publications

Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia

Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia

Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of stroke rehabilitation

Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke? a randomized controlled trial

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