Malnutrition in stroke patients on the rehabilitation service and at follow-up: Prevalence and predictors

Finestone, Hillel M.; Greene-Finestone, Linda S.; Wilson, Elizabeth; Teasell, Robert

doi:10.1016/s0003-9993(95)80655-5

Cited by 228 publications

(154 citation statements)

References 20 publications

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“…Decrease in swallowing ability with age may lead to undernutrition, dehydration, and occasionally aspiration pneumonia (Finestone et al 1995;Reza et al 2006). The present results in the intervention group showed a significant increase in RSST value between baseline and the end of the study only in subjects with 20 or more remaining teeth.…”

Section: Discussionmentioning

confidence: 99%

Intervention Study of Exercise Program for Oral Function in Healthy Elderly People

Ibayashi

Fujino

Pham

et al. 2008

Tohoku J. Exp. Med.

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In Japan, one of the duties of the long-term care insurance system is the prevention of oral function degradation. Although various exercise programs for oral function have been developed and practiced in Japan, to date, no study has reported their effects. In the present study, we examined the effects of an exercise program on oral functions in healthy elderly people. Healthy elderly people participated in the study and were randomly divided into intervention and control groups (39 subjects/group). The exercise program consisted of four exercises: exercise for expression muscles, tongue, salivary glands, and swallowing. Before and after a six-month intervention period, we evaluated changes in oral functions, namely bite force, swallowing ability, and salivary flow rate. Fifty-four subjects completed the study protocol: 26 and 28 subjects from intervention and control groups, respectively. A significant improvement in all oral functions, including bite force, swallowing ability, as well as unstimulated and stimulated salivary flow rate, was observed in the intervention group after six months, whereas no improvement was observed in the control group. Further, among the intervention group, a significant improvement in oral functions was observed in 17 subjects with 20 or more remaining teeth, whereas no improvement was observed in the other nine with less than 20 teeth. Our results suggest that oral functions significantly improve after conducting a six-month exercise program for oral function. Further, this improvement appears to be influenced by the number of remaining teeth.exercise program for oral function; healthy elderly people; long term care insurance; stretching exercise; number of remaining teeth.Tohoku

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Section: Discussionmentioning

confidence: 99%

Intervention Study of Exercise Program for Oral Function in Healthy Elderly People

Ibayashi

Fujino

Pham

et al. 2008

Tohoku J. Exp. Med.

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“…It is a highly prevalent condition impacting anywhere up to 60% of patients within acute care clinical services (Mann, Hankey, & Cameron, 1999;Morgan, Ward, Murdoch, Kennedy, & Murison, 2003). Poor or inadequate management of dysphagia can have significant negative consequences for a patient's health, quality of life and contribute to increased length of hospital stay (Doggett, Tappe, Mitchell, Chapell, Coates, & Turkelson, 2001;Finestone, Greene-Finestone, Wilson, & Teasell, 1995). Hence it is critical that the professionals managing this condition are adequately trained and confident to perform the clinical skills required to provide best patient care.…”

Section: Introductionmentioning

confidence: 99%

Dysphagia training for speech-language pathologists: Implications for clinical practice

Kamal

Ward

Cornwell

2012

International Journal of Speech-Language Pathology

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There are competency standards available in countries with established speech-language pathology services to guide basic dysphagia training with ongoing workplace mentoring for advanced skills development. Such training processes however are not as well established in countries where speech-language pathology training and practice is relatively new such as Malaysia. The current study examines the extent of dysphagia training and workplace support available to speech-language pathologists (SLPs) in Malaysia and Queensland, Australia, and explores clinicians' perceptions of the training and support provided, and of their knowledge, skills and confidence. Using a matched cohort cross-sectional design, a purpose built survey was administered to 30 SLPs working in Malaysian government hospitals and 30 SLPs working in Queensland Health settings in Australia. Malaysian clinicians were found to have received significantly less university training, less mentoring in the workplace and were lacking key infrastructure needed to support professional development in dysphagia management. Over 90% of Queensland clinicians were confident and felt they had adequate skills in dysphagia management, in contrast, significantly lower levels of knowledge, skills and confidence were observed in the Malaysian cohort. The findings identify a need for improved university training and increased opportunities for workplace mentoring, training and support for Malaysian SLPs.

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“…Increased risk of aspiration pneumonia, dehydration and malnutrition have been reported in stroke patients as a consequence of dysphagia [25][26][27][28].12 of our patients had middle cerebral artery infarct showing the symptoms of aphasia(4 with Brocas aphasia and 8 with global aphasia).Eight of them had severe dysphagia and two of them had moderate dysphagia. They scored an average of eight on GUSS .Compensatory techniques like chin tuck or change in posture to reduce the likelihood of aspiration, S120…”

Section: Resultsmentioning

confidence: 64%

Oropharyngeal Dysphagia: Neurogenic Etiology and Manifestation

Sebastian

Nair

Thomas

et al. 2014

Indian J Otolaryngol Head Neck Surg

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To determine the type, severity and manifestation of dysphagia in patients with neurogenic etiology. Clinical documentation was done on the different etiologies, its manifestation, assessment findings and management strategies taken for patients with neurogenic oropharyngeal dysphagia who were referred for assessment and management of dysphagia over a period of three months in a tertiary care teaching hospital. Flexible endoscopic examination was done in all the patients. The severity of dysphagia in these patients were graded based on Gugging Swallowing Screen (GUSS). A total of 53 patients with neurogenic oropharyngeal dysphagia were evaluated by an otolaryngologist and a speech language pathologist over a period of three months. The grading of severity based on GUSS for these patients were done. There were 30 patients with recurrent laryngeal nerve injury due to various etiologies, one patient with Neurofibroma-vestibular schwanoma who underwent surgical excision, 16 patients with stroke, two patients with traumatic brain injury, two patients with Parkinsonism and two patients with myasthenia gravis. The manifestation of dysphagia was mainly in the form of prolonged masticatory time, oral transit time, and increased number of swallows required for each bolus, cricopharyngeal spasms and aspiration. Among the dysphagia patients with neurogenic etiology, dysphagia is manifested with a gradual onset and is found to have a progressive course in degenerative disorders. Morbidity and mortality may be reduced with early identification and management of neurogenic dysphagia.

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Malnutrition in stroke patients on the rehabilitation service and at follow-up: Prevalence and predictors

Cited by 228 publications

References 20 publications

Intervention Study of Exercise Program for Oral Function in Healthy Elderly People

Intervention Study of Exercise Program for Oral Function in Healthy Elderly People

Dysphagia training for speech-language pathologists: Implications for clinical practice

Oropharyngeal Dysphagia: Neurogenic Etiology and Manifestation

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