Neuroprostheses for management of dysphagia resulting from cerebrovascular disorders

Tyler, Dustin J.

doi:10.1007/978-3-211-33079-1_40

Cited by 3 publications

(1 citation statement)

References 71 publications

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“…Finally, a review (35) discussed the use of neuroprothesis as a treatment for dysphagia. The review details the swallowing process, as well as the muscles and nerves involved, the effects of dysphagia and other treatment options besides the neuroprothesis.…”

Section: Reviews Of the Literature And Theoretical Textsmentioning

confidence: 99%

Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

Ferreira

Mangilli

Sassi

et al. 2011

J. Soc. Bras. Fonoaudiol.

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OBJETIVO: Analisar literatura científica sobre fisiologia e efeitos dos exercícios fonoaudiológicos utilizados nos tratamentos de alterações da Motricidade Orofacial. ESTRATÉGIA DE PESQUISA: Foram seguidos os preceitos do Cochrane Handbook que envolveu a formulação da questão a ser investigada, a localização e seleção dos estudos e a avaliação crítica dos artigos. CRITÉRIOS DE SELEÇÃO: Os artigos foram selecionados por meio da base de dados PubMed, utilizando-se os seguintes descritores: "physiology exercise AND speech, language and hearing science", "exercise physiology AND speech therapy", "exercise physiology AND myofunctional therapy", e "physiology exercise AND swallowing therapy". Foram incluídos somente artigos de língua inglesa publicados no período de 2000 a 2010. ANÁLISE DOS DADOS: Os textos foram analisados quanto aos seus objetivos; desenho da pesquisa; características do grupo pesquisa; existência de grupo controle; critérios de avaliação; terapêutica proposta; resultados encontrados; e verificação da existência de discussão sobre a fisiologia muscular dos exercícios. RESULTADOS: Foram identificados 108 estudos e destes, 38 foram analisados, pois permitiam acesso ao texto completo e relacionavam-se ao tema proposto. Os artigos foram classificados em: ensaios clínicos e pesquisas experimentais, estudos de casos, revisões de literatura e textos teóricos, cartas ao editor e críticas aos artigos. CONCLUSÃO: A revisão permite concluir que o conhecimento sobre os efeitos musculares dos exercícios empregados pelos clínicos é pouco aprofundado. Ainda não há evidência cientifica suficiente para determinar a frequência em que estes devem ser realizados. Em geral, tem-se pesquisado a eficácia de programas terapêuticos, sem investigar se os exercícios propostos são efetivos individualmente.

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Section: Reviews Of the Literature And Theoretical Textsmentioning

confidence: 99%

Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

Ferreira

Mangilli

Sassi

et al. 2011

J. Soc. Bras. Fonoaudiol.

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Neural Network Pattern Recognition of Lingual–Palatal Pressure for Automated Detection of Swallow

et al. 2015

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We describe a novel device and method for real-time measurement of lingual-palatal pressure and automatic identification of the oral transfer phase of deglutition. Clinical measurement of the oral transport phase of swallowing is a complicated process requiring either placement of obstructive sensors or sitting within a fluoroscope or articulograph for recording. Existing detection algorithms distinguish oral events with EMG, sound, and pressure signals from the head and neck, but are imprecise and frequently result in false detection. We placed seven pressure sensors on a molded mouthpiece fitting over the upper teeth and hard palate and recorded pressure during a variety of swallow and non-swallow activities. Pressure measures and swallow times from 12 healthy and 7 Parkinson's subjects provided training data for a time-delay artificial neural network to categorize the recordings as swallow or non-swallow events. User-specific neural networks properly categorized 96 % of swallow and non-swallow events, while a generalized population-trained network was able to properly categorize 93 % of swallow and non-swallow events across all recordings. Lingual-palatal pressure signals are sufficient to selectively and specifically recognize the initiation of swallowing in healthy and dysphagic patients.

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Conservative Treatment of Dysphagia

Lim

2009

Brain Neurorehabil

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Dysphagia can be caused by an anatomic abnormality or neurological dysfunction in either one or combination of all of these factors. Especially, dysphagia is one of common complications of stroke and related with the survival as well as prognosis of functional recovery of cerebrovascular accident. Irrespective of its primary causes of swallowing difficulty, the options for conservative treatment of dysphagia are adopted according to the functional status of the patient. The most important goals of the conservative management are promoting oropharyngeal transit and protecting the airway from aspiration. In this review, major non-operative therapeutic methods are illustrated: behavioral interventions including compensatory maneuvers, diet preparation, tube feeding and prostheses. Also, the clinical application of them is discussed. Each of these treatments should be applied to patients cautiously after a thorough consideration of the functional recovery and risk evaluation of aspiration. Furthermore, the nutritional requirement of patients ought to be taken into account.

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Neuroprostheses for management of dysphagia resulting from cerebrovascular disorders

Cited by 3 publications

References 71 publications

Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

Neural Network Pattern Recognition of Lingual–Palatal Pressure for Automated Detection of Swallow

Conservative Treatment of Dysphagia

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