Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture.

Rasley, A; Logemann, Jeri A.; Kahrilas, Peter J.; Rademaker, Alfred; Pauloski, Barbara Roa; Dodds, W J

doi:10.2214/ajr.160.5.8470567

Cited by 193 publications

(115 citation statements)

References 4 publications

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“…Based on limited evidence, previous reports have suggested dietary modification, postural change, or enteral feeding as methods to avoid persistent aspiration in noncritically ill patients with chronic neuromuscular disease [27,28]. Since the more recent publication of a series of literature reviews outlining the need for prospective studies of dysphagia treatment [29][30][31], one multi-center trial of 321 patients with an acute stroke randomized to percutaneous endoscopic gastrostomy (PEG) or nasogastric feeding demonstrated an increased risk of death or poor outcome in the PEG group [32].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis And Treatment Of Post-Extubation Dysphagia: Results From A National Survey

Macht

Wimbish

Clark

et al. 2012

A46. Intensive Care Unit Management and Rapid Response: Provider and Patient Outcomes

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Purpose-This study sought to determine the utilization of speech-language pathologist (SLPs) for the diagnosis and treatment of post-extubation dysphagia in survivors of mechanical ventilation.Methods-We designed, validated, and mailed a survey to 1,966 inpatient SLPs who routinely evaluate patients for post-extubation dysphagia.Results-The majority of SLP diagnostic evaluations (60%; 95% CI = 59-62%) were performed using clinical techniques with uncertain accuracy. Instrumental diagnostic tests (such as fluoroscopy and endoscopy) are more likely to be available at university than community hospitals. After adjusting for hospital size and academic affiliation, instrumental test use varied significantly by geographical region. Treatments for post-extubation dysphagia usually involved dietary adjustment (76%; 95% CI = 73-79%) and postural changes/compensatory maneuvers (86%; 95% CI = 84-88%), rather than on interventions aimed to improve swallowing function (24%; 95% CI = 21-27%).

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Section: Discussionmentioning

confidence: 99%

Diagnosis And Treatment Of Post-Extubation Dysphagia: Results From A National Survey

Macht

Wimbish

Clark

et al. 2012

A46. Intensive Care Unit Management and Rapid Response: Provider and Patient Outcomes

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“…However, different head and neck positions can facilitate the process of swallowing to eliminate aspiration; etc. 15,16 that can help patients with various dysfunctions. Various changes occur in mechanism of swallowing with aging, including slowing of oral stage and trigger of pharyngeal swallow.…”

Section: Discussionmentioning

confidence: 99%

Effect of posture on swallowing

Alghadir¹,

Zafar²,

Al-Eisa³

et al. 2017

Afr H. Sci.

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Background: Swallowing is a systematic process. Any structural, physiological or neurological disturbance in this process may cause dysphagia. Although there are studies that report head/neck movements during mastication, there are fewer studies that show the effect of different head/neck postures on difficulty while swallowing. Objectives: To observe the effect of different body postures on the self-perceived difficulty while swallowing in normal healthy subjects. Methods: Participants were asked to swallow 25 ml of water in one go while sitting upright, sitting with head/neck flexed, head/ neck extended and lying supine. Following this, they had to rate their self-perceived difficulty while swallowing on a scale of 0-10, 0 being most easy and 10 being most difficult. Results: 186 subjects with mean age 32.7 SD 9.04 participated in this study. It was found to be least difficult to swallow when subjects were asked to swallow in upright sitting position. Statistically significant differences were found between sitting upright, sitting with head/neck flexed, head/neck extended and lying supine. Conclusion: Postural modification may help in rehabilitation of patients with dysphagia by affecting bolus flow to improve speed and safety of swallowing by closure of airways to prevent aspiration.

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“…chin down. Oral inefficient transport is often associated with the use of the chin up position [16][17][18][19]. Life-saving surgery in head and neck cancer patients causes some changes in their quality of life in terms of basic functions such as breathing, chewing, swallowing and speech, as well as in social and professional aspects [20,21].…”

Section: Discussionmentioning

confidence: 99%

Bioelectrical Activity Changes of Selected Muscles of the Face and Neck in Patients with Unilateral Cancer of the Oral Cavity Before and After Surgery

Margula-Jaśkowska¹,

Halczy-Kowalik²,

Kijak³

2016

Dent. Med. Probl.

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Background. Radical excision of an oral cancer followed by post-surgical radiotherapy is a treatment of choice. Extensive excision of the initial structures in the gastrointestinal tract can impair swallowing and food intake. Early rehabilitation and compensatory mechanisms allow for the efficient return of oral function. It was assumed that this process requires increased activity of the face and neck muscles. Objectives. Assessment of the electromyographic activity of selected muscles: sternocleidomastoid, masseter, suprahyoid and orbicularis oris (upper, lower part) during swallowing in the patients with oral cancer pre-and post-surgically. Material and Methods. The study group consisted of 34 patients who were subjected to oral cancer surgery. The patients underwent surface electromyography (sEMG) examination with the use of Zebris EMG 8 bluetooth (Zebris, Isny im Allgäu, Germany) device. The examinations were performed three times: a few days before the surgery (first examination), ca. one month after the surgery (second examination), and approximately three months after the surgery (third examination). Results. The results show a general median tension increase for the selected muscles at the end of the study. There were no statistically significant differences between the medians tensions on the surgical and non-surgical side. The exception was a change in median tensions between the suprahyoid muscles of surgical and non-surgical sides and both parts of orbicularis oris muscle. The highest tension increase was observed within the lower part of orbicularis oris muscle and the suprahyoid muscles on the non-surgical side. The smallest change was observed in masseter of the surgical side -after the increase of median tension in the second study, it returned to the initial value. Patients using compensatory mechanisms showed statistically higher median tensions. Conclusions. About three months after the surgery, all of the patients presented increased tension in the majority of assessed muscles and accompanying improvements in the efficiency of swallowing (Dent. Med. Probl. 2016, 53, 2, 175-185).

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Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture.

Cited by 193 publications

References 4 publications

Diagnosis And Treatment Of Post-Extubation Dysphagia: Results From A National Survey

Diagnosis And Treatment Of Post-Extubation Dysphagia: Results From A National Survey

Effect of posture on swallowing

Bioelectrical Activity Changes of Selected Muscles of the Face and Neck in Patients with Unilateral Cancer of the Oral Cavity Before and After Surgery

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