Successful Treatment of Pulmonary Aspiration Due to Brain Stem Infarction by Using Cough Exercise Based on Swallowing Scintigraphy: Preliminary Observations

Kanai, Naoko; Kurabayashi, Hitoshi; Nakamata, Natsumi; Yamamoto, Etsuko; Hishinuma, Akiko; Suzuki, Eiji; Majima, Mitsuru

doi:10.1007/s00455-009-9212-5

Cited by 5 publications

(2 citation statements)

References 13 publications

(17 reference statements)

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“…PAS is used to evaluate the extent of penetration and aspiration, but additionally, considers the possibility of foreign materials being ejected back onto the vocal fold with coughing when airway penetration or aspiration occurs. Strong voluntary coughing can reduce aspiration by removing foreign materials, even after food flows into the airway, which can lower the incidence of aspiration pneumonia . According to a previous study, voluntary coughing is closely related to aspiration in terms of the airway protection mechanism in normal swallowing, with the intensity of coughing and the risk of airway aspiration correlating .…”

Section: Discussionmentioning

confidence: 99%

Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial

Park

Chang

et al. 2016

J of Oral Rehabilitation

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Expiratory muscle strength training (EMST) involves forcible blowing as a means of generating high expiratory pressure, against adjustable resistance. EMST has recently been introduced as a potential treatment for dysphagia. This study was performed to investigate the effects of EMST on the activity of suprahyoid muscles, aspiration and dietary stages in stroke patients with dysphagia. Twenty-seven stroke patients with dysphagia were randomly divided into two groups. The experimental group performed EMST with a 70% threshold value of maximal expiratory pressure, using an EMST device, 5 days a week for 4 weeks. The placebo group trained with a sham device. The EMST regime involved 5 sets of 5 breaths through the EMST device for a total of 25 breaths per day. Activity in the suprahyoid muscle group was measured using surface electromyography (sEMG). Further, the penetration-aspiration scale (PAS) was used to assess the results of the videofluoroscopic swallowing study (VFSS). In addition, dietary stages were evaluated using the Functional Oral Intake Scale (FOIS). The experimental group exhibited improved suprahyoid muscle group activity and PAS results, when compared to the placebo group. Following intervention, statistical analysis indicated significant differences in measured suprahyoid muscle activity (P = 0·01), liquid PAS outcomes (P = 0·03) and FOIS results (P = 0·06), but not semisolid type PAS outcomes (P = 0·32), between the groups. This study confirms EMST as an effective treatment for the development of suprahyoid muscle activity in stroke patients with dysphagia. Additionally, improvements in aspiration and penetration outcomes were observed.

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Section: Discussionmentioning

confidence: 99%

Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial

Park

Chang

et al. 2016

J of Oral Rehabilitation

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“…In another case study (23) an intraoral device was developed to correct abnormal neuromuscular patterns and to improve the facial aesthetic of individuals with facial paralysis. The participant of the study was an 18-year-old woman with a two year and eight months facial paralysis (facial trauma and brain edema).…”

Section: Case Studiesmentioning

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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運動による生体調節

倉林¹,

前田²

2021

Jpn J Rehabil Med

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Successful Treatment of Pulmonary Aspiration Due to Brain Stem Infarction by Using Cough Exercise Based on Swallowing Scintigraphy: Preliminary Observations

Cited by 5 publications

References 13 publications

Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial

Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial

Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

運動による生体調節

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