Swallowing outcome to speech therapy intervention in resistant hypertensive patients with obstructive sleep apnea

Borges, Thalyta Georgia Vieira; Muniz, Carla Rocha; Ferreira, Flavia Rodrigues; Brendim, Mariana Pinheiro; Muxfeldt, Elizabeth Silaid

doi:10.1007/s00405-022-07612-3

Cited by 2 publications

(1 citation statement)

References 44 publications

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“…Standardised out-of-hospital management methods, including rehabilitation, assisted patients with Parkinson’s disease, particularly mild cases [ 8 ]. One report found that eight weeks of outpatient treatment was associated with a 78.8% improvement in treatment-resistant hypertension associated with obstructive sleep apnoea and dysphagia, as revealed by endoscopic swallowing [ 9 ]. Three-week outpatient treatment of patients with neuropathy after radiotherapy to treat mesopharyngeal cancer revealed improvements in all of the Mann Assessment of Swallowing Ability (MASA) score, the Functional Oral Intake Score (FOIS), the visual analogue scale (VAS) score, hyolaryngeal excursion, lingual-palatal pressures, and certain surface electromyographic findings; the effects persisted for up to three months [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Outpatient Treatment of Mild Dysphagia in Ear-Nose-and-Throat Clinics

Yamano,

Nishi,

Omori

et al. 2024

Cureus

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Objective: Many reports on inpatient dysphagia rehabilitation in acute and convalescent rehabilitation hospitals exist, but there are a few reports on outpatient treatments. Otolaryngologists still take a trial-and-error approach when treating dysphagia. Here, we explore the effectiveness and limitations of outpatient treatment in ear-nose-and-throat (ENT) clinics. Methods: Sixty-four patients (41 males and 23 females) aged 27-101 years (mean 78 years) visited an outpatient clinic specialising in feeding and swallowing conditions (the Fukuyo ENT Clinic). All were able to perform the activities of daily living (ADL) to the extent that outpatient visits were possible; no home visits were made. The weekly outpatient day was staffed by an otolaryngologist and a speech-language-hearing therapist (SLHT). All patients were subjected to fibreoptic endoscopic evaluation of swallowing (FEES), followed by appropriate training as revealed by the examinations. Results: Salivary retention in the glottis valley and piriform sinuses improved (both p < 0.05) in 30 patients who underwent repeat FEES; we compared the initial and final figures. In 14 cases in whom maximal tongue pressure (TP) was measured, this was higher at the final than at the first examination (p < 0.01). Conclusion: Outpatient treatment at ENT clinics for patients who are able to maintain their ADLs to the extent that they are able to walk to a hospital is an option for the treatment of age-related dysphagia. For severe cases, however, house calls and collaboration with the home and nursing care sector will be necessary and should be considered in the future.

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Section: Discussionmentioning

confidence: 99%

Outpatient Treatment of Mild Dysphagia in Ear-Nose-and-Throat Clinics

Yamano,

Nishi,

Omori

et al. 2024

Cureus

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Effectiveness of Outpatient Treatment in Ear, Nose, and Throat Clinics for Dysphagia and the Role of Questionnaires

Yamano,

Kimura,

Wada

et al. 2024

Cureus

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BackgroundWhile most research on dysphagia treatment has focused on inpatients, less attention has been given to outpatient settings, particularly in ear, nose, and throat (ENT) clinics. Additionally, while questionnaires are commonly used as screening tools in dysphagia management, their correlation with outcomes such as pneumonia incidence or sustained oral intake is rarely discussed. This study aimed to evaluate the effectiveness of outpatient treatment in ENT clinics for dysphagia, including improvement in subjective symptoms, and to assess the role of the questionnaire. MethodologyIn total, 59 patients (38 males and 21 females) aged 53-93 years (mean age = 79 years) attended the outpatient swallowing clinic. All participants retained sufficient ability in activities of daily living to independently visit the hospital and could orally ingest food, and none required tube feeding. Subjective symptoms were evaluated using the questionnaire. Swallowing assessments were conducted by an otolaryngologist and via swallowing endoscopy. A speech-language pathologist led the swallowing rehabilitation, which included encouraging family involvement and home practice. ResultsThe most frequent issue reported was munching during meals. Of the 59 patients, 22 underwent continuous outpatient rehabilitation. Of these, 17 (77%) showed improvement; 11 had improvement in both subjective symptoms and fiberoptic endoscopic evaluation of swallowing (FEES) scores, five in subjective symptoms only, and one in FEES scores only. Five patients showed no change/worsening conditions. ConclusionsThe questionnaire proved useful as a screening tool but fell short in terms of prognosis estimation. The findings suggest that information from the questionnaire should be used to gauge treatment effectiveness, noting that some cases showed improvement in subjective symptoms alone.

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Swallowing outcome to speech therapy intervention in resistant hypertensive patients with obstructive sleep apnea

Cited by 2 publications

References 44 publications

Outpatient Treatment of Mild Dysphagia in Ear-Nose-and-Throat Clinics

Outpatient Treatment of Mild Dysphagia in Ear-Nose-and-Throat Clinics

Effectiveness of Outpatient Treatment in Ear, Nose, and Throat Clinics for Dysphagia and the Role of Questionnaires

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