The effect of traditional dysphagia therapy on the swallowing function in patients with Multiple Sclerosis: A pilot double-blinded randomized controlled trial

Tarameshlu, Maryam; Ghelichi, Leila; Azimi, Amir Reza; Ansari, Noureddin Nakhostin; Khatoonabadi, Ahmad Reza

doi:10.1016/j.jbmt.2018.01.016

Cited by 23 publications

(32 citation statements)

References 15 publications

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“…It seems to be of particular importance, given the close correlation between the prevalence of dysphagia and the consequences which might be observed in patients without dysphagia-oriented rehabilitation. Results of a randomized study have only highlighted the higher effectiveness of sensorimotor exercises and swallowing maneuvers in relation to diet adjustment and postural changes (Tarameshlu et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

The prevalence and types of oral- and pharyngeal-stage dysphagia in patients with demyelinating diseases based on subjective assessment by the study subjects

Milewska

Grabarczyk

Dąbrowska-Bender

et al. 2020

Multiple Sclerosis and Related Disorders

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Background: Studies show that dysphagia is a common problem in patients with demyelinating diseases. However, there are no published studies on dysphagia in this group of patients, which would include the individual phases or the safety and effectiveness of the swallowing process. Objective: The main objective of this study was to assess the prevalence of swallowing disorders and to characterize them based on subjective assessment by the study subjects with multiple sclerosis and Devic's syndrome. Method: The study included 72 patients (47 F, 25 M). Patients at risk of dysphagia were identified using the DYMUS, EAT-10 and SDQ questionnaires. To assess the type of oral-and pharyngeal-stage dysphagia, questions in the questionnaires were classified into groups according to symptoms typical of each stage. Results: The risk of dysphagia and the need for instrumental examination were identified in 37.5% of the study subjects. Pharyngeal-stage dysphagia (repeated swallowing, increased effort of swallowing, cough, a feeling of food sticking in the throat) was reported to occur at a significantly higher frequency. However, no differences were found between difficulty in swallowing liquids and difficulty in swallowing solid food. Conclusion:There is a need for further research, which should include a detailed dysphagia-oriented diagnosis, with a view to gaining a detailed insight into the pathophysiology of deglutition in this group of patients.

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Section: Discussionmentioning

confidence: 99%

The prevalence and types of oral- and pharyngeal-stage dysphagia in patients with demyelinating diseases based on subjective assessment by the study subjects

Milewska

Grabarczyk

Dąbrowska-Bender

et al. 2020

Multiple Sclerosis and Related Disorders

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“…Although the reported studies showed promising results, there are not sufficient data to support a particular treatment over others, and the methods of the studies have been poor. More recently, Tarameshlu et al 11 conducted a randomized controlled trial of traditional therapy (rehabilitation techniques) versus standard care (adaptation and compensation) on swallowing function. Moreover, a randomized controlled trial by Silverman et al 12 studied the effect of expiratory muscle strength training versus a sham condition on swallowing QOL.…”

Section: Treatmentmentioning

confidence: 99%

Update on Recent Developments in Communication and Swallowing in Multiple Sclerosis

Biagi¹,

Heikkola²,

Nordio³

et al. 2020

International Journal of MS Care

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Swallowing and communication disorders are common in persons with multiple sclerosis (MS). Both disorders are extremely variable and can have a major effect on health status and quality of life. This is why it is important to provide health care professionals who are working with persons with MS with tools to signal, assess, and treat swallowing and communication disorders. This synthesis gives an update on relevant and recent literature on swallowing and communication disorders, supplemented with current practice-based evidence. Studies on swallowing and communication disorders in MS are scarce: more and higher-quality research is needed. It should be emphasized that therapists need to focus on the patient’s acquisition of skills to participate in daily life. This means that each patient requires an individual approach based on their own needs.

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“…45 The MASA has been recently used as an outcome measure in MS patients with dysphagia. 47,48 The FOIS is validated in 302 acute stroke patients and used recently to classify the oral intake of MS participants. 49…”

Section: Non-instrumental Strategiesmentioning

confidence: 99%

<p>Dysphagia In Multiple Sclerosis Patients: Diagnostic And Evaluation Strategies</p>

Ansari

Tarameshlu

Ghelichi

2020

DNND

Self Cite

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Dysphagia after multiple sclerosis (MS) is a common disabling symptom which can lead to serious complications. Regular screening and assessment of dysphagia in patients with MS are important. Using valid and reliable instruments to measure dysphagia in MS patients is a crucial component in clinical practice and of research quality. There are various strategies to diagnose and assess the dysphagia in patients with MS. Screening strategies are for early diagnosis of the dysphagia. Clinical, non-instrumental strategies are used to verify the presence and to determine the severity and cause of dysphagia. Instrumental strategies are complementary to clinical examination to provide objective data on the various aspects of swallowing dysfunctions. This review revealed a few validated tools for dysphagia assessment in MS. The Dysphagia in Multiple Sclerosis Questionnaire (DYMUS) and the Mann Assessment of Swallowing Ability (MASA) are the only validated MS-specific dysphagia tools. Further development of valid and reliable MSspecific screening and assessment tools that can be administered rapidly and scored easily to detect dysphagia and evaluate clinical outcomes in adults with MS is imperative. Until then, validation and metric evaluation of the screening and assessment tools currently available are required.

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The effect of traditional dysphagia therapy on the swallowing function in patients with Multiple Sclerosis: A pilot double-blinded randomized controlled trial

Cited by 23 publications

References 15 publications

The prevalence and types of oral- and pharyngeal-stage dysphagia in patients with demyelinating diseases based on subjective assessment by the study subjects

The prevalence and types of oral- and pharyngeal-stage dysphagia in patients with demyelinating diseases based on subjective assessment by the study subjects

Update on Recent Developments in Communication and Swallowing in Multiple Sclerosis

<p>Dysphagia In Multiple Sclerosis Patients: Diagnostic And Evaluation Strategies</p>

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