Article
Rehabilitation
Sally K. Archer, Christina M. Iezzi, Louisa Gilpin
Summary: This study evaluated inpatients with COVID-19 presenting with dysphonia and dysphagia, finding that most patients showed improvement after treatment, but some still had swallowing and voice issues at discharge.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Clinical Neurology
Ying Chen, Gulijiakela Aishan, Shunjuan Fan, Tingwei Wang, Junfa Wu, Chinhsuan Chia, Gang Liu, Li Wang, Ruiping Hu
Summary: This study found that a negative MEBDT result and a higher level of consciousness can serve as predictive factors for successful tracheostomy decannulation in patients with disorders of consciousness (DOC).
FRONTIERS IN NEUROLOGY
(2023)
Article
Medicine, General & Internal
Carina Escudero, Fernanda Chiarion Sassi, Gisele Chagas de Medeiros, Maira Santilli de Lima, Paulo Francisco Guerreiro Cardoso, Claudia Regina Furquim de Andrade
Summary: This study investigated the clinical and swallowing indicators related to a successful decannulation process during the hospital stay. The results suggested that early swallowing assessment, swallowing rehabilitation, and improvement in the swallowing functional level during the hospital stay were associated with successful decannulation.
Article
Rehabilitation
Evelyneu Melotte, Audrey Maudoux, Sabrina Delhalle, Aude Lagier, Aurore Thibaut, Charlene Aubinet, Jean-Francois Kaux, Audrey Vanhaudenhuyse, Didier Ledoux, Steven Laureys, Olivia Gosseries
Summary: This study aimed to investigate dysphagia in individuals with disorders of consciousness (DOC) and found that almost all DOC individuals had severe dysphagia, with components of swallowing such as tracheostomy, cough reflex, and efficacy of the oral phase related to consciousness level. Specifically, the absence of an efficient oral phase in UWS participants suggests a lack of consciousness, while specific care is needed to treat severe dysphagia in DOC individuals.
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
(2021)
Review
Otorhinolaryngology
Evelyne Melotte, Audrey Maudoux, Rajanikant Panda, Jean-Francois Kaux, Aude Lagier, Roxanne Herr, Marion Belorgeot, Steven Laureys, Olivia Gosseries
Summary: This literature review examines the relationship between swallowing and consciousness. It reveals that the different components of swallowing can range from voluntary to reflex behaviors, and the level of consciousness can have an impact on various aspects of swallowing, such as frequency, initiation, efficacy, and coordination with respiration. The review suggests that the efficacy of the oral phase and the ability to receive exclusive oral feeding are the most reliable indicators of consciousness related to swallowing. However, more research is needed to determine if the pharyngeal phase and evoked cough are also signs of consciousness or solely cortical behaviors. Additionally, the lack of tools and techniques to assess and treat swallowing difficulties in patients with consciousness disorders is emphasized.
Article
Clinical Neurology
Ana Luiza Zaninotto, Jan K. de Guzman, Kaila L. Stipancic, Bridget J. Perry, Melanie L. Supnet, Criscely Go, Nutan Sharma, Jordan R. Green
Summary: This study identified impairments in bulbar functions in individuals with X-linked Dystonia-Parkinsonism (XDP) through various clinical and instrumental oromotor tasks and measures. The findings showed significant differences between XDP patients and healthy controls, especially in the early stages of the disease. Measures of oromotor performance proved to be sensitive and specific in differentiating the initial years of XDP onset from healthy individuals.
PARKINSONISM & RELATED DISORDERS
(2021)
Article
Multidisciplinary Sciences
Kasandra Diaz, Elizabeth E. L. Stegemoeller
Summary: The study aimed to investigate muscle activity associated with swallow on the more affected side and less affected side in persons with Parkinson's disease (PD). It also explored the relationship between differences in muscle activity and subjective reports of swallowing impairment and disease severity.
Article
Otorhinolaryngology
Thalyta Georgia Vieira Borges, Carla Rocha Muniz, Flavia Rodrigues Ferreira, Mariana Pinheiro Brendim, Elizabeth Silaid Muxfeldt
Summary: This study aims to evaluate the rehabilitation effect of swallowing therapy program on oropharyngeal dysphagia in resistant hypertensive patients with obstructive sleep apnea (OSA), and to explore the association between clinical and anthropometric characteristics and the outcome. The results showed that patients with resistant hypertension and OSA exhibited improved swallowing performance after the therapy program.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2023)
Article
Otorhinolaryngology
Jacopo Galli, Maria Raffaella Marchese, Tiziana Di Cesare, Laura Tricarico, Giovanni Almadori, Valeria Tempesta, Venanzio Valenza, Gaetano Paludetti
Summary: This study evaluated the impact of tracheal tube on swallowing in head and neck cancer patients using oropharyngoesophageal scintigraphy. The presence of a closed tracheal tube did not significantly affect the oropharyngeal transit of bolus during swallowing, suggesting the possibility of maintaining a small-diameter occluded tracheal tube for postsurgical management.
Article
Clinical Neurology
Sonja Suntrup-Krueger, Paul Muhle, Isabella Kampe, Paula Egidi, Tobias Ruck, Frank Lenze, Michael Jungheim, Richard Gminski, Bendix Labeit, Inga Claus, Tobias Warnecke, Joachim Gross, Rainer Dziewas
Summary: The study evaluated the effect of capsaicin on swallowing function, finding that it improves swallowing efficacy and positively alters swallowing biomechanics in healthy subjects. Capsaicin mediates dose-dependent Substance P release and leads to a significant increase in salivary Substance P in healthy individuals.
Article
Clinical Neurology
Victoria Sherman, Rosemary Martino, Ishvinder Bhathal, Gabrielle DeVeber, Nomazulu Dlamini, Daune MacGregor, Elizabeth Pulcine, Deryk S. Beal, Kevin E. Thorpe, Mahendranath Moharir
Summary: This study systematically reports the frequencies and associations of dysphagia, oral motor, motor speech, and language impairment during the acute presentation of pediatric stroke, with each impairment ranging from 30% to 40%. Further research is needed to determine the long-term effects of these impairments and to design standardized age-specific assessment protocols for early recognition following stroke.
Article
Food Science & Technology
Susana Fiszman, Laura Laguna
Summary: This narrative review focuses on two aspects of food design for dysphagia, namely texture-modified diets and sensory stimulation of swallowing. The authors analyze the drawbacks and new developments in texture modification and propose potential solutions. They also explore the role of pungent sensations, such as capsaicin, in activating transient receptor potential (TRP) and how these sensory stimulants can contribute to the design of safe-to-swallow food. The importance of pleasant sensory experiences during eating for dysphagia sufferers is emphasized.
CURRENT OPINION IN FOOD SCIENCE
(2023)
Article
Nutrition & Dietetics
Akio Shimizu, Ichiro Fujishima, Keisuke Maeda, Hidetaka Wakabayashi, Shinta Nishioka, Tomohisa Ohno, Akiko Nomoto, Takashi Shigematsu, Jun Kayashita
Summary: Low tongue pressure in probable sarcopenic dysphagia may negatively impact swallowing function improvement and severe malnutrition, indicating the need for aggressive nutritional therapy for these patients.
Article
Clinical Neurology
Masoume Hajipour, Davood Sobhani-Rad, Shahryar Zainaee, Mohammad Taghi Farzadfar, Saeedeh Hajebi Khaniki
Summary: This study analyzed the effects of cerebellar strokes on the oral and pharyngeal phases of swallowing and found that 52.9% of patients experienced dysphagia. Dysphagia was significantly associated with a higher risk of aspiration. Age was also significantly correlated with dysphagia, while there was no significant correlation between swallowing ability and sex.
FRONTIERS IN NEUROLOGY
(2023)
Review
Radiology, Nuclear Medicine & Medical Imaging
Filippo Barbiera, Giuseppe Cosentino, Francesco La Seta, Elena Vetrano, Bruno Murmura, Micol Avenali, Enrico Alfonsi, Cristina Tassorelli
Summary: Dysphagia is a common symptom in patients with Parkinson's disease (PD), but is often undiagnosed until complications arise. This review highlights the importance of Video-Fluoroscopic-Swallow-Study (VFSS) in confirming and evaluating dysphagia in PD patients. VFSS is essential for identifying patients at high risk of aspiration pneumonia and guiding treatment strategies.