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Titre : | The Intensive Dysphagia Rehabilitation Approach Applied to Patients With Neurogenic Dysphagia: A Case Series Design Study (2016) |
Auteurs : | Georgia A. Malandraki ; Akila Rajappa ; Cagla Kantarcigil |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/4, 2016) |
Article en page(s) : | pp. 567574 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Déglutition ; Exercice physique ; Rééducation et réadaptation ; Troubles de la déglutition |
Mots-clés: | Deglutition disorders ; Exercise |
Résumé : |
Objective To examine the effects of the Intensive Dysphagia Rehabilitation approach on physiological and functional swallowing outcomes in adults with neurogenic dysphagia. Design Intervention study; before-after trial with 4-week follow-up through an online survey. Setting Outpatient university clinics. Participants A consecutive sample of subjects (N=10) recruited from outpatient university clinics. All subjects were diagnosed with adult-onset neurologic injury or disease. Dysphagia diagnosis was confirmed through clinical and endoscopic swallowing evaluations. No subjects withdrew from the study. Interventions Participants completed the 4-week Intensive Dysphagia Rehabilitation protocol, including 2 oropharyngeal exercise regimens, a targeted swallowing routine using salient stimuli, and caregiver participation. Treatment included hourly sessions twice per week and home practice for approximately 45min/d. Main Outcome Measures Outcome measures assessed pre- and posttreatment included airway safety using an 8-point Penetration Aspiration Scale, lingual isometric pressures, self-reported swallowing-related quality of life (QOL), and level of oral intake. Also, patients were monitored for adverse dysphagia-related effects. QOL and adverse effects were also assessed at the 4-week follow-up (online survey). Results The Intensive Dysphagia Rehabilitation approach was effective in improving maximum and mean Penetration Aspiration Scale scores (P<.05 and p respectively level of oral intake cohen d="−1.387)." the patients who were feeding tube dependent initially progressed to total nutrition partial nutrition. one patient remained dependent. qol was significantly improved at follow-up confidence interval but not posttreatment. no adverse effects observed> Conclusions The Intensive Dysphagia Rehabilitation approach was safe and improved physiological and some functional swallowing outcomes in our sample; however, further investigation is needed before it can be widely applied. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315015026 |