55,324 results match your criteria Swallowing Disorders


[Basic Knowledge of Drug Pain Therapy in the Palliative Situation].

Dtsch Med Wochenschr 2020 Jul 2;145(13):917-925. Epub 2020 Jul 2.

Klinik für Palliativmedizin, Medizinische Fakultät Uniklinik RWTH Aachen.

This review provides an overview of the basic knowledge of drug pain therapy in the palliative situation. Pain is one of the main symptoms in 60 to 90 % of cancer patients. Pain also develops with neurological and other diseases that occur in end-of-life situations. Read More

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http://dx.doi.org/10.1055/a-1016-9941DOI Listing

The Source of Heart Rhythm Changes Caused by Swallowing.

Dysphagia 2020 Jul 1. Epub 2020 Jul 1.

Institute of Science and Engineering, Baskent University, Ankara, Turkey.

Swallowing can lead to the development of syncope in people who have difficulty swallowing during food intake. It has shown that even spontaneous saliva swallowing can change heart rate variability (HRV). Recently, it has been suggested that changes in heart rate during swallowing may be caused by respiratory activities. Read More

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http://dx.doi.org/10.1007/s00455-020-10150-xDOI Listing

Intermittent Theta-Burst Stimulation Over the Suprahyoid Muscles Motor Cortex Facilitates Increased Degree Centrality in Healthy Subjects.

Front Hum Neurosci 2020 16;14:200. Epub 2020 Jun 16.

Department of Radiology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China.

Theta-burst stimulation (TBS), a variant of repetitive transcranial magnetic stimulation (rTMS), can potentially benefit the treatment of swallowing disorders. However, the after-effects of TBS on the swallowing motor cortex remain uncertain. The newly developed graph-based analysis of the centrality approach has been increasingly used to explore brain networks. Read More

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http://dx.doi.org/10.3389/fnhum.2020.00200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309184PMC

Letter to the Editor in reference to: Interspecialty referral of oesophagogastric and pharyngolaryngeal cancers delays diagnosis and reduces patient survival: a matched case-control study.

Authors:
John E Fenton

Clin Otolaryngol 2020 Jun 30. Epub 2020 Jun 30.

University Hospital Limerick, Limerick, Ireland.

The article by Bird et al, is an interesting read and I wish to strongly support their recommendations of a more coherent multidisciplinary approach to dysphagia . UEMS-ORL are currently in the early stages of forming either an MJC (Multidisciplinary Joint Committee) in Swallowing Disorders or a Thematic Federation in Dysphagia with European colleagues in other relevant specialties and this publication will certainly assist our endeavours. Read More

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http://dx.doi.org/10.1111/coa.13603DOI Listing

Association between Mixing Ability of Masticatory Functions Measured Using Color-Changing Chewing Gum and Frailty among Japanese Older Adults: The Kyoto-Kameoka Study.

Int J Environ Res Public Health 2020 Jun 24;17(12). Epub 2020 Jun 24.

National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, Japan.

The relationship between mixing ability of masticatory functions and frailty has not been well evaluated. This study investigated the prevalence of physical and comprehensive frailty and its association with mixing ability in 1106 older adults aged ≥65 years who underwent physical examination as part of the Japanese Kyoto-Kameoka Study. Mixing ability was assessed using color-changing chewing gum (1-5 points, 5 representing the best mixing ability). Read More

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http://dx.doi.org/10.3390/ijerph17124555DOI Listing

Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer with Dysgeusia.

Med Acupunct 2020 Jun 16;32(3):157-162. Epub 2020 Jun 16.

Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo, Central Jakarta, Jakarta, Indonesia.

Radiation therapy for head-and-neck cancer can cause side-effects, including pain, nausea, vomiting, sensory disorders such as anosmia and dysgeusia, dysphagia, xerostomia, hot flashes, fatigue, sleep disorders, and even anxiety and depression disorders. Therapies using acupuncture are now being adopted at cancer therapy centers. Acupuncture has been clinically proven to reduce the side-effects of cancer therapies, thus, resulting in better quality of life. Read More

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http://dx.doi.org/10.1089/acu.2020.1410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310235PMC

Differentiation of Feeding Behaviors Based on Masseter and Supra-Hyoid Muscle Activity.

Front Physiol 2020 12;11:618. Epub 2020 Jun 12.

Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

Older adults with disorders of mastication and swallowing are often fed soft foods such as jelly or puree. The texture of such semi-solid foods allows them to be squeezed between the tongue and palate rather than being chewed. However, it is difficult to visually identify such strategies for the oral processing of food. Read More

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http://dx.doi.org/10.3389/fphys.2020.00618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303331PMC

NRF2 pathway activation by KEAP1 inhibition attenuates the manifestation of aging phenotypes in salivary glands.

Redox Biol 2020 Jun 12;36:101603. Epub 2020 Jun 12.

Department of Gene Expression Regulation, Institute of Development, Aging and Cancer, Tohoku University, Japan. Electronic address:

Saliva plays an essential role in the maintenance of oral health. The oral cavity environment changes during aging mainly due to alterations in the secretion and composition of saliva. In particular, unstimulated basal salivary flow decreases with age. Read More

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http://dx.doi.org/10.1016/j.redox.2020.101603DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322188PMC

Variations in the amplitude and duration of hyolaryngeal elevation during swallow: Effect of sour and carbonated liquid bolus.

Authors:
P M Dafiah N Swapna

Physiol Behav 2020 Jun 24;224:113028. Epub 2020 Jun 24.

Department of Speech-Language Pathology, All India Institute of Speech and Hearing, Manasagangothri, Mysore-570006, Karnataka, India.

Background: Altering sensory properties of food is relevant to the management of swallowing disorders. The current investigation aimed to examine the influence of sour and carbonated stimuli on measures of hyolaryngeal elevation.

Method: Sixty healthy adults in the age range of 18 to 35 years were assessed using Digital Accelerometry Swallowing Imaging (DASI) while swallowing 5 ml of neutral, sour and carbonated liquid bolus. Read More

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http://dx.doi.org/10.1016/j.physbeh.2020.113028DOI Listing

Dysphagia as a symptom of anterior cervical hyperostosis - Case report.

Ann Agric Environ Med 2020 Jun 8;27(2):314-316. Epub 2019 Apr 8.

Department of Human Anatomy, Medical University, Lublin, Poland.

Degenerative lesions with hyperostosis on the anterior surface of cervical spine are common in clinical practice. In addition to pain being an effect of spinal dysfunction, they sometimes cause difficulties in swallowing or speaking as well as breathing disorders. A 52-year-old farmer with 4-year history of gradually intensifying dysphagia was admitted to hospital due to inability to intake a solid food, significant weight loss, and because of the appearance of a new symptom - dysphonia. Read More

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http://dx.doi.org/10.26444/aaem/106115DOI Listing

Infants without apparent risk factors with aspiration as a cause of respiratory symptoms - a retrospective study.

Ir J Med Sci 2020 Jun 25. Epub 2020 Jun 25.

Respiratory Department, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.

Background: Dysphagia is common in children born prematurely or those with neuromuscular conditions or airway malformations. Few studies have reported on children with isolated dysphagia and there is significant variation in the literature regarding clinical outcomes.

Aims: The aim of this study was to characterise the clinical presentation of children with isolated dysphagia as well as the diagnostic evaluation, treatment strategies and clinical outcomes. Read More

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http://dx.doi.org/10.1007/s11845-020-02282-8DOI Listing

Immunotherapy-related skeletal muscle weakness in cancer patients: a case series.

Ann Palliat Med 2020 Jun 21. Epub 2020 Jun 21.

Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Immunotherapy has become a lifeline in cancer treatment. However, increasingly reports of programmed death-1 (PD-1) inhibitors have been linked to autoimmune disorders. We highlight two unique cases that presented with skeletal weakness and resulted in fatalities after developing de novo myasthenia gravis and myositis associated to immunotherapy treatment. Read More

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http://dx.doi.org/10.21037/apm-20-454DOI Listing

The epidemiology, nature, and impact of eating and swallowing problems in adults presenting with temporomandibular disorders.

Cranio 2020 Jun 20:1-9. Epub 2020 Jun 20.

Department of Clinical Speech and Language Studies, Trinity College Dublin , Dublin, Ireland.

Objective: Temporomandibular disorders (TMDs) are the most common non-dental orofacial pain disorders. Research suggests that patients with TMDs experience eating and swallowing problems, although information is sparse, impacting effectiveness of management. Research aims were to investigate the epidemiology and impact of TMD-related eating and swallowing problems. Read More

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http://dx.doi.org/10.1080/08869634.2020.1781453DOI Listing

Characterization of Dysphagia and Longitudinal Changes in Swallowing Function in Adults with Niemann-Pick Disease Type C Treated with Miglustat.

Dysphagia 2020 Jun 19. Epub 2020 Jun 19.

Centre for Neuroscience of Speech, The University of Melbourne, 550 Swanston Street, Parkville, Melbourne, VIC, 3010, Australia.

Niemann-Pick disease type C (NPC) is a rare, autosomal recessive neurodegenerative disease, characterized by progressive psychiatric and neurological deficits. Neurological symptoms include cognitive decline and dysphagia. Aspiration pneumonia secondary to dysphagia is a leading cause of death in NPC. Read More

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http://dx.doi.org/10.1007/s00455-020-10145-8DOI Listing

Effects of Carbonation and Temperature on Voluntary Swallowing in Healthy Humans.

Dysphagia 2020 Jun 16. Epub 2020 Jun 16.

Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan.

We investigated how swallowing behaviors are affected by the temperature and carbonation of water in healthy humans. Twenty-nine healthy volunteers were instructed to drink as much natural water, carbonated water, or cider as they wanted, and we recorded the volume of solution swallowed and electromyographic (EMG) activity of the masseter and suprahyoid muscles. Sensory tests regarding the ease of holding the solution in the mouth and ease of swallowing were also performed. Read More

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http://dx.doi.org/10.1007/s00455-020-10147-6DOI Listing

Potential for Volitional Control of Resting Pressure at the Upper Oesophageal Sphincter in Healthy Individuals.

Dysphagia 2020 Jun 18. Epub 2020 Jun 18.

Department of Psychology, Speech and Hearing, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand.

Resting pressure at the upper oesophageal sphincter (UOS) has been reported to be susceptible to factors such as emotional stress or respiration. This exploratory study investigated the potential for behavioural modulation of UOS resting pressure in healthy adults to increase our understanding of volitional control of UOS pressure, and the potential development of rehabilitation approaches. Six healthy adults were seen one hour daily for two weeks (10 days) and for one post-training session after a training break of two weeks. Read More

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http://dx.doi.org/10.1007/s00455-020-10146-7DOI Listing

Preliminary results of a clinical study to evaluate the performance and safety of swallowing in critical patients with COVID-19.

Clinics (Sao Paulo) 2020 06 12;75:e2021. Epub 2020 Jun 12.

Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.

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http://dx.doi.org/10.6061/clinics/2020/e2021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279627PMC

'This is your golden time. You enjoy it and you've plenty time for crying after': How dysphagia impacts family caregivers of people with amyotrophic lateral sclerosis - A qualitative study.

Palliat Med 2020 Jun 17:269216320932754. Epub 2020 Jun 17.

School of Clinical Therapies, University College Cork, Cork, Ireland.

Background: Dysphagia (swallowing impairments) is a well-recognised symptom of amyotrophic lateral sclerosis. Caring for a person with amyotrophic lateral sclerosis has been recognised as a complex and demanding task. No study to date investigated the impact of dysphagia on the lives of caregivers of people with amyotrophic lateral sclerosis. Read More

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http://dx.doi.org/10.1177/0269216320932754DOI Listing

Shedding Light on Dysphagia Associated With COVID-19: The What and Why.

OTO Open 2020 Apr-Jun;4(2):2473974X20934770. Epub 2020 Jun 8.

Department of Communication Disorders, New Mexico State University, Las Cruces, New Mexico, USA.

The most common symptom of COVID-19 in critically ill patients is ARDS (acute respiratory distress syndrome), with many patients requiring invasive or noninvasive respiratory support in the intensive care unit. Oropharyngeal dysphagia may be a consequence of the respiratory-swallowing incoordination common in ARDS or may occur following the respiratory support interventions. In this commentary, we highlight the risk and complications of oropharyngeal dysphagia in patients with COVID-19 and urge medical and rehabilitation professionals to consider dysphagia a prognostic complication, provide appropriate referrals, and initiate early interventions as appropriate. Read More

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http://dx.doi.org/10.1177/2473974X20934770DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281885PMC

Pharmacokinetic similarity demonstrated after crushing of the elbasvir/grazoprevir fixed-dose combination tablet for HCV infection.

J Antimicrob Chemother 2020 Jun 16. Epub 2020 Jun 16.

Department of Pharmacy, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Finding a suitable treatment for HCV patients with swallowing disorders is still a major challenge. In practice, direct-acting antivirals are crushed without knowledge of adequate absorption. Crushing can alter drug exposure, possibly leading to treatment failure, development of resistance or toxicity. Read More

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http://dx.doi.org/10.1093/jac/dkaa230DOI Listing

Impact of Fiberoptic Endoscopic Evaluation of Swallowing Outcomes and Dysphagia Management in Neurodegenerative Diseases.

Laryngoscope 2020 Jun 16. Epub 2020 Jun 16.

Department of Otolaryngology, University of Texas Health Science Center San Antonio, San Antonio, Texas, U.S.A.

Objectives/hypothesis: To determine the incidence of abnormal fiberoptic endoscopic evaluation of swallowing (FEES) findings in patients with progressive neurologic disorders and identify the most commonly implemented dysphagia management strategies.

Study Design: Retrospective Review.

Methods: A retrospective review was performed of patients with neurodegenerative disease who underwent FEES at a tertiary-care center between 2008 and 2019. Read More

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http://dx.doi.org/10.1002/lary.28791DOI Listing

Does the right or left hemisphere involvement affect the swallowing in patients with hemiplegia?

NeuroRehabilitation 2020 Jun 12. Epub 2020 Jun 12.

Uludag University Faculty of Healty Science Physical Therapy and Rehabilitation, Bursa, Turkey.

Background: Stroke is one of the most important causes of swallowing difficulty. It is seen in one of every two patients with stroke. Although swallowing function are controlled by both hemispheres, it is unknown which hemisphere is more dominant than another for controlling of swallowing function. Read More

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http://dx.doi.org/10.3233/NRE-203089DOI Listing

Predicting Airway Invasion Using Screening Tools and Laryngeal Kinematics in People with Parkinson's Disease: A Pilot Study.

J Parkinsons Dis 2020 Jun 6. Epub 2020 Jun 6.

Harris College of Nursing and Health Sciences, Davies School of Communication Sciences and Disorders, Texas Christian University, Fort Worth, TX, USA.

Background: Dysphagia in Parkinson's disease (PD) is a common manifestation, particularly in advanced disease stages. However, the pathophysiology and time course of dysphagia progression remains unclear in non-advanced disease stages (e.g. Read More

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http://dx.doi.org/10.3233/JPD-202044DOI Listing

Swallowing in individuals with disorders of consciousness: a cohort study.

Ann Phys Rehabil Med 2020 Jun 11. Epub 2020 Jun 11.

Coma Science Group, GIGA-Consciousness, University of Liège, Belgium; Centre du Cerveau, University Hospital of Liège, Liège, Belgium.

Background: After a period of coma, a proportion of individuals with severe brain injury remain in an altered state of consciousness before regaining partial or complete recovery. Individuals with disorders of consciousness (DOC) classically receive hydration and nutrition through an enteral feeding tube. However, the real impact of the level of consciousness on an individual's swallowing ability remains poorly investigated. Read More

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http://dx.doi.org/10.1016/j.rehab.2020.04.008DOI Listing

Surgical treatment of relapsed megaesophagus.

Rev Col Bras Cir 2020 8;47:e20202444. Epub 2020 Jun 8.

- Faculty of Medical Sciences / UNICAMP, Department of Surgery - Campinas - São Paulo - Brazil.

Objective: to analyze the surgical treatment of patients with recurrent megaesophagus followed at the esophageal-stomach-duodenal outpatient clinic of the Hospital de Clínicas - UNICAMP.

Methods: a retrospective study, from 2011 to 2017, with 26 patients with Chagas or idiopathic megaesophagus, surgically treated, and who recurred with dysphagia. Clinical, endoscopic and radiographic aspects were assessed and correlated with the performed surgical procedures. Read More

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http://dx.doi.org/10.1590/0100-6991e-20202444DOI Listing

Moving Forward with Dysphagia Care: Implementing Strategies during the COVID-19 Pandemic and Beyond.

Dysphagia 2020 Jun 9. Epub 2020 Jun 9.

Department of Otolaryngology, Head and Neck Surgery, University of California-Davis Medical Center, Sacramento, USA.

Growing numbers of SARS-CoV-2 cases coupled with limited understanding of transmissibility and virulence, have challenged the current workflow and clinical care pathways for the dysphagia provider. At the same time, the need for non-COVID-19-related dysphagia care persists. Increased awareness of asymptomatic virus carriers and variable expression of the disease have also focused attention to appropriate patient care in the context of protection for the healthcare workforce. Read More

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http://dx.doi.org/10.1007/s00455-020-10144-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282541PMC

Reliability and Validity of the Eating and Drinking Ability Classification System in Adults with Cerebral Palsy.

Dysphagia 2020 Jun 9. Epub 2020 Jun 9.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.

The Eating and Drinking Ability Classification System (EDACS) was developed to evaluate dysphagia in children with cerebral palsy (CP). This study aimed to investigate the interrater reliability and validity of the EDACS in adults with CP. This cross-sectional study included 117 community-dwelling adults (mean age, 37. Read More

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http://dx.doi.org/10.1007/s00455-020-10141-yDOI Listing

The results of sequential swallowing assessments after total laryngectomy for laryngeal and hypopharyngeal malignancies.

Eur Arch Otorhinolaryngol 2020 Jun 8. Epub 2020 Jun 8.

Department of Head & Neck Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai, Maharashtra, India.

Background: Swallowing after total laryngectomy (TL) is altered and the swallowing related issues are largely underreported. It is important to identify factors that may negatively influence swallowing after TL in order to rehabilitate these patients appropriately.

Methods: The study included patients who underwent TL from June 2015 to November 2017 for laryngeal and hypopharyngeal malignancy. Read More

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http://dx.doi.org/10.1007/s00405-020-06105-5DOI Listing

Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-analysis.

Intensive Care Med 2020 Jun 8. Epub 2020 Jun 8.

Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, UK.

Purpose: To determine the effectiveness of dysphagia interventions compared to standard care in improving oral intake and reducing aspiration for adults in acute and critical care.

Methods: We searched electronic literature for randomised and quasi-randomised trials and bibliography lists of included studies to March 2020. Study screening, data extraction, risk of bias and quality assessments were conducted independently by two reviewers. Read More

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http://dx.doi.org/10.1007/s00134-020-06126-yDOI Listing
June 2020
7.214 Impact Factor

Laryngeal Pathologies and Their Associations With Mental Health Disorders.

Laryngoscope 2020 Jun 8. Epub 2020 Jun 8.

Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, Sweden.

Objectives: Mental health disorders are very common. Understanding their clinical manifestations in terms of voice and laryngeal disorders (VLD) is important because they constitute a significant proportion of all patients seen by otolaryngology-head and neck surgery. In this study, we examine different mental disorders (MDs) and their presenting symptoms and diagnoses of VLD. Read More

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http://dx.doi.org/10.1002/lary.28755DOI Listing

Factors predicting the effects of dysphagia rehabilitation on multidimensional functional status in elder outpatients: A prospective cohort study.

Gerodontology 2020 Jun 8. Epub 2020 Jun 8.

Division of Rehabilitation for Speech and Swallowing Disorders, Tama Oral Rehabilitation Clinic, The Nippon Dental University, Koganei, Japan.

Objective: This study aimed to clarify the relationship between the oral intake function and functional status, as well as to determine the aspects of functional status potentially predicting the effects of dysphagia rehabilitation in the maintenance stage, in elder outpatients.

Methods: This study was conducted in a clinic, specialised in rehabilitation of patients with dysphagia. The participants were 93 non-tube-fed patients 65 years of age or older. Read More

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http://dx.doi.org/10.1111/ger.12476DOI Listing

Signs for Early Detection of Dysphagia in Older Adults with Severe Alzheimer's Disease.

J Nutr Health Aging 2020 ;24(6):659-664

Prof. Dr. Eduardo Hebling, PO Box 52, 13414-903, Piracicaba-SP, Brazil, Tel./Fax: +55 19 2106-5209; e-mail:

Objectives: The aim of this study was to detect signs of dysphagia in older adults with and without Alzheimer's disease (AD).

Study Design: A cross-sectional study.

Setting And Participants: A total of 280 institutionalized older adults (with AD = 145; without AD = 135), aged > 70 years, with oral feeding, both sexes were examined. Read More

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http://dx.doi.org/10.1007/s12603-020-1382-8DOI Listing
January 2020

Association between Skeletal Muscle Strength and Dysphagia among Chinese Community-Dwelling Elderly Adults.

J Nutr Health Aging 2020 ;24(6):642-649

Huafang Zhang, Department of Nursing, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, 322000, China. Tel: +86-15924187619. Email: Kun Chen, Department of Epidemiology and Biostatistics, Zhejiang University School of Medicine, Hangzhou, 310058, China. Tel: +86-571-88208190 Email:

Objectives: Swallowing disorder is a health burden for the elderly in China. This study aimed to investigate the prevalence of dysphagia and to test the association between skeletal muscle strength and swallowing problems among community-dwelling older adults.

Design: A cross-sectional study. Read More

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http://dx.doi.org/10.1007/s12603-020-1379-3DOI Listing
January 2020

Localizing central swallowing functions by combining non-invasive brain stimulation with neuroimaging.

Brain Stimul 2020 Jun 3;13(5):1207-1210. Epub 2020 Jun 3.

Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA; Harvard Medical School, Boston, MA, USA.

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http://dx.doi.org/10.1016/j.brs.2020.06.003DOI Listing

Clinical Manifestation of Juvenile and Pediatric HD Patients: A Retrospective Case Series.

Brain Sci 2020 Jun 3;10(6). Epub 2020 Jun 3.

Department of Neurology, Huntington Centre North Rhine-Westphalia, St. Josef-Hospital Bochum, Ruhr-University Bochum, 44791 Bochum, Germany.

Background: Studies on the clinical manifestation and course of disease in children suffering from Huntington's disease (HD) are rare. Case reports of juvenile HD (onset ≤ 20 years) describe heterogeneous motoric and non-motoric symptoms, often accompanied with a delay in diagnosis. We aimed to describe this rare group of patients, especially with regard to socio-medical aspects and individual or common treatment strategies. Read More

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http://dx.doi.org/10.3390/brainsci10060340DOI Listing

High Prevalence of Oropharyngeal Dysphagia in Acutely Hospitalized Patients Aged 80 Years and Older.

J Am Med Dir Assoc 2020 May 6. Epub 2020 May 6.

Servicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain.

Objectives: Oropharyngeal dysphagia is a geriatric syndrome that is usually underdiagnosed in older patients. The aim of this study was to determine the prevalence and identify the main risk factors of dysphagia in the oldest old patients admitted to an acute geriatric unit.

Design: Observational prospective study. Read More

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http://dx.doi.org/10.1016/j.jamda.2020.04.032DOI Listing

Correlation between dysphonia and dysphagia evolution in amyotrophic lateral sclerosis patients.

Logoped Phoniatr Vocol 2020 Jun 4:1-8. Epub 2020 Jun 4.

Department of Medicine, Surgery and Neuroscience, Ear Nose Throat Clinic, University Hospital of Siena, Siena, Italy.

Amyotrophic lateral sclerosis (ALS) is a non-demyelinating neurodegenerative disease in adults with motor disorders. It is the most prevalent neuromuscular disease worldwide. Two forms exist: a sporadic form (90% of cases) and a family form due to mutations in more than 20 genes. Read More

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http://dx.doi.org/10.1080/14015439.2020.1771766DOI Listing

DEGLUTITION SYNCOPE TREATED WITH PERORAL ENDOSCOPIC MYOTOMY.

Ann Thorac Surg 2020 May 31. Epub 2020 May 31.

Virginia Commonwealth University, Division of Cardiothoracic Surgery, Richmond, VA, USA.

Deglutition syncope is a rare neurally mediated reflex syncope associated with swallowing. It is typically associated with pharyngoesophageal disorders with secondary abnormal vagal reflex causing atrioventricular cardiac block and cerebral hypoperfusion. Diagnosis can be delayed and challenging. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.058DOI Listing

Telemedicine and the Interdisciplinary Clinic Model: During the COVID-19 Pandemic and Beyond.

Otolaryngol Head Neck Surg 2020 Jun 2:194599820932167. Epub 2020 Jun 2.

Department of Otolaryngology-Head and Neck Surgery, University of Washington Medical Center, Seattle, Washington, USA.

The emergence of the novel coronavirus disease 2019 (COVID-19) and the subsequent need for physical distancing have necessitated a swift change in health care delivery. Prior to the COVID-19 outbreak, many institutions utilized an interdisciplinary clinic model including both a laryngologist and a speech-language pathologist for the evaluation of patients with voice, swallowing, and upper airway disorders. To improve access, many providers are pursuing the use of interdisciplinary telemedicine to provide individualized patient-centered care while allowing for physical distancing. Read More

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http://dx.doi.org/10.1177/0194599820932167DOI Listing

Case report of a familial triple: a syndrome and review of the literature.

Medicine (Baltimore) 2020 May;99(22):e20474

Pediatric Unit, Maternal and Child Department, Azienda USL of Reggio Emilia, Sant'Anna Hospital, Castelnovo ne' Monti, Italy.

Rationale: Triple-A syndrome, or Allgrove syndrome (AS), is a rare autosomal recessive disorder characterized by the alacrimia, achalasia, and adrenal insufficiency triad. Alacrimia usually starts at early infancy, while achalasia and adrenal insufficiency appear later during childhood or adulthood. Some patients may also present with the so-called Double-A syndrome (i. Read More

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http://dx.doi.org/10.1097/MD.0000000000020474DOI Listing

Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review.

Dysphagia 2020 May 28. Epub 2020 May 28.

Department of Otorhinolaryngology and Phoniatrics-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

The COVID-19 is a global pandemic. Its rapid dissemination and serious course require a novel approach to healthcare practices. Severe disease progression is often associated with the development of the Acute Respiratory Distress Syndrome and may require some form of respiratory support, including endotracheal intubation, mechanical ventilation, and enteral nutrition through a nasogastric tube. Read More

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http://dx.doi.org/10.1007/s00455-020-10139-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255443PMC

A comparison of swallow-related submandibular contraction amplitude and duration in people with Parkinson's disease and healthy controls.

Int J Speech Lang Pathol 2020 May 28:1-8. Epub 2020 May 28.

Davies School of Communication Sciences and Disorders, Texas Christian University, Fort Worth, TX, USA.

: To compare the contraction amplitude and contraction duration of submandibular muscles during the pharyngeal stage of swallowing in people with Parkinson's disease (PD) compared to normal controls.: A prospective cross-sectional study design was utilised to recruit 24 participants from the regional area. A total of 14 people with PD and 10 healthy controls (HC) were recruited. Read More

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http://dx.doi.org/10.1080/17549507.2020.1766566DOI Listing

A Systematic Review of the Physiological Effects of the Effortful Swallow Maneuver in Adults With Normal and Disordered Swallowing.

Am J Speech Lang Pathol 2020 May 28:1-19. Epub 2020 May 28.

Department of Communication Sciences and Disorders, Syracuse University, NY.

Purpose This systematic review summarizes the biomechanical and functional effects of the effortful swallow in adults with and without dysphagia, highlighting clinical implications and future research needs. Specifically, the effects of the effortful swallow on swallowing physiology, safety, and efficiency were identified, as well as the strengths and limitations of current research. Method Recommendations specified by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses were followed. Read More

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http://dx.doi.org/10.1044/2020_AJSLP-19-00132DOI Listing

Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants.

Dysphagia 2020 May 26. Epub 2020 May 26.

Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, Guangdong, China.

Objective: To determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status.

Methods: This study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Read More

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http://dx.doi.org/10.1007/s00455-020-10138-7DOI Listing

Non-invasive identification of swallows via deep learning in high resolution cervical auscultation recordings.

Sci Rep 2020 May 26;10(1):8704. Epub 2020 May 26.

Department of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA.

High resolution cervical auscultation is a very promising noninvasive method for dysphagia screening and aspiration detection, as it does not involve the use of harmful ionizing radiation approaches. Automatic extraction of swallowing events in cervical auscultation is a key step for swallowing analysis to be clinically effective. Using time-varying spectral estimation of swallowing signals and deep feed forward neural networks, we propose an automatic segmentation algorithm for swallowing accelerometry and sounds that works directly on the raw swallowing signals in an online fashion. Read More

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http://dx.doi.org/10.1038/s41598-020-65492-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251089PMC

Nutritional challenges in children and adolescents with Down syndrome.

Lancet Child Adolesc Health 2020 Jun;4(6):455-464

Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway. Electronic address:

Several features and comorbidities in Down syndrome have nutritional implications and consequences. In infancy and early childhood, children with Down syndrome have a high risk of oral motor difficulties and pharyngeal dysphagia with aspiration, which both require systematic attention. To improve nutritional status in children who are underweight and who have clinical signs of feeding problems, further evaluation of underlying causes is required. Read More

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http://dx.doi.org/10.1016/S2352-4642(19)30400-6DOI Listing

Perspectives of speech and language therapists in paediatric palliative care: an international exploratory study.

Int J Lang Commun Disord 2020 May 25. Epub 2020 May 25.

Speech Pathology, School of Health and Human Sciences, Southern Cross University, Bilinga, QLD, Australia.

Background: The involvement of speech and language therapists (SLTs) within paediatric palliative care (PPC) settings has been recognized within the extant literature. However, there is little understanding of SLT's specific roles and practices when working with this vulnerable cohort of children and their families. As part of a larger body of work to develop consensus-based recommendations for SLTs working in PPC, it is important to investigate demographic and caseload characteristics. Read More

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http://dx.doi.org/10.1111/1460-6984.12539DOI Listing
May 2020
1.392 Impact Factor

[Creation of a tool to help assess eating disorders in young children].

Soins Pediatr Pueric 2020 Mar - Apr;41(313):38-43. Epub 2020 Feb 17.

Service de pédiatrie générale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75743 Paris cedex 15, France; Centre de référence du syndrome de Pierre Robin et troubles de la succion-déglutition congénitaux, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75743 Paris cedex 15, France.

In order to optimize the care of young hospitalized children with eating disorders, the Orality group at the Necker-Enfants malades University Hospital in Paris has created a therapeutic education tool: the Fleur des sens. This flower which is to be colored at the end of the meal with the child has nine petals representing nine foods that make up the meal, which were initially difficult or even impossible for the young patient to eat. This tool participates in the educational diagnosis and then in the formative evaluation of the child. Read More

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http://dx.doi.org/10.1016/j.spp.2020.02.009DOI Listing

Whiplash-Associated Dysphagia and Dysphonia: A Scoping Review.

Dysphagia 2020 May 22. Epub 2020 May 22.

Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, NSW, Australia.

Swallowing and voice complaints after a whiplash injury have been observed and reported in several studies; however, variability in study design complicates current understanding of whether dysphagia and dysphonia should be recognised as potential adverse outcomes. A scoping review was conducted across six databases from 1950 to March 2019. A total of 18 studies were included for review. Read More

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http://dx.doi.org/10.1007/s00455-020-10137-8DOI Listing