Long-Term Outcomes of Dysphagia Rehabilitation With an Adjustable Resistance Training Device in Laryngectomized Individuals.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-10-23 DOI:10.1002/hed.27972

Marise Neijman, Frans J M Hilgers, Michiel W M van den Brekel, Rob J J H van Son, Martijn M Stuiver, Lisette van der Molen

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引用次数: 0

Abstract

Background: This study investigated long-term outcomes of dysphagia rehabilitation with an adjustable resistance training device (Swallowing Exercise Aid, SEA2.0) in laryngectomized individuals.

Methods: Seventeen laryngectomized participants who participated in a Clinical Phase II Trial were reevaluated at T3 (approximately 6 months after T2), including an interview, PROMS, oral intake, and swallowing capacity. Results of T3 were compared with the earlier time points T0 (baseline), T1 (after 6 weeks of training), and T2 (after 8 weeks of rest).

Results: All outcomes at T3 remained improved compared to T0. Compared to findings at T2, participants reported some deterioration in swallowing at T3. Swallowing capacity and oral intake slightly decreased. Swallowing-related quality of life slightly improved.

Conclusions: Benefits of swallowing rehabilitation with the SEA2.0 in laryngectomized individuals are still noticeable long term. The need for continued exercising to fully maintain improved function is likely, but the required intensity and extent should be determined in further research.

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喉切除者使用可调阻力训练装置进行吞咽困难康复训练的长期效果。

背景：本研究调查了使用可调节阻力训练装置（吞咽运动辅助器 SEA2.0）对喉切除者进行吞咽困难康复训练的长期效果：本研究调查了喉切除者使用可调阻力训练装置（吞咽运动辅助器，SEA2.0）进行吞咽困难康复训练的长期效果：参加临床 II 期试验的 17 名喉切除者在 T3 期（T2 期后约 6 个月）接受了重新评估，包括访谈、PROMS、口腔摄入量和吞咽能力。将 T3 的结果与之前的时间点 T0（基线）、T1（训练 6 周后）和 T2（休息 8 周后）进行了比较：结果：与 T0 相比，T3 的所有结果均有所改善。与 T2 时的结果相比，T3 时参与者的吞咽能力有所下降。吞咽能力和口腔摄入量略有下降。与吞咽相关的生活质量略有改善：使用 SEA2.0 进行吞咽康复训练对喉切除者的长期益处仍然明显。可能需要继续锻炼以充分保持改善的功能，但所需的强度和程度应在进一步的研究中确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.