Dysphagia最新文献

{"title":"The Use of Capsaicin in the Treatment of Swallowing Disorders.","authors":"Xiuchan Song, Libing Chen, Weiling Li, Yanrong Liu, Zhiguang Yao","doi":"10.1007/s00455-025-10851-1","DOIUrl":"https://doi.org/10.1007/s00455-025-10851-1","url":null,"abstract":"<p><p>Swallowing disorders are a common clinical issue that significantly impacts patients' quality of life and nutritional intake. Recent years have seen a growing interest in capsaicin, a natural compound, due to its potential neuroprotective effects and its ability to stimulate the swallowing reflex. This review summarizes the research progress on the application of capsaicin in the treatment of swallowing disorders, detailing its mechanisms of action, clinical applications, and future research directions. By doing so, this paper aims to provide insights into the potential of capsaicin as a therapeutic agent in the management of swallowing difficulties, highlighting the need for further exploration in this promising area of study.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphagia and Oral Health in Older Adults with Motoric Cognitive Risk Syndrome.","authors":"Özgü İnal Özün, Senem Demirdel, Necmiye Ün Yıldırım, Mehmet İlkin Naharci","doi":"10.1007/s00455-025-10849-9","DOIUrl":"https://doi.org/10.1007/s00455-025-10849-9","url":null,"abstract":"<p><p>Slow gait speed and subjective cognitive decline in older adults are characteristics of motoric cognitive risk syndrome (MCRS). Dysphagia and oral health may be connected to MCRS because they are linked to both motor function and cognitive performance. This study aimed to investigate dysphagia and oral health among older adults with MCRS. Community-dwelling adults over 65 years of age who visited the geriatric outpatient clinic for regular check-ups were included (N = 152). Socio-demographic and clinical data were collected, and the Eating Assessment Tool (EAT-10) and Geriatric Oral Health Assessment Index (GOHAI) were implemented. Participants were divided into two groups as MCRS (N = 36) and non-MCRS (N = 116). Poorer GOHAI and EAT-10 scores were observed in the MCRS group (all p < 0.05 for all). After adjusting for potential confounding factors, higher EAT-10 scores were found to be independently associated with MCRS (OR = 1.13, 95% CI: 1.04-1.23, p = 0.005), but not GOHAI scores. Our findings indicated an association between dysphagia and MCRS in older adults. This is the first study in the literature to examine the association between dysphagia and oral health among older adults with MCRS. MCRS is a very recent topic in the literature and the parameters associated with MCRS are not clear. This study will contribute to the literature filling an important gap because a better understanding of the mechanisms linking these two comorbidities is vital for the development of targeted interventions aimed at reducing swallowing difficulties in patients with MCRS.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Postoperative Dysphagia in Patients with Oral Cavity and Oropharyngeal Cancer: A Systematic Review and Meta-analysis.","authors":"Jing Zhang, Yong-Kang Zhu, Yi-Fan Wan, Hong-Yun Wu, Chengfengyi Yang, Xiao-Ke Li, Li-Bing Tan, Yue Yang","doi":"10.1007/s00455-025-10854-y","DOIUrl":"10.1007/s00455-025-10854-y","url":null,"abstract":"<p><p>This study was aimed at determining the risk factors for postoperative dysphagia, a common complication, in patients with oral cavity and oropharyngeal cancers. PubMed, Embase, Web of Science Core Collection, Cochrane Library, CINAHL, China National Knowledge Infrastructure, Wanfang, SinoMed, and Weipu were searched up to July 9, 2023, for cross-sectional, cohort, and case-control studies on postoperative dysphagia-associated factors in patients with oral cavity and oropharyngeal cancers. Two researchers independently screened the articles. Twenty-one studies involving 3352 patients with oral cavity and oropharyngeal cancers were included. The relationship between postoperative dysphagia and 22 factors was analyzed. Nine of these were considered as definite or possible risk factors, including age of ≥ 60 years (odds ratio [OR] = 3.161, 95% confidence interval [CI]: 1.334-7.493), poor preoperative swallowing (OR = 2.618, 95% CI: 1.733-3.955), comorbidities (OR = 2.636, 95% CI: 1.556-4.467), stage T3 or T4 disease (OR = 2.864, 95% CI: 1.130-7.256), tumor in the oropharynx (OR = 1.890, 95% CI: 1.019-3.504), tongue base resection of ≥ 50% (OR = 6.092, 95% CI: 1.429-25.975), subtotal or total glossectomy (OR = 3.433, 95% CI: 1.407-8.376), extent of resection of the mouth floor (OR = 1.457, 95% CI: 1.089-1.949), and postoperative radiotherapy (OR = 2.247, 95% CI: 1.035-4.878). Nine risk factors for postoperative dysphagia in patients with oral cavity and oropharyngeal cancers were identified. Early identification of these risk factors can provide a basis for identifying and managing postoperative dysphagia in these patients.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Swallowing Function in Tracheotomy Patients with Subglottic Oxygen Flow: A Randomized Self-Controlled Crossover Trial.","authors":"Zhi-Ming Tang, Zhi-Yong Peng, Zhong-Hui Shi, Hai-Wan Wu, Li-Shan Chen, Zi-Ling Yang, Wumiti AiHaiti, Hui-Chan Zhou","doi":"10.1007/s00455-025-10852-0","DOIUrl":"10.1007/s00455-025-10852-0","url":null,"abstract":"<p><p>To investigate the effect of oxygen airflow administered through a subglottic suction tube on the swallowing function of stroke patients with tracheotomies. This study used randomized self-controlled cross-over design. A total of 20 patients with dysphagia following tracheotomy related to stroke were enrolled. Patients were assessed using fiberoptic endoscopic evaluation of swallowing (FEES) as they swallowed 5 ml of thickness liquid under five different conditions: continuous oxygen airflow through the subglottic suction tube at three varying flow rates (3 L/min, 5 L/min, and 7 L/min) with the tube cuff inflated, the tube cuff deflated, and the tracheal tube capped. The Rosenbek penetration aspiration scale (PAS) and Yale Pharyngeal Residue Scale(YPR-SRS) were employed to evaluate swallowing residue and aspiration. When continuous subglottic oxygen airflow was administered at 5 L/min and 7 L/min, the PAS scores were significantly lower compared to the conditions of cuff deflation and tracheal tube capping. Additionally, the PAS scores at a subglottic oxygen airflow rate of 3 L/min were significantly lower than the condition with the tube cuff deflated (P < 0.01). Furthermore, the YPR-SRS scores during continuous subglottic oxygen airflow at 5 L/min were significantly lower than those observed with the tube cuff deflated and the tracheal tube capped (P < 0.01). The continuous administration of oxygen airflow through the subglottic suction tube significantly enhanced the safety and efficiency of swallowing in stroke patients with tracheotomy and dysphagia, which expected to be widely used in clinical practice.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Combined Repetitive Transcranial Magnetic Stimulation and Chin-tuck Against Resistance Dual Stimulation on Swallowing: An fNIRS and EMG Study.","authors":"Jihai Peng, Siyu Huang, Wenlin Zhang, Ke Er Chen, Xiaoman Chen, Qian Ding, Guangqing Xu","doi":"10.1007/s00455-025-10847-x","DOIUrl":"https://doi.org/10.1007/s00455-025-10847-x","url":null,"abstract":"<p><p>To simultaneously perform dual stimulation (DS) through repetitive transcranial magnetic stimulation (rTMS) and resistance training of the target muscle group (submental muscles) using chin-tuck against resistance (CTAR), with the aim of observing via functional near-infrared spectroscopy (fNIRS) and surface electromyography studies whether rTMS and CTAR dual stimulation can maximize cerebral blood oxygenation and brain connectivity changes, as well as submental muscle contraction function, thus enhancing swallowing function and providing a new treatment method to reduce clinical swallowing disorder patients' risk of aspiration. Forty age-matched healthy participants were enrolled and assigned to four groups: the first group received no intervention, the second group received 5-Hz single stimulation via rTMS on the dominant hemisphere M1; the third group received simultaneous 5-Hz rTMS on the dominant hemisphere M1 with active resistance movement DS of the submental muscles; the last group received single stimulation via CTAR; all participants were assessed before and after stimulation through fNIRS to measure cerebral hemodynamics for evaluating differences in brain area activation and functional connectivity during resting and task states. Differences in the root mean square amplitude (RMS) of the submental muscle group among the four groups were also analyzed. DS group channels 24 and 51 showed higher cortical activation; also increased connectivity from the left frontal lobe to the right parietal lobe. In bilateral submental muscle groups, RMS after intervention was significantly reduced in DS group and CTAR group, while there was no significant difference between TMS group and control group. In conclusion, dual stimulation of rTMS combined with CTAR can significantly activate the cerebral cortex, increase brain connectivity and reduce RMS in the rehabilitation of dysphagia, which is a promising treatment method and provides a basis for non-invasive research of fNIRS.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Active Interferential Current Stimulation on Swallowing Function in Patients with Dysphagia: A Cross-Sectional Study of Interferential Current Stimulation on Swallowing Function in Patients with Dysphagia: A Cross-Sectional Study.","authors":"Shinsuke Nagami, Masayuki Kouda, Katsuya Nakamura, Yuhei Kodani, Naoya Obama, Ayaka Yokozeki, Kazuhiro Wakamatsu, Masanori Hirobayashi","doi":"10.1007/s00455-025-10853-z","DOIUrl":"https://doi.org/10.1007/s00455-025-10853-z","url":null,"abstract":"<p><p>Dysphagia is prevalent among elderly and neurologically impaired individuals, causing serious complications such as aspiration pneumonia. Interferential Current Stimulation (IFC), a non-invasive sensory method, may improve swallowing by reducing reflex latency. This study aimed to investigate the effects observed during active IFC stimulation of IFC on swallowing function using Laryngeal Elevation Delay Time (LEDT), Stage Transition Duration (STD), and Penetration-Aspiration Scale (PAS). Forty-six participants (ages 29-98) undergoing videofluoroscopic swallowing studies received IFC stimulation with electrodes bilaterally placed on the thyroid cartilage. Swallowing parameters were analyzed frame-by-frame using ImageJ software. LEDT measured the time from contrast arrival at the bottom of the piriform sinus to maximum laryngeal elevation. STD was the interval from oral bolus transit to pharyngeal swallow initiation. PAS assessed penetration and aspiration severity. LEDT significantly improved from baseline (median [IQR]: 0.15 [0.00-0.35] s) to 10 min during IFC stimulation (0.00 [0.00-0.19] s; p = 0.02, r = 0.46, 95% CI [0.11-0.76]). No significant changes were found in STD (STD1: p = 0.37; STD2: p = 0.37) or PAS scores (PAS1: p = 0.20; PAS2: p = 0.71). Responder analysis indicated substantial individual variability: approximately 70% improved in LEDT, while only 37-45% improved in STD. Higher responder rates were noted among participants with respiratory and cerebral disorders. IFC stimulation significantly shortened swallowing reflex latency (LEDT), suggesting its potential benefit for dysphagia rehabilitation. However, it did not significantly alter stage transition duration (STD) or penetration-aspiration safety (PAS). Further studies should explore long-term effects and optimal stimulation parameters.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Telemedicine on Dysphagia Rehabilitation in Patients Requiring Home Care: A Retrospective Study.","authors":"Rieko Moritoyo, Kazuharu Nakagawa, Kanako Yoshimi, Kohei Yamaguchi, Yuki Nagasawa, Ryosuke Yanagida, Koji Hara, Haruka Tohara","doi":"10.1007/s00455-025-10844-0","DOIUrl":"https://doi.org/10.1007/s00455-025-10844-0","url":null,"abstract":"<p><p>This study investigated telemedicine as an alternative to home-visit medical care (HMC) when HMC for patients with dysphagia was suspended. This retrospective study assessed whether telemedicine reduced adverse events compared to suspending care during the initial 3 months of the coronavirus pandemic. Seventy-six HMC patients were enrolled. Those who received telemedicine formed the telemedicine group (TG), and those who declined comprised the suspended group (SG). Baseline data and adverse events, including whole-body and dysphagia-related adverse events, were analyzed using the Mann-Whitney U-test, Fisher's exact test, and binomial logistic regression. Of the 76 patients, 20 were in TG and 56 in SG. Telemedicine consultations' frequency was 1-3. Significant baseline differences occurred in the Charlson Comorbidity Index (CCI) and caregiver type. In the TG and SG, 0% and 12.5% of patients experienced whole-body adverse events and 10.0% and 33.9% had dysphagia-related adverse events, respectively. Dysphagia-related adverse events were significantly lower in TG (p = 0.046). Telemedicine was significantly associated with fewer dysphagia-related adverse events after adjusting for age, CCI, and Dysphagia Severity Scale (p = 0.040). Telemedicine effectively supplemented in-person dysphagia rehabilitation, enabling continued monitoring and reducing complications, although patient self-selection and caregiver support may have influenced outcomes.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Use of Pill Swallowing in Dysphagia Assessment: A Survey of Common Practices.","authors":"Meg Wood, Mary Gorham-Rowan, Ruth Renee Hannibal, Katherine Lamb, Michelle Cox","doi":"10.1007/s00455-025-10846-y","DOIUrl":"https://doi.org/10.1007/s00455-025-10846-y","url":null,"abstract":"<p><p>Pill swallowing and medication administration can be problematic in patients with difficulty swallowing and can lead to poor medication compliance. The extent to which speech-language pathologists (SLPs) consider pill swallowing during videofluorographic assessments, however, is not known. A survey focusing on SLP practices, knowledge, and opinions about assessment of pill swallowing and subsequent medication administration decisions in patients with dysphagia was distributed to SLPs via American Speech-Language-Hearing Association (ASHA) special interest divisions and an online forum. Results from the survey revealed that while 53% of respondents agreed that pill swallowing should be included during dysphagia assessment, only 28% routinely do so. However, 58% of the SLPs reported making recommendations regarding medication administration based on the results of the videofluorographic exam. Further research should focus on best practices for pill swallowing assessment as well as exploring interventions for pill swallowing difficulty within the dysphagic population so that adverse events can be minimized, and patient outcome maximized.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Feeding-swallowing Impact Survey: Reference Values from a UK Sample of Parents of Children Without a Known or Suspected Feeding Disorder.","authors":"Alexandra Stewart, E Van Hoeve, A Mustafa, M A Lefton-Greif, D Ridout, C H Smith","doi":"10.1007/s00455-025-10845-z","DOIUrl":"https://doi.org/10.1007/s00455-025-10845-z","url":null,"abstract":"<p><p>The feeding swallowing impact survey (FS-IS) is an 18-question, 3 subscale, validated tool measuring parent/caregiver impact of children's eating, drinking and swallowing difficulties. This study aimed to establish reference values from parents of children without known or suspected paediatric feeding disorder for the FS-IS. Parents of children aged 6 months-11 years were invited to complete an anonymous, online questionnaire. The Pedi-EAT-10 was used to screen for pediatric feeding disorder. For the FS-IS average and cumulative scores were calculated for the whole scale and subscales. Percentile rankings were calculated for the cumulative whole scale score. The relationship between variables was explored using Spearman's correlation and 75th centile quantile regression. The final sample consisted of 904 parents. Median (IQR) whole scale score was 1.11 (1.06, 1.22), from a possible range of 1-5.. Percentile rank scores were: 5th = 18, 25th = 19, 50th percentile = 20, 75th = 22 and 95th = 29, from a possible range of 18-70. Parent perception of a feeding difficulty was the factor associated with greatest score increase. These data provide UK reference data for the FS-IS, facilitating its use in the evaluation of parental impact of feeding difficulties, a key component of holistic, family-centred care. Feeding-related QOL is largely unaffected in caregivers of children without a diagnosed or suspected pediatric feeding disorder.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Transfer Learning for the Automated Segmentation and Detection of Swallows via Digital Cervical Auscultation in Children.","authors":"Stephen So, Timothy Tadj, Belinda Schwerin, Anne B Chang, Thuy T Frakking","doi":"10.1007/s00455-025-10833-3","DOIUrl":"https://doi.org/10.1007/s00455-025-10833-3","url":null,"abstract":"<p><p>Digital cervical auscultation (CA) has high diagnostic test accuracy in the detection of aspiration in children. However, the clinical application of digital CA is limited because swallow sound recordings require manual segmentation by trained experts, which is time consuming and not feasible in clinical practice. The automated detection of swallowing sounds in adults from sound recordings have reported accuracies between 76 and 95%. No equivalent literature exists for the automated detection of swallowing sounds in children. This study aimed to establish whether automated machine learning using a transfer learning approach can accurately detect and segment swallows from digital CA recordings in children. Swallow sounds were collected from 16 typically developing children, median age 18 months (range 4-35 months, 50% males); and 19 videofluoroscopic swallow studies of children with pediatric feeding disorders, median age 9 months (range 3-71 months, males 36.8% males). All swallowing sounds were on thin fluids. A deep convolutional neural network (DCNN) that was pre-trained for the task of audio event classification was used as the base machine learning model. Using the raw swallow audio data as input, embedding vectors from the base DCNN were computed and used to train a feedforward neural network to identify whether an audio segment was a swallow or not. A high overall accuracy of 91% was achieved using our model, with a sensitivity (or recall) and positive predictability (or precision) of 81% and 79%, respectively. Interestingly, the model was also able to detect saliva swallows in the clinical feeding evaluation test set, even though these non-nutritive swallows were not part of the training set. This indicates a level of generalizability of the model, where it was able to recognize swallowing events that it had not \"seen\" before. Our study provides the highest accuracy reported to date on the automatic segmentation and detection of swallowing sounds in children.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}