Dysphagia最新文献

{"title":"Correction to: Refining the Protocol and Clinical Pathway for Oesophageal Screening in Videofluoroscopic Swallow Studies: An Examination of Clinical and Operational Impacts Over Five Years.","authors":"Kellie McCarthy, Emma Finch, Anna Miles","doi":"10.1007/s00455-026-10976-x","DOIUrl":"https://doi.org/10.1007/s00455-026-10976-x","url":null,"abstract":"","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857048","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 Potassium on Swallowing Performance in Healthy Humans.","authors":"Namon Phetnin, Yoko Kawana, Chisato Aizawa, Reiko Ita, Anna Sasa, Takanori Tsujimura, Jin Magara, Makoto Inoue","doi":"10.1007/s00455-026-10990-z","DOIUrl":"https://doi.org/10.1007/s00455-026-10990-z","url":null,"abstract":"<p><p>There is no consensus regarding the effect of potassium on swallowing initiation. In this study, we evaluated how the topical infusion of several solutions, including potassium chloride (KCl), affects involuntary swallowing initiation in humans. Hypopharyngeal fluid stimulation was an infusion of saline (154 mM sodium chloride), 154 mM KCl, and distilled water (DW) at two infusion rates (0.2 mL/min and 3.0 mL/min) for 1 min administered to 27 volunteers. Participants were instructed to swallow when ready. Electromyography (EMGs) of the suprahyoid muscles was performed to determine swallowing muscle activity. At a lower infusion rate (0.2 mL/min), the difference in the number of swallows and the time interval between two consecutive swallows were observed only between saline and DW and between saline and KCl. At a higher rate (3.0 mL/min), a difference was observed between DW and KCl; the order of facilitatory effects was KCl, DW, and saline. The area and duration, especially the peak-to-offset time, of the EMG bursts were significantly larger and longer, respectively, during voluntary swallowing than during involuntary swallowing under all conditions. Considering the differences in the effects of KCl on swallowing initiation between previous studies and ours, some methodological differences should be considered, such as infusion rate or site and the effect of taste stimulation on the central neural network. In conclusion, KCl application at lower infusion rates is not sufficient to enhance swallowing initiation beyond that evoked by water stimulation, whereas at a higher infusion rate (3.0 mL/min), it facilitates swallowing initiation via combined ionic, chemosensory, mechanical, and/or other sensory inputs.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857020","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":"Enhancement of Tongue Tactile Sensitivity via Stochastic Resonance.","authors":"Kuon Nakahata, Makoto Sasaki, Yasushi Tamada, Yoshihiro Tanaka","doi":"10.1007/s00455-026-10997-6","DOIUrl":"https://doi.org/10.1007/s00455-026-10997-6","url":null,"abstract":"<p><p>The sensory function of the tongue is crucial for chewing and swallowing. A decline in this function due to aging or disability increases the risk of aspiration, choking, and aspiration pneumonia. The objective of this study was to determine whether stochastic resonance, in which the application of noise vibrations enhances the tactile sensitivity of fingers and other body parts, also occurs in the tongue and to determine its effects. To do so, we evaluated the effects of noise vibration applied to the submental region on tongue sensitivity during both passive and active touch. This was assessed in 15 young men (mean age ± standard deviation, 22.7 ± 1.0 years) and 12 older men (73.9 ± 5.2 years) with no tongue-related disorders or relevant medical history. The Semmes-Weinstein perception test was used to measure tactile thresholds, while the Roughness Discrimination Test was used to assess the accuracy rates of roughness discrimination. The tactile threshold for passive touch decreased in 96% of participants, with improved sensitivity observed in both the young and older groups. Furthermore, the accuracy rate for roughness discrimination during active touch improved in 59% of participants, with enhanced sensitivity noted in both groups. No participants failed to show an effect of stochastic resonance on either passive or active touch. These findings indicate that noise vibration applied to the submental region immediately enhances the sensory function of the tongue, suggesting potential applications in new dietary support devices.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857042","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":"Influence of Posture, Viscosity, and Neck Circumference on Swallowing Acoustics: A Mixed-Effects Analysis.","authors":"Harun Ayas, Müge Müzeyyen Çiyiltepe","doi":"10.1007/s00455-026-10994-9","DOIUrl":"https://doi.org/10.1007/s00455-026-10994-9","url":null,"abstract":"<p><p>Neck-surface swallowing acoustics may enable accessible monitoring of swallowing, yet intensity-derived features can be influenced by both experimental manipulations and anatomical sound transmission. This study aimed to examine the effects of head-neck posture, bolus viscosity, and neck circumference on swallowing-sound duration and uncalibrated mean acoustic intensity recorded using a neck-mounted contact microphone. Sixty healthy young adults (30 female, 30 male; 18-35 years) completed four standardized 10-mL swallows comprising thin-liquid and pudding-thick swallows in neutral and chin-tuck head-neck postures (International Dysphagia Diet Standardisation Initiative [IDDSI] Levels 0 and 4). Swallow sounds were segmented in Praat to extract swallowing-sound duration and mean acoustic intensity (dB; uncalibrated; Praat-derived). Linear mixed-effects models with a participant-level random intercept tested head-neck posture, viscosity, and their interaction for both acoustic outcomes; neck circumference was included as a continuous covariate in the intensity model. Mean acoustic intensity was higher in the chin-tuck than in the neutral head-neck posture (B = 5.3 dB, p < 0.001), and a significant posture × viscosity interaction was observed (B = - 2.8 dB, p = 0.030), indicating a smaller chin-tuck-related acoustic-intensity increase for pudding than for thin liquid. Neck circumference was negatively associated with mean acoustic intensity (B = - 1.0 dB/cm, p = 0.024). Swallowing-sound duration showed a small posture-related increase (B = 0.02 s, p = 0.031); however, this effect was not robust after adjustment for multiple comparisons, and no posture × viscosity interaction was observed. Head-neck posture and viscosity systematically influenced surface-recorded mean acoustic intensity, and neck circumference accounted for meaningful between-participant variability consistent with soft-tissue attenuation. Task conditions and anatomical covariates should therefore be considered when interpreting uncalibrated acoustic-intensity measures obtained from cervical auscultation sensors.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817757","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":"Prevalence of Dysphagia Symptoms in the General Population of Cyprus.","authors":"Maria Demetriou, Fidhan S Gugo, Polykarpou Polina, Aikaterini Kyprianou, Anastasios M Georgiou","doi":"10.1007/s00455-026-11000-y","DOIUrl":"https://doi.org/10.1007/s00455-026-11000-y","url":null,"abstract":"<p><p>Dysphagia is commonly linked to advanced age and coexisting health conditions, but population-level data, especially for younger adults, are limited. This study sought to determine the prevalence of dysphagia symptoms in the general population of Cyprus and examine how it varies across demographic and clinical groups. A large-scale survey was carried out among adult permanent residents of Cyprus aged 18 years and older. Dysphagia symptoms were evaluated using the Eating Assessment Tool-10 (EAT-10). In the primary analysis of 1,163 participants, 18.3% scored ≥ 3 on the EAT-10, indicating a substantial prevalence of dysphagia symptoms in the adult population, with age and health status emerging as the primary associated factors. The association between age and dysphagia risk was non-linear, with higher prevalence observed in both older adults (≥ 65 years) and younger adults (18-25 years). Given the unexpectedly high prevalence of dysphagia in the 18-25 age group, a supplementary analysis was conducted in a cohort of 199 young adults recruited from the student population of the Cyprus University of Technology (CUT). The findings were consistent with those of the primary analysis, showing no meaningful differences in EAT-10 scores between subgroups. Overall, dysphagia symptoms are common among young adults in the Cypriot population and are not confined to older individuals. These findings suggest that swallowing-related symptoms may arise from diverse underlying mechanisms and etiologies (e.g., reflux, pill-swallowing difficulties, etc.) across age groups. As the EAT-10 is a symptom-based screening tool that does not distinguish between underlying causes, the reported dysphagia symptom-based prevalence may be inflated, highlighting the need for more comprehensive assessment approaches to improve etiological differentiation and clinical identification of swallowing disorders.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808499","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":"Changes in Perihyoid Muscle Strength Associated with Fixed and Progressive Resistance Exercise in Healthy Adults.","authors":"Kelly Salmon","doi":"10.1007/s00455-026-10998-5","DOIUrl":"https://doi.org/10.1007/s00455-026-10998-5","url":null,"abstract":"<p><p>The supra- and infrahyoid muscles, collectively referred to as the perihyoid musculature, contribute to hyolaryngeal excursion and pharyngoesophageal segment opening during swallowing. This study investigated whether fixed- and progressive-resistance chin tuck against resistance (CTAR) protocols improve perihyoid strength, measured using open-mouth maximum isometric pressure (OM-MIP), in healthy adults. Forty-two healthy adults were randomly assigned to one of three intervention groups: traditional fixed-resistance CTAR using an inflatable ball, fixed-resistance CTAR using a novel spring-loaded device, or progressive-resistance CTAR using the same novel device. Participants completed a six-week home-based training program. Perihyoid strength was quantified at baseline and post-intervention using the OM-MIP protocol with a handheld dynamometer. Adherence was tracked using a digital home exercise platform. All groups demonstrated statistically significant within-group improvements in OM-MIP. Median paired gains were observed in the traditional fixed-resistance group (+ 3.65 kgF), novel fixed-resistance group (+ 2.25 kgF), and progressive-resistance group (+ 3.20 kgF). Between-group comparisons of change scores were not statistically significant (p = .371), indicating that no single training approach resulted in superior OM-MIP gains. Adherence did not differ significantly across groups and did not significantly predict post-intervention OM-MIP when included as a covariate. Traditional fixed-resistance, novel fixed-resistance, and novel progressive-resistance CTAR protocols were associated with improved OM-MIP in healthy adults following six weeks of home-based training. These findings support the physiologic feasibility of CTAR-based perihyoid strengthening approaches but do not establish effects on swallowing biomechanics or functional swallowing outcomes. Further research is needed to optimize resistance progression, examine dose-response relationships, and determine whether gains in OM-MIP translate to clinically meaningful swallowing outcomes in dysphagic populations.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808516","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":"Efficacy of Neuromuscular Electrical Stimulation Combined with Traditional Swallowing Therapy in Acute Stroke Patients with Dysphagia: A Randomized Controlled Trial.","authors":"Chi-Nung Lin, Chia-Lung Shih","doi":"10.1007/s00455-026-10992-x","DOIUrl":"https://doi.org/10.1007/s00455-026-10992-x","url":null,"abstract":"<p><p>Neuromuscular electrical stimulation (NMES) has been proposed as an adjunct to conventional swallowing therapy; however, evidence regarding its additive benefit in early-stage stroke remains inconclusive. This study aimed to determine whether NMES combined with traditional swallowing therapy provides superior outcomes compared with traditional therapy alone in enteral tube-dependent patients with acute and subacute post-stroke dysphagia. A total of 57 participants with post-stroke dysphagia who met the inclusion criteria were randomly assigned to either the NMES combined with traditional swallowing therapy group or the traditional swallowing therapy with sham stimulation group. Both groups were scheduled to receive 10 treatment sessions over a 2-week period. Outcomes were assessed at baseline, after the first week of the intervention, at the end of the 2-week intervention period, and 2 weeks after completion of the intervention. The primary outcome was functional oral intake measured by the Functional Oral Intake Scale (FOIS). Secondary outcomes included swallowing-related symptom severity (EAT-10) and swallowing-related quality of life (SWAL-QOL). Both groups demonstrated significant improvement over time. However, the NMES group showed significantly greater improvements in FOIS after the first week of the intervention, at the end of the 2-week intervention period, and 2 weeks after completion of the intervention (all p < 0.05). Greater reductions in EAT-10 scores were also observed in the NMES group across all post-intervention assessments. Improvements in SWAL-QOL total scores were significant in both groups, with a between-group difference observed only after the first week of the intervention. Adjunctive NMES enhances early functional recovery and symptom reduction in acute and subacute post-stroke dysphagia.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808506","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":"Bibliometric and Thematic Review of Research Studies Reporting Swallowing Data across Multiple Consistencies (2012-2024).","authors":"Irina Sanchez de Araujo, Alice Guo, Fabíola Frizzo Guimarães, Kiara Goldenberg, Anittha Mappanasingam, Dominie Yu, Isuru Dharmarathna, Ahmed Nagy, Carlo Pedrolli, Simon Sollereder, Sana Smaoui, Hiba Najeeb, Elaine Lipkin, Paige Darien, Jacqueline K Benfield, Pooja Gandhi, Julie A Y Cichero, Michelle M Simmons, Vanessa Panes, Camila Lirani-Silva, Renata Mancopes, Hilary Milne, Megan E Crawford, Michelle Catao, Catriona M Steele","doi":"10.1007/s00455-026-10986-9","DOIUrl":"10.1007/s00455-026-10986-9","url":null,"abstract":"<p><p>In 2015, the International Dysphagia Diet Standardisation Initiative (IDDSI) published a systematic review of evidence describing the impact of liquid consistency and food texture on swallowing [1, 2]. A recent update synthesized new evidence published since 2012 [3]. As part of full-text review, bibliometric and thematic analysis was completed for 465 articles, which met inclusion criteria of reporting quantitative measures of swallowing in humans across at least two consistencies, with a sample size ≥ 10 participants. Study characteristics were extracted using the universal applicable questions domain of the Framework for RigOr aNd Transparency In REseaRch on Swallowing (FRONTIERS; https://www.frontiersframework.com ), a critical appraisal tool for evaluating study quality and reporting in dysphagia research. Appraisals were performed independently by two reviewers. Data cleaning and discrepancy resolution were performed by the two lead authors. Thematic analysis identified patterns related to study characteristics, scientific rigor and reporting transparency. Parameters were considered well-reported if present in ≥ 60% of the articles, and poorly-reported when present in ≤ 25%. The included articles originated in 32 different countries around the world: 27% coming from Canada/USA, 23% from Europe, 27% from Asia, and 22% from Latin America, Oceania, and Africa/Middle East. With respect to study populations, 425 (91%) reported data for adult participants and 53 (11%) for pediatric participants, with 137 studies (29%) focusing on healthy swallowing. Critical appraisal highlighted gaps with respect to representation of diverse racial and ethnic groups, and a need for greater clarity in reporting the criteria used to define and measure dysphagia severity in future studies.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Functional Oral Intake in Head and Neck Cancer Survivors with Chronic Radiation-Associated Dysphagia - The Multicenter Randomized Controlled HIT-CRAD Trial.","authors":"Hanne Massonet, Ann Goeleven, Leen Van Den Steen, Alice Vergauwen, Margot Baudelet, Fréderic Duprez, Peter Tomassen, Olivier Vanderveken, Sandra Nuyts, Gwen Van Nuffelen","doi":"10.1007/s00455-026-10971-2","DOIUrl":"https://doi.org/10.1007/s00455-026-10971-2","url":null,"abstract":"<p><p>This randomized controlled trial evaluated the efficacy of home-based treatment programs for chronic radiation associated dysphagia (CRAD) in head and neck cancer (HNC) patients, comparing high-volume strength training to combined strength-skill training with either real or sham High-Definition transcranial Direct Current Stimulation (HD-tDCS). 54 HNC survivors with CRAD were randomized in 3 groups, each performing exercises 4 times per week over 8 weeks. Group 1 (n = 18) received strength training only, consisting of tongue strengthening exercises, chin tuck against resistance exercises with effortful swallowing and expiratory muscle strength training. Group 2 (n = 18) completed the same regimen for 4 weeks, followed by 4 weeks of skill training according to the McNeill Dysphagia Therapy Program. Group 3 (n = 18) completed this combined therapy program while receiving HD-tDCS over the swallowing motor cortex during each therapy session. To examine the additional effect of HD-tDCS, group 2 received sham stimulation. All groups showed significant improvements in functional oral intake (p < .001), swallowing function (p < .05) and muscle strength (p < .001). Participants receiving combined strength and skill training (group 2 + 3) had significantly greater odds of better oral intake outcomes after 8 weeks of training (OR 13.47, 95%CI 5.95 - 30.49, p < .001) compared to the strength-only group (group 1) (OR 3.04, 95%CI 1.44 - 6.44, p = .004). There was no additional benefit of HD-tDCS when comparing group 2 and 3. High-volume strength and skill-based training is an effective intervention for CRAD in HNC survivors. Combining strength and skill training is the most efficient choice to improve functional oral intake.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757651","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":"Effect of Swallowing Rehabilitative Therapies on Functional Outcomes and Quality of Life in Head and Neck Cancer Patients: A Meta-analysis of Randomized Controlled Trials.","authors":"Hidayat Arifin, Yu-Hao Chu, Ruey Chen, Pi-Yu Su, Chien-Mei Sung, Trihaningsih Puji Astuti, Nur Aini, Chiao-Ling Lin, Kuei-Ru Chou","doi":"10.1007/s00455-026-10989-6","DOIUrl":"https://doi.org/10.1007/s00455-026-10989-6","url":null,"abstract":"<p><p>Swallowing rehabilitative therapies are widely used to manage impairments in head and neck cancer (HNC), but their pooled effects outcomes have not been established. This study aimed to evaluate the effects of swallowing rehabilitative therapies on functional outcomes and quality of life (QoL) in HNC patients. We searched six databases from inception through December 2024, with no restrictions on date, region, or language. Only randomized controlled trials (RCTs) were eligible. Functional outcomes comprised swallowing function, aspiration/penetration, oral intake, mouth opening, and pain, whereas QoL was assessed overall and across its domains. Pooled effect sizes were estimated using Hedges' g with 95% confidence intervals (CIs) under a random-effects model, where values of approximately 0.20, 0.50, and 0.80 denoted small, moderate, and large effects, respectively. Heterogeneity, publication bias, and moderator analyses were performed. Thirty-one RCTs involving 2,038 HNC patients (men: 68.11%) were included. The therapies exerted moderate to small effects on swallowing function (g: 0.69; 95% CI: 0.30, 1.08), aspiration/penetration (g: -0.21; -0.40, -0.02), oral intake (g: 0.39; 0.07 to 0.71), and mouth opening (g: 0.44; 0.30, 0.58), a large effect on pain (g: -0.93; -1.48, -0.38), and a moderate to small effect on overall QoL (g: 0.43; 0.15, 0.72). Moderator analyses among subgroup comparisons only oral intake showed significantly larger effects with longer (>8 weeks; p = 0.038) and more frequent (>70 sessions; p = 0.025) programs. HNC patients may benefit from tailored, sustained, and frequent swallowing rehabilitation as part of long-term supportive care.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758226","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}