Dysphagia最新文献_第9页

Differential Muscle Activation During Sustained Chin-Tuck Against Resistance (CTAR) Contraction is Consistent Across Different Instructional Conditions in Older Adults. 在不同的指导条件下，老年人在持续的抗阻力下颚收腹（CTAR）收缩过程中不同的肌肉激活是一致的。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-11 DOI: 10.1007/s00455-025-10859-7

Hsiao-Dien Huang, François-Xavier Brajot, Hsin-I Wang, Der-Sheng Han

{"title":"Differential Muscle Activation During Sustained Chin-Tuck Against Resistance (CTAR) Contraction is Consistent Across Different Instructional Conditions in Older Adults.","authors":"Hsiao-Dien Huang, François-Xavier Brajot, Hsin-I Wang, Der-Sheng Han","doi":"10.1007/s00455-025-10859-7","DOIUrl":"https://doi.org/10.1007/s00455-025-10859-7","url":null,"abstract":"The chin tuck against resistance (CTAR) is a popular exercise targeting suprahyoid muscles involved in swallowing. Its effectiveness presumably relies on proper execution. This study assessed the effect of different instructional strategies on neck muscle activation in older adults executing a sustained CTAR contraction. Ninety healthy individuals aged 65 to 90 years old were randomly assigned to one of three groups: video-only, video plus verbal instruction, or video with visual biofeedback using surface electromyography (sEMG). Surrogate measures of muscle recruitment and fatigue within both the suprahyoid and sternocleidomastoid muscles were compared across the three instructional groups. The sEMG amplitude measures were normalized with respect to maximal jaw opening and head rotation. Suprahyoid activity was significantly higher than sternocleidomastoid in terms of both normalized amplitude and fatigue. An analysis of variance failed to show significant differences in either sEMG measures as a function of instructional strategy, although the distribution of responses with biofeedback was significantly more clustered around the group mean (i.e. leptokurtic). The effects of sustained CTAR contractions on suprahyoid activity remain consistent across different instructional strategies, suggesting the technique is a robust one. Biofeedback does seem to improve groupwise performance predictability, however. Future studies should explore longitudinal effects to determine whether instructional strategy may affect outcomes over time.","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607845","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}

引用次数: 0

Prevalence of Stroke-Associated Pneumonia and Associated Factors Among Acute Ischemic Stroke Patients with Dysphagia. 急性缺血性脑卒中伴吞咽困难患者卒中相关性肺炎患病率及相关因素分析

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-09 DOI: 10.1007/s00455-025-10858-8

Tran Huu Thong, Nguyen Thi Thu Hien, Tran Huu Trung, Thang Phan, Tran Huu Lam

{"title":"Prevalence of Stroke-Associated Pneumonia and Associated Factors Among Acute Ischemic Stroke Patients with Dysphagia.","authors":"Tran Huu Thong, Nguyen Thi Thu Hien, Tran Huu Trung, Thang Phan, Tran Huu Lam","doi":"10.1007/s00455-025-10858-8","DOIUrl":"https://doi.org/10.1007/s00455-025-10858-8","url":null,"abstract":"Stroke-associated pneumonia is a common complication in acute ischemic stroke patients, particularly those with dysphagia. Although some studies have addressed stroke-associated pneumonia, research remains limited on this issue among acute ischemic stroke patients with dysphagia, especially in Vietnam. This study used data from a prior cross-sectional study conducted at Bach Mai Hospital in Hanoi, Vietnam. A total of 681 acute ischemic stroke patients with dysphagia were included in the study. The outcome variable was the occurrence of stroke-associated pneumonia within seven days of post-stroke. Univariate and multivariate logistic regression analyses were performed to assess associations with stroke-associated pneumonia. The prevalence of stroke-associated pneumonia among acute ischemic stroke patients with dysphagia was 10.3%. Stroke-associated pneumonia was significantly associated with age > 70 years (AOR: 2.0, 95% CI: 1.1-3.7, P = 0.02), combined or other stroke locations (AOR: 2.6, 95% CI: 1.03-6.3, P = 0.04), National Institute of Health Stroke Scale (NIHSS) score > 14 (AOR: 2.8, 95% CI: 1.4-5.6, P < 0.01), tube feeding (AOR: 3.9, 95% CI: 1.7-8.9, P < 0.01), and hospital stays longer than 14 days (AOR: 3.7, 95% CI: 1.6-8.5, P < 0.01). We found that stroke-associated pneumonia accounts for a significant proportion of stroke patients with dysphagia. The status of stroke-associated pneumonia is associated with older age, specific stroke locations, higher stroke severity, tube feeding, and prolonged hospitalization. We suggest prioritizing respiratory care and physiotherapy, particularly for elderly patients, individuals with severe strokes, those undergoing tube feeding, and those experiencing prolonged hospitalization.","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590704","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}

引用次数: 0

Head Lifting Strength for Pharyngeal Residue After Swallowing. 咽部残留吞咽后抬头力度。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-09 DOI: 10.1007/s00455-025-10861-z

Nao Hashida

引用次数: 0

Response to "Head Lifting Strength for Pharyngeal Residue After Swallowing". 对“吞咽后咽残头举力”的反应。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-09 DOI: 10.1007/s00455-025-10862-y

Kazuki Eimoto, Koutatsu Nagai, Yuta Nakao, Yuki Oshima, Takahiro Matsufuji, Takuya Hamana, Megumi Takato, Tomoyuki Ogino, Naoki Sasanuma, Yuki Uchiyama, Kazuhisa Domen

引用次数: 0

Treatment of Dysphagia in Patients with Dementia: a Systematic Review and Meta-Analysis. 痴呆患者吞咽困难的治疗：系统回顾和荟萃分析。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-07 DOI: 10.1007/s00455-025-10850-2

Lulu Tong, Lijiao Chen, Panpan Xiao, Yan Zhang, Qingqing Cao, Wei Zhu

{"title":"Treatment of Dysphagia in Patients with Dementia: a Systematic Review and Meta-Analysis.","authors":"Lulu Tong, Lijiao Chen, Panpan Xiao, Yan Zhang, Qingqing Cao, Wei Zhu","doi":"10.1007/s00455-025-10850-2","DOIUrl":"https://doi.org/10.1007/s00455-025-10850-2","url":null,"abstract":"To evaluate the effect of various treatment methods on improving swallowing function in patients with dementia dysphagia. Systematic review and meta-analysis. Dementia with dysphagia. A systematic search was conducted across eight databases, including Wanfang, CNKI, VIP, Sinomed, PubMed, Cochrane, Web of Science, and Embase, from inception to November 2024. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental studies assessing treatment measures for dysphagia in dementia patients. Seventeen studies met the inclusion criteria, involving 1,593 participants. The methodological quality was moderate, with substantial baseline control and outcome evaluation, but there were weaknesses in randomization, allocation concealment, and blinding. Treatment measures include behavioral intervention therapy (swallowing training), physical therapy (electrical stimulation, cervical movement), nutritional intervention therapy (diet adjustment, intermittent oral to esophageal tube feeding), and comprehensive training. The meta-analysis results showed that compared with standard care, the overall effect of various treatment methods was significant (standardized mean differences (SMD) = -0.89; 95 % CI = -1.12 ~ -0.66, P < 0.0001). Subgroup analysis showed that the intervention effect of swallowing training was better among various treatment methods. (SMD = -1.56; 95% CI: -2.17 to -0.95, P < 0.0001). Improvements were more significant in patients with mild dysphagia (SMD = -1.06; 95% CI: -1.65 to -0.48, P = 0.0003) and interventions lasting 4-6 weeks (SMD = -0.99; 95% CI: -1.36 to -0.62, P < 0.00001). Various treatment methods can effectively improve the swallowing function of patients with dementia dysphagia. It may be best to carry out 4-6 weeks of swallowing training for patients with early dementia and dysphagia. In the future, higher-quality multicenter studies will be needed for verification.","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575070","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}

引用次数: 0

Effect of Bolus Volume on Upper Esophageal Sphincter Opening: Kinematic Analysis Using 320-Area Detector Computed Tomography. 容积对食管上括约肌开口的影响：320区检测器计算机断层运动学分析。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-05 DOI: 10.1007/s00455-025-10848-w

Keiko Aihara, Marlís González-Fernández, Michele Singer, Eiichi Saitoh, Howell Henrian G Bayona, Yohei Otaka, Yoko Inamoto

{"title":"Effect of Bolus Volume on Upper Esophageal Sphincter Opening: Kinematic Analysis Using 320-Area Detector Computed Tomography.","authors":"Keiko Aihara, Marlís González-Fernández, Michele Singer, Eiichi Saitoh, Howell Henrian G Bayona, Yohei Otaka, Yoko Inamoto","doi":"10.1007/s00455-025-10848-w","DOIUrl":"https://doi.org/10.1007/s00455-025-10848-w","url":null,"abstract":"This study aimed to determine the impact of bolus volume on UES opening. Twenty-two healthy subjects (10 males and 12 females, 23-45 years) underwent a CT scan while swallowing 3-, 10-, and 20 ml of thin liquid. Upper esophageal sphincter (UES) cross-sectional area and hyoid and laryngeal displacement were measured at every frame across three conditions. The timing of UES opening onset, UES maximum opening, and duration of UES opening were also measured. With increasing bolus volume, the UES maximum opening area increased, at the UES opening onset, at the UES maximum opening was earlier, and the duration of the UES opening prolonged. The maximum displacement of the hyoid and larynx was significantly more anteriorly and higher with a large bolus volume. However, the hyoid displacement at the timing of UES maximum opening did not change across three bolus volumes. This result suggests that the increase in the UES maximum opening area with increasing bolus volume was modulated by the bolus itself rather than by the hyoid movement.","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564685","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}

引用次数: 0

The Use of Capsaicin in the Treatment of Swallowing Disorders. 辣椒素在吞咽障碍治疗中的应用。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-07-03 DOI: 10.1007/s00455-025-10851-1

Xiuchan Song, Libing Chen, Weiling Li, Yanrong Liu, Zhiguang Yao

引用次数: 0

Dysphagia and Oral Health in Older Adults with Motoric Cognitive Risk Syndrome. 老年运动认知危险综合征患者的吞咽困难和口腔健康。

IF 3 3区医学

Dysphagia Pub Date : 2025-06-25 DOI: 10.1007/s00455-025-10849-9

Özgü İnal Özün, Senem Demirdel, Necmiye Ün Yıldırım, Mehmet İlkin Naharci

{"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":"10.1007/s00455-025-10849-9","url":null,"abstract":"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 (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.","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":3.0,"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}

引用次数: 0

Risk Factors for Postoperative Dysphagia in Patients with Oral Cavity and Oropharyngeal Cancer: A Systematic Review and Meta-analysis. 口腔和口咽癌患者术后吞咽困难的危险因素：系统回顾和荟萃分析。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-06-21 DOI: 10.1007/s00455-025-10854-y

Jing Zhang, Yong-Kang Zhu, Yi-Fan Wan, Hong-Yun Wu, Chengfengyi Yang, Xiao-Ke Li, Li-Bing Tan, Yue Yang

{"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":"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.","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}

引用次数: 0

Enhancing Swallowing Function in Tracheotomy Patients with Subglottic Oxygen Flow: A Randomized Self-Controlled Crossover Trial. 气管切开术患者声门下氧流增强吞咽功能：一项随机自我对照交叉试验。

IF 2.2 3区医学

Dysphagia Pub Date : 2025-06-21 DOI: 10.1007/s00455-025-10852-0

Zhi-Ming Tang, Zhi-Yong Peng, Zhong-Hui Shi, Hai-Wan Wu, Li-Shan Chen, Zi-Ling Yang, Wumiti AiHaiti, Hui-Chan Zhou

{"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":"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.","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}

引用次数: 0