Abstract:
: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. The objective of this review was to create a clinical algorithm and reference for dysphagia clinicians across clinical settings to minimize spread of COVID-19 cases while providing optimal care to patients suffering from swallowing disorders. Every practitioner and healthcare system will likely have different constraints or preferences leading to the utilization of one technique over another. Knowledge about this pandemic increases every day, but the algorithms provided here will help in considering the best options for proceeding with safe and effective dysphagia care in this new era.
journal_name
Dysphagiajournal_title
Dysphagiaauthors
Fritz MA,Howell RJ,Brodsky MB,Suiter DM,Dhar SI,Rameau A,Richard T,Skelley M,Ashford JR,O'Rourke AK,Kuhn MAdoi
10.1007/s00455-020-10144-9subject
Has Abstractpub_date
2020-06-09 00:00:00eissn
0179-051Xissn
1432-0460pii
10.1007/s00455-020-10144-9pub_type
杂志文章,评审相关文献
DYSPHAGIA文献大全abstract::We measured the oral and pharyngeal transit of a paste bolus in 20 patients with Chagas' disease and 21 controls. Each subject swallowed of a 10-ml paste bolus prepared with 50 ml of water and 4.5 g of instant food thickener labeled with 55.5 MBq of 99m technetium phytate. After the scintigraphic recording of the tran...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-007-9101-8
更新日期:2008-03-01 00:00:00
abstract::(1) To examine the association between vocal fold paresis/paralysis (VFP) and poor swallowing outcomes in a thoracic surgery cohort at the population level, and (2) to assess utilization of ENT/speech-language pathology intervention in these cases. The National Inpatient Sample (NIS) represents a 20% stratified sample...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-019-09987-8
更新日期:2019-12-01 00:00:00
abstract::The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospecti...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-017-9857-4
更新日期:2018-06-01 00:00:00
abstract::This article describes the study of the characteristics of sequential swallowing of 100 ml of liquid (dyed water) in two swallowing trials, directly from a cup and through a straw, in healthy elderly individuals. The aim of the study was to determine whether differences in the swallowing pattern are influenced by the ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-013-9503-8
更新日期:2014-04-01 00:00:00
abstract::Some stroke patients with a unilateral lesion demonstrate acute dysphagia characterized by a markedly prolonged swallowing time, making us think they are reluctant to swallow. In order to clarify the clinical characteristics and causative lesions of delayed swallowing, we conducted a retrospective analysis of 20 right...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-016-9716-8
更新日期:2016-08-01 00:00:00
abstract::The purpose of this phenomenologic study was to describe the lived experiences of seven mothers who were providing home-based care for their children with feeding and/or swallowing difficulties. Data were collected using semistructured interviews and were analysed as per Colaizzi's method of inductive reduction. Resul...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-009-9210-7
更新日期:2009-09-01 00:00:00
abstract::Aspiration is a common finding in the postesophagectomy barium swallow that often necessitates premature termination of the study prior to complete evaluation of the gastric conduit. More importantly, aspiration may play a significant role in the high incidence of postoperative pulmonary complications in this populati...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-001-0068-6
更新日期:2001-07-01 00:00:00
abstract::Fifty-one patients with systemic sclerosis (scleroderma) underwent videofluoroscopy during barium swallow to evaluate the incidence of oropharyngeal deglutition abnormalities and to correlate the radiologic patterns of esophageal motility abnormalities with patients' clinical features. Thirteen patients (26%) showed s...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF02493531
更新日期:1991-01-01 00:00:00
abstract::Although barium swallow imaging is established in the investigation of Zenker's diverticulum (ZD), no agreed measurement protocol exists. We developed a protocol for measuring ZD dimensions and aimed to correlate measurements with symptoms and post-operative outcomes. This prospective study included patients with conf...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-020-10148-5
更新日期:2020-06-19 00:00:00
abstract::A masticatory test using two-colored chewing gum is presented and analyzed. Two separate parameters of chewing were studied on the same chewing gum bolus after 10 strokes of oral preparation, color mixing, and bolus shaping. The two parameters were evaluated in indices 1-5. A test series should preferably contain thre...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF00440079
更新日期:1995-04-01 00:00:00
abstract::The contribution of hyoid and laryngeal movement deficits to penetration or aspiration in dysphagia is unclear, partly due to large variations in normal hyolaryngeal kinematics for swallowing. In healthy volunteers, laryngeal and hyoid kinematics relate to the requirements for laryngeal vestibule closure suggesting a ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-019-10067-0
更新日期:2020-08-01 00:00:00
abstract::The suprahyoid muscles play a major role in safe swallowing in the pharyngeal phase. Therefore, it is clinically important to design a therapeutic approach for strengthening the suprahyoid muscles for safe and normal swallowing. This study aimed to investigate the activation of suprahyoid muscles by resistance trainin...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-019-10071-4
更新日期:2020-08-01 00:00:00
abstract::A retrospective study was undertaken to evaluate the progress of a group of dysphagic stroke patients for whom a dental prosthesis the Palatal Training Appliance (PTA), was used in the active rehabilitation of the swallowing mechanism. Patients selected were those who had sustained a stroke uncomplicated by other neur...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF00261277
更新日期:1995-01-01 00:00:00
abstract::Cervical orthosis is used to immobilize the neck in various disorders such as trauma and post-operation. However, it is still uncertain how cervical orthosis restricts the degree of movement of the cervical spine during swallowing and how they affect swallowing physiology. The purpose of this study was to evaluate the...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-015-9660-z
更新日期:2016-02-01 00:00:00
abstract::We tested two hypotheses relating to the sensory deficit that follows a unilateral superior laryngeal nerve (SLN) lesion in an infant animal model. We hypothesized that it would result in (1) a higher incidence of aspiration and (2) temporal changes in sucking and swallowing. We ligated the right-side SLN in six 2-3-w...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-013-9448-y
更新日期:2013-09-01 00:00:00
abstract::Successful oral intake of nutrition depends not only on the patient's ability to swallow efficiently and safely but also a number of cognitive, neurolinguistic, and behavioral variables. This paper reviews these competencies as they are integrated into the act of oral feeding and describes the types of disorders that ...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/BF02407266
更新日期:1990-01-01 00:00:00
abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-008-9193-9
更新日期:2009-06-01 00:00:00
abstract::Swallowing is an act requiring complex sensorimotor integration. Using a variety of methods first used to study limb physiology, initial efforts to study swallowing have yielded information that multiple cortical and subcortical regions are active participants. Not surprisingly, the regions activated appear to overlap...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-009-9249-5
更新日期:2010-09-01 00:00:00
abstract::Neuropharmacological in vivo and in vitro investigations are beginning to provide insight into chemical signaling processes within brainstem networks controlling the individual stages of swallowing. Different subtypes of excitatory amino acid (EAA) receptors operate at the level of solitarial interneurons programming ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF01321768
更新日期:1993-10-01 00:00:00
abstract::The penetration-aspiration scale (PAS) is an 8-point scale used to characterize the depth and response to airway invasion during videofluoroscopy. Though widely used in the field of deglutition, there is a lack of consensus regarding the statistical properties of the scale. In order to better understand the state of t...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-019-10064-3
更新日期:2020-08-01 00:00:00
abstract::In gastroesophageal reflux disease (GERD), there is a reverse flow of gastric contents up through the esophagus and potentially into the pharynx. Some patients who have GERD have reported difficulty in oropharyngeal swallowing. This study was designed to determine whether differences in the pharyngeal swallow exist in...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-002-0056-5
更新日期:2002-07-01 00:00:00
abstract::The oro-esophageal tube (OE tube) is widely used in dysphagia patients although its success rate for transition to oral feeding is reported only in stroke patients. The aim of this study was to evaluate the feasibility and outcome of OE tube feeding for patients with dysphagia resulting from various etiologies. The au...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-015-9644-z
更新日期:2015-12-01 00:00:00
abstract::The myoarchitecture of the tongue is believed to consist of a complex network of interwoven fibers, which function together to produce a near limitless array of functional deformations. These deformations contribute mechanically to speech production and to oral cavity food handling during swallowing. We have previousl...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-003-0505-9
更新日期:2005-01-01 00:00:00
abstract::Although clinically evident aspiration is common in subjects with dysphagia, a significant proportion may aspirate silently, i.e., without any outward signs of swallowing difficulty. This article reviews the literature on the prevalence, etiology, and prognostic significance of silent aspiration. An electronic databas...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-005-0018-9
更新日期:2005-07-01 00:00:00
abstract::The Schedule for Oral Motor Assessment (SOMA) was developed to record oral-motor skills objectively in infants between ages 8 and 24 months postnatal. Its aim is to identify areas of dysfunction that could contribute to feeding difficulties. The procedure takes approximately 20 min to administer, and is intended to be...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF00260975
更新日期:1995-07-01 00:00:00
abstract::Swallowing is a complex mechanism that is based on the coordinated interplay of tongue, pharynx, and esophagus. Disturbances of this interplay or disorders of one or several of these components lead to dysphagia, non-cardiac chest pain, or regurgitation. The major esophageal motility disorders include achalasia, diffu...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/BF02266993
更新日期:1993-01-01 00:00:00
abstract::A 36-year-old man who had sustained a closed head injury displayed extreme fear of being stimulated in the oral cavity, of being presented with foods, and of swallowing. The patient's fear increased his muscle tone and hypersensitivity in the facial and oral area, thereby preventing assessment of his dysphagia. We des...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF02493445
更新日期:1992-01-01 00:00:00
abstract::There have been a number of studies on the effect of bolus volume, consistency, texture, temperature and taste on the oropharyngeal swallowing physiology. However, its influence on the respiratory function associated with swallow is not well understood. This study aimed at systematically analysing and documenting the ...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-020-10103-4
更新日期:2020-12-01 00:00:00
abstract::The reliability of the modified Evans blue dye (MEBD) test for the detection of aspirated materials in patients with tracheostomy has been questioned. The videofluoroscopic swallow study (VFSS) has been the standard procedure used to detect aspiration, but there are known risks and the VFSS is not always an available ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/PL00009596
更新日期:1999-07-01 00:00:00
abstract::It is still difficult to decide on the treatment modalities for advanced esophageal carcinoma when the prognostic factors of T4 esophageal cancer are not fully understood. In this article, we report that among 71 patients with T4 thoracic esophageal cancer, 49 underwent esophagectomy, 9 had curative resection (R0 grou...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-002-0069-0
更新日期:2002-10-01 00:00:00