2019, Number 1
<< Back Next >>
Rev Sanid Milit Mex 2019; 73 (1)
Efficacy of rehabilitation exercises in oral and pharyngeal swallowing disorders
Rodríguez-Baca T, Morales-Cadena GM, Fonseca-Chávez MG, Estrada-González JG, Valente-Acosta B
Language: Spanish
References: 16
Page: 17-21
PDF size: 220.06 Kb.
ABSTRACT
Introduction: Swallowing disorders are a common problem in older adults. Unfortunately there are few studies that determine the effectiveness of the various treatments of oropharyngeal dypshagia in terms of optimal frequency and duration of treatment.
Objectives: To determine the modifications in the Aspiration Penetration Scale and the incidence of pneumonia due to bronchoaspiration after the interventions performed in our study group.
Material and methods: A retrospective, cross-sectional, observational and analytical study was carried out, in which patients admitted to the Hospital Espańol de México with oropharyngeal dysphagia were studied as patients undergoing dynamic swallowing tests, defining the exercises to be carried out by the patient according to their requirements. Between four and 12 weeks later a control study was performed.
Results: A total of 53 patients were included. During the control test, a 5.66% decrease in aspiration with clear liquids was obtained; 11.32% with carbonated liquids; 24.53% with semisolids and 20.93% with solids.
Conclusions: Our study demonstrated a statistically significant decrease in the penetration-aspiration scale with carbonated liquids, semisolids and solids with rehabilitation exercises in patients with oropharyngeal dysphagia.
REFERENCES
Khan A, Carmona R, Traube M. Dysphagia in the elderly. Clin Geriatr Med. 2014; 30: 43-53.
Leder SB, Murray JT. Fiberoptic endoscopic evaluation of swallowing. Phys Med Rehabil Clin N Am. 2008; 19: 787-801.
Logemann JA. Treatment of oral and pharyngeal dysphagia. Phys Med Rehabil Clin N Am. 2008; 19: 803-816.
Tada A, Miura H. Prevention of aspiration pneumonia (AP) with oral care. Arch Gerontol Geriatr. 2012; 55: 16-21.
Rosenbek JC, Robbins JO, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996; 11: 93-98.
Butler SG et al. Reliability of the penetration aspiration scale with flexible endoscopic evaluation of swallowing. Ann Otol Rhinol Laryngol. 2015; 124: 480-483.
Baba M, Saitoh E, Okada S. Dysphagia rehabilitation in Japan. Phys Med Rehabil Clin N Am. 2008; 19: 929-938.
Rasley A, Logemann JA, Kahrilas PJ et al. Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture. AJR Am J Roentgenol. 1993; 160 (5): 1005-1009.
Vose A, Nonnenmacher J, Singer ML, González-Fernández M. Dysphagia management in acute and sub-acute stroke. Curr Phys Med Rehabil Rep. 2014; 2 (4): 197-206.
Almirall J, Bolibar I, Vidal J et al. Epidemiology of community-acquired pneumonia in adults: a population-based study. Eur Respir J. 2000; 15: 757-763.
Fernandez-Sabé N, Carratalŕ J, Rosón B et al. Community-acquired pneumonia in very elderly patients: causative organisms, clinical characteristics, and outcomes. Medicine. 2003; 82: 159-169.
Cabre M, Serra-Prat M, Bolibar I et al. Prognostic factors of community acquired pneumonia in very old patients. Med Clin (Barc). 2006; 127: 201-205.
Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol Head Neck Surg. 2009; 140: 33-36.
Lin LC, Wu SC, Chen HS, Wang TG, Chen MY. Prevalence of impaired swallowing in institutionalized older people in Taiwan. J Am Geriatr Soc. 2002; 50: 1118-1123.
Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003; 24: 328-336.
Momosaki R, Yasunaga H, Matsui H, Horiguchi H, Fushimi K, Abo M. Effect of dysphagia rehabilitation on oral intake in elderly patients with aspiration pneumonia. Geriatr Gerontol Int. 2015; 15: 694-699.