Dysphagia Rehabilitation Dentist

Archives of Physical Medicine and Rehabilitationに「 Rehabilitation of swallowing and cough functions following stroke: an expiratory muscle strength training trial 」 （Karen Wheeler Hegland, Paul W. Davenport, Alexandra E. Brandimore, Floris F. Singletary, Michelle S. Troche）が掲載されている。 Abstract Objective To determine the effect of expiratory muscle strength training on both cough and swallow function in stroke patients. Design Prospective pre-post intervention trial with one participant group. Setting Two outpatient rehabilitation clinics Participants Fourteen adults with a history of ischemic stroke in the preceding 3 – 24 months participated in this study. Intervention Expiratory muscle strength training (EMST) . The training program was completed at home and consisted of 25 repetitions per day, 5 days per week, for 5 weeks. Main outcome measures Baseline and post-training measures were: maximum expiratory pressure, voluntary cough airflows, reflex cough challenge to...

Dysphagiaに「 Pathophysiology of Radiation-Induced Dysphagia in Head and Neck Cancer 」（Suzanne N. King, Neal E. Dunlap, Paul A. Tennant, Teresa Pitts, 2016）が掲載されている。 Abstract Oncologic treatments, such as curative radiotherapy and chemoradiation, for head and neck cancer can cause long-term swallowing impairments (dysphagia) that negatively impact quality of life. Radiation-induced dysphagia comprised a broad spectrum of structural, mechanical, and neurologic deficits. An understanding of the biomolecular effects of radiation on the time course of wound healing and underlying morphological tissue responses that precede radiation damage will improve options available for dysphagia treatment. The goal of this review is to discuss the pathophysiology of radiation-induced injury and elucidate areas that need further exploration. 「Radiation-Induced Dysphagia」は放射線誘発性嚥下障害とでも訳するのであろうか。 放射線による嚥下障害としては、口腔乾燥による口腔内食塊形成不全や、嚥下困難が挙げられる。 日本気管食道科学会会報Vol. 46 (1995) No. 5 P 437-442に「放射線照射による嚥下障害の1症...

Journal of Oral and Maxillofacial Surgery（Zhuo-shan Huang, Wei-liang Chen, et　al.)に 「 Dysphagia in tongue cancer patients before and after surgery 」が掲載されている。 Abstract Purpose To define factors influencing postoperative aspiration in tongue cancer patients and to analyze the characteristics of dysphagia before and after surgery. Methods A total of 112 tongue cancer patients participated in the present work. Videofluoroscopic swallowing studies (VFSSs) were performed on all patients before and after surgery. A Penetration–Aspiration Scale (PAS) score ≥3 was defined as an aspiration risk. Qualitative data were collected on a frame-by-frame basis from each VFSS and analyzed. Results Smoking (58.14%, p<0.01), tongue resection >50% (38.71%, p<0.05), and advanced tumor stage (49.18%, p<0.01) were strong risk factors for aspiration. High incidences of inadequate tongue movement, delayed oral transit time, reduced hyoid bone elevation, poor aspiration or penetration,...

「New Directions in Geriatric Medicine」（Jill Huded,  Fernanda Heitor 2016 pp127-145）に 「Skilled Nursing Facilities and Post-hospitalization Options for Older Adults」が掲載されている。 Abstract Hospitalized older adults are not always able to return home immediately following discharge. Subsequently, they are discharged to facilities that provide skilled nursing, medication therapy, and rehabilitation services. Clinicians are asked by families, patients, and staff members on what is the preferred location for the older adult to be discharged to. Patients want to know what the clinicians believe to be the best option, and as a result, clinicians need to understand the options available. This chapter provides information on the post-acute setting available to older adults following a hospitalization and key features of each. Also included are resources to make the decision for post-acute care that can also be provided to family members and patients. SNF（Skilled Nursing Facilities）については、高度...