Effectiveness of swallowing therapy and forced expiratory technique to prevent aspiration for dysphagia in frail elders
Dysphagia in elderly
DOI:
https://doi.org/10.51248/.v43i4.2355Keywords:
Bedside test, dysphagia, forced expiratory technique, FIOS, GUSS, swallowing therapyAbstract
Introduction and Aim: Difficulty or trouble in eating is termed to beDysphagia, which indicates experience of food encountering delays or obstructions as it moves to the stomach from the mouth. Elderly population is prone to develop dysphagia because of various illnesses that affect their swallowing function, thereby raising the threat of aspiration. The primary goal of the current learning is to assess the effectiveness of swallowing therapy and the forced expiratory technique as preventive measures against aspiration in frail elderly individuals with dysphagia.
Methodology: This study is an experimental study done at ACS Medical College and Hospital, specifically in the Physiotherapy OP department. The study involved a sample of 20 individuals and had a treatment duration of 6 weeks. The participants were elderly individuals ranging from 65 to 85 years of age, comprising both males and females. Participants who scored above 18 in the mini mental state exam and fall within levels 3 to 6 according to the FIOS classification were included The outcome measures used in the study were the functional intake oral scale and the gugging swallowing screen.
Results: Comparing the Functional Intake Oral Scale (FIOS) Score between the Pre-test and Post-test mean values of 4.40 and 6.40 (Swallowing Therapy) reveals a significantly significant difference between the two mean values at P 0.001. Comparing the gugging swallowing screen (GUSS)score between the Pre-test and Post-test mean values of 11.30 and 17.60 (Swallowing Therapy), it is very significant that there is a difference between the Pre-test and Post-test mean values at P 0.001.
Conclusion: It is concluded that there is significant improvement in effects of swallowing therapy for dysphagia in frail elders and forced expiratory technique to prevent aspiration.
References
Crary, M., Sura, L., Madhavan, A., Carnaby-Mann, G. Dysphagia in the elderly: Management and nutritional considerations. Clinical Interventions in Aging.2012;7:287-298.
Cabre, M., Serra-Prat, M., Palomera, E., Almirall, J., Pallares, R., Clave,P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age and Ageing. 2010; 39(1):39-45.
Wirth, R., Dziewas, R., Beck, A. M., Clave, P., Heppner, H. J., Langmore, S. et al., Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: A review and summary of an international expert meeting. Clinical Interventions in Aging. 2016;11: 189-208.
Clavé, P., Rofes, L., Carrión, S., Ortega, O., Cabré, M., Serra-Prat, M., et al., Pathophysiology, relevance, and natural history of oropharyngeal dysphagia among older people. Steppingstones to living well with dysphagia. 2012:72:57-66.
Aslam, M., Vaezi,M.F. Dysphagia in the elderly. Gastroenterol Hepatol (NY). 2013;9(12):784-795.
Jaradeh, S. Neurophysiology of swallowing in the aged. Dysphagia.1994; 9(4):218-220.
Tracy, J. F., Logemann, J. A., Kahrilas, P. J., Jacob, P., Kobara, M., Krugler, C. Preliminary observations on the effects of age on Oropharyngeal deglutition. Dysphagia.1989;4(2):90.
Farthing, M., James, O. Aging, and the alimentary tract. Gut.1997;41(4): 421-421.
Gordon, C., Hewer, R. L., Wade, D. T. Dysphagia in acute stroke. BMJ. 1987;295(6595):411-414.
Abd-Elhamid, Y., A.I. Elbassiouni, A., K.T. Aloush, T. Oropharyngeal prolonged dysphagia after acute stroke: Diagnosis and clinical predictors. Al-Azhar Medical Journal.2015;44(4):397-406.
Permsirivanich, W., Tipchatyotin, S., Wongchai, M., Leelamanit, V., Setthawatcharawanich, S., Sathirapanya, P.Comparing the effects of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: a randomized controlled study. J Med Assoc Thai. 2009;92(2):259-265.
DePippo, K. L., Holas, M. A., Reding, M. J., Mandel, F. S., Lesser, M. L. Dysphagia therapy following stroke: A controlled trial. Neurology. 1994;44(9):1655-1655.
Kidney, D., Alexander, M., Corr, B., O'Toole, O., Hardiman, O. Oropharyngeal dysphagia in amyotrophic lateral sclerosis: Neurological and dysphagia specific rating scales. Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders. 2004;5(3): 150-153.
Paterson,W.G. Dysphagia in the elderly. Canadian Family Physician Medecin de FamilleCanadien. 1996;42:925-932.
Kagaya, H., Inamoto, Y., Okada, S., Satioh, E. Body position and functional training to reduce aspiration in patients with dysphagia. Journal of Japan Medical Association. 2011;54(1):35-38.
Marik, P. E., Kaplan, D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003;124(1): 328-336.
Kimura, Y., Takahashi, M., Wada, F., Hachisuka, K. Differences in the peak cough flow among stroke patients with and without dysphagia. Journal of UOEH. 2013;35(1): 9-16.
Huang, K., Liu, T., Huang, Y., Leong, C., Lin, W., Pong, Y. Functional outcome in acute stroke patients with oropharyngeal dysphagia after swallowing therapy. Journal of Stroke and Cerebrovascular Diseases. 2014;23(10):2547-2553.
Trapl, M., Enderle, P., Nowotny, M., Teuschl, Y., Matz, K., Dachenhausen, A. Dysphagia bedside screening for acute-stroke patients. Stroke, 2007; 38(11): 2948-2952.
Pitts, T., Bolser, D., Rosenbek, J., Troche, M., Okun, M. S.,Sapienza, C. Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson’s disease. Chest. 2009;135(5):1301-1308.
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