Dysphagia in Indivuduals with Huntington's Disease: A Narrative Review
European Journal of Therapeutics,
Год журнала:
2024,
Номер
30(2), С. 217 - 226
Опубликована: Янв. 17, 2024
Huntington's
disease
(HD)
is
a
neurodegenerative
autosomal
dominant
condition
characterized
by
motor,
behavioral,
and
cognitive
symptoms.
Aspiration
pneumonia
stands
out
as
leading
cause
of
death
in
HD,
primarily
attributed
to
dysphagia,
which
gets
more
noticeable
the
progresses.
Dysphagia
symptoms
individuals
with
HD
are
compounded
movement
problems,
including
Chorean
or
rigid-bradykinetic
patterns.
These
manifest
every
phase
swallowing
fluctuate
progression
HD.
Lingual
chorea,
delayed
initiation,
impaired
swallowing-respiratory
coordination
key
indicators
dysphagia
individuals.
The
negative
impact
on
eating
behaviors
further
exacerbated
concurrent
sensory
deficits.
Consequently,
leads
social
isolation,
restrictions
activities
involvement,
diminished
quality
life
for
To
minimize
these
adverse
effects,
referral
speech-language
therapist
(SLT)
assessment
should
be
initiated
immediately
upon
diagnosis
neurologist.
Starting
from
earliest
stages
disease,
both
clinical
instrumental
assessments
employed
detrimental
consequences
dysphagia.
Depending
results,
compensatory
and/or
rehabilitative
(restitutive)
strategies
can
recommended
treatment.
Furthermore,
SLT
actively
collaborates
other
team
members,
caregivers,
neurologists,
otolaryngologists,
gastroenterologists,
others,
contributing
collectively
decision-making
process
regarding
oral
non-oral
feeding
considerations.
Despite
its
significant
role
individuals’
deterioration,
evidence
specific
interventions
remains
limited.
Clinicians,
therefore,
rely
well-established
general
therapy
practices.
There
pressing
need
evidence-based
research
In
this
study,
literature
will
examined,
focus
pathophysiology
diagnostic
intervention
techniques.
Язык: Английский
Drooling may be Associated with Dysphagia Symptoms in Multiple Sclerosis
Dysphagia,
Год журнала:
2024,
Номер
39(5), С. 846 - 854
Опубликована: Фев. 19, 2024
Abstract
During
the
process
of
multiple
sclerosis
(MS),
persons
with
(PwMS)
may
experience
drooling
(sialorrhea)
issues
that
are
frequently
disregarded.
The
exact
cause
in
PwMS
is
poorly
understood.
This
study
aims
to
assess
potential
risk
factors
for
seen
PwMS.
included
20
and
19
without
drooling.
participants’
sociodemographic
data
clinical
parameters
were
noted.
To
evaluate
dysphagia,
fatigue,
hypersalivation,
Dysphagia
Multiple
Sclerosis
Questionnaire
(DYMUS),
Fatigue
Severity
Scale
(FSS),
objective
saliva
flow
rate
measurement
cottons
placed
Stensen
ducts
under
tongue
(swab
test)
used,
respectively.
employed
univariate
multivariate
logistic
regression
models
identify
linked
Gender,
age,
disease
duration,
MS
type,
Expanded
Disability
Status
scores
did
not
differ
between
two
groups.
There
was
a
significant
increase
DYMUS
submandibular/sublingual
(SM/SL)
values
(
p
=
0.009
0.019,
respectively).
However,
our
study,
hypersalivation
observed
or
In
model,
DYMUS,
SM/SL
rate,
FSS
found
be
But
only
shown
factor
model
obtained
by
backward
(Wald)
elimination
method
0.023).
Finally,
research
first
demonstrate
relationship
presence
dysphagia
symptoms
very
important
determine
nature
finding
shows
will
serve
as
reference
choosing
best
treatment.
Язык: Английский
Reliability and validity study of a Turkish version of the Communicative Effectiveness Survey‐Revised (CES‐R)
International Journal of Language & Communication Disorders,
Год журнала:
2023,
Номер
59(1), С. 195 - 204
Опубликована: Июль 30, 2023
Abstract
Background
Communication
of
people
with
Parkinson's
disease
(PwPD)
is
negatively
affected.
For
PwPD
communication
difficulties,
it
important
to
use
self‐assessment
tools
as
a
primary
assessment
approach
evaluate
their
perspectives
on
communication.
It
also
PwPDs
scales
in
order
determine
which
situations
communicative
effectiveness
affected
and
include
them
the
intervention
plan.
Aims
To
create
Turkish
version
Communicative
Effectiveness
Survey‐Revised
(CES‐R),
examine
its
validity
reliability,
investigate
applicability
PwPD.
Method
The
study
included
106
healthy
participants.
original
form
CES‐R
was
adapted
into
according
international
guidelines.
Every
participant
completed
Voice
Handicap
Index‐10
form.
scale
retested
2
weeks
later.
Outcomes
Results
Because
Kaiser‐Meyer‐Olkin
coefficient
0.956
exploratory
factor
analysis
p
<
0.01
for
Bartlett's
Test,
data
set
‘perfectly’
suitable
analysis.
In
explanatory
applied
scale,
total
ratio
two
dimensions
determined
63.5%,
condition
met.
Cronbach's
alpha
0.958
group
0.955
control
found
be
at
‘high
reliability’
level.
Conclusion
valid,
reliable,
useable
Furthermore,
this
adaptation
research
developed
assess
possible
difficulties
With
tool,
skills
that
can
identified
by
comprehensive
evaluation
should
studied
processes.
What
paper
adds
already
known
subject
Self‐assessment
are
suggested
when
evaluating
difficulties.
one
these
scales.
However,
reliability
(CES‐R)
has
not
been
conducted.
existing
knowledge
This
demonstrates
used
procedures
potential
or
actual
clinical
implications
work?
unidimensional
literature,
have
eigenvalues
>
1
Discovery
Factor
study.
first
dimension
named
general
(CGS)
second
difficult
(CDS).
thought
will
useful
clinics
before
after
treatment.
Язык: Английский