Swallowing therapy of neurologic patients: Correlation of outcome with pretreatment variables and therapeutic methods

Stefanie Neumann, Gudrun Bartolome, David Buchholz, Mario Prosiegel

Research output: Contribution to journalArticle

Abstract

The results of swallowing therapy in 58 patients with neurologic disorders are presented. All patients received tube feeding, either partially or exclusively, at admission, and successful outcomes, defined as exclusively oral feeding, were achieved in 67% of patients over a median treatment interval of 15 weeks. A subset of 11 patients who had experienced disease onset 25 weeks or more prior to admission nonetheless had a similar success rate of 64%. No other pretreatment variable, including age, localization of lesion, type or degree of aspiration, or cognitive status, correlated with successful outcome. Indirect therapy methods such as stimulation techniques and exercises to enhance the swallowing reflex, alter muscle tone, and improve voluntary function of the orofacial, lingual, and laryngeal musculature were utilized in all but 1 patient. Direct methods including compensatory strategies such as head and neck positioning, and techniques such as supraglottic swallowing and the Mendelsohn maneuver were additionally employed in nearly one-half of patients. Swallowing therapy is associated with successful outcome, as defined by exclusively oral feeding, among patients with neurogenic dysphagia, regardless of pretreatment variables including time since disease onset. Indirect treatment methods appear to be effective when used either alone or in combination with direct methods. Achievement of oral feeding is not associated with undue risk of pneumonia. Further rigorous scientific studies are needed.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalDysphagia
Volume10
Issue number1
DOIs
StatePublished - Dec 1995

Fingerprint

Deglutition
Nervous System
Therapeutics
Enteral Nutrition
Deglutition Disorders
Nervous System Diseases
Tongue
Reflex
Pneumonia
Neck
Head
Exercise
Muscles

Keywords

  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Swallowing rehabilitation
  • Swallowing therapy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology

Cite this

Swallowing therapy of neurologic patients : Correlation of outcome with pretreatment variables and therapeutic methods. / Neumann, Stefanie; Bartolome, Gudrun; Buchholz, David; Prosiegel, Mario.

In: Dysphagia, Vol. 10, No. 1, 12.1995, p. 1-5.

Research output: Contribution to journalArticle

Neumann, Stefanie ; Bartolome, Gudrun ; Buchholz, David ; Prosiegel, Mario. / Swallowing therapy of neurologic patients : Correlation of outcome with pretreatment variables and therapeutic methods. In: Dysphagia. 1995 ; Vol. 10, No. 1. pp. 1-5.
@article{1926394bfd724df2b81eb1ba5bca87ed,
title = "Swallowing therapy of neurologic patients: Correlation of outcome with pretreatment variables and therapeutic methods",
abstract = "The results of swallowing therapy in 58 patients with neurologic disorders are presented. All patients received tube feeding, either partially or exclusively, at admission, and successful outcomes, defined as exclusively oral feeding, were achieved in 67{\%} of patients over a median treatment interval of 15 weeks. A subset of 11 patients who had experienced disease onset 25 weeks or more prior to admission nonetheless had a similar success rate of 64{\%}. No other pretreatment variable, including age, localization of lesion, type or degree of aspiration, or cognitive status, correlated with successful outcome. Indirect therapy methods such as stimulation techniques and exercises to enhance the swallowing reflex, alter muscle tone, and improve voluntary function of the orofacial, lingual, and laryngeal musculature were utilized in all but 1 patient. Direct methods including compensatory strategies such as head and neck positioning, and techniques such as supraglottic swallowing and the Mendelsohn maneuver were additionally employed in nearly one-half of patients. Swallowing therapy is associated with successful outcome, as defined by exclusively oral feeding, among patients with neurogenic dysphagia, regardless of pretreatment variables including time since disease onset. Indirect treatment methods appear to be effective when used either alone or in combination with direct methods. Achievement of oral feeding is not associated with undue risk of pneumonia. Further rigorous scientific studies are needed.",
keywords = "Deglutition, Deglutition disorders, Dysphagia, Swallowing rehabilitation, Swallowing therapy",
author = "Stefanie Neumann and Gudrun Bartolome and David Buchholz and Mario Prosiegel",
year = "1995",
month = "12",
doi = "10.1007/BF00261272",
language = "English (US)",
volume = "10",
pages = "1--5",
journal = "Dysphagia",
issn = "0179-051X",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Swallowing therapy of neurologic patients

T2 - Correlation of outcome with pretreatment variables and therapeutic methods

AU - Neumann, Stefanie

AU - Bartolome, Gudrun

AU - Buchholz, David

AU - Prosiegel, Mario

PY - 1995/12

Y1 - 1995/12

N2 - The results of swallowing therapy in 58 patients with neurologic disorders are presented. All patients received tube feeding, either partially or exclusively, at admission, and successful outcomes, defined as exclusively oral feeding, were achieved in 67% of patients over a median treatment interval of 15 weeks. A subset of 11 patients who had experienced disease onset 25 weeks or more prior to admission nonetheless had a similar success rate of 64%. No other pretreatment variable, including age, localization of lesion, type or degree of aspiration, or cognitive status, correlated with successful outcome. Indirect therapy methods such as stimulation techniques and exercises to enhance the swallowing reflex, alter muscle tone, and improve voluntary function of the orofacial, lingual, and laryngeal musculature were utilized in all but 1 patient. Direct methods including compensatory strategies such as head and neck positioning, and techniques such as supraglottic swallowing and the Mendelsohn maneuver were additionally employed in nearly one-half of patients. Swallowing therapy is associated with successful outcome, as defined by exclusively oral feeding, among patients with neurogenic dysphagia, regardless of pretreatment variables including time since disease onset. Indirect treatment methods appear to be effective when used either alone or in combination with direct methods. Achievement of oral feeding is not associated with undue risk of pneumonia. Further rigorous scientific studies are needed.

AB - The results of swallowing therapy in 58 patients with neurologic disorders are presented. All patients received tube feeding, either partially or exclusively, at admission, and successful outcomes, defined as exclusively oral feeding, were achieved in 67% of patients over a median treatment interval of 15 weeks. A subset of 11 patients who had experienced disease onset 25 weeks or more prior to admission nonetheless had a similar success rate of 64%. No other pretreatment variable, including age, localization of lesion, type or degree of aspiration, or cognitive status, correlated with successful outcome. Indirect therapy methods such as stimulation techniques and exercises to enhance the swallowing reflex, alter muscle tone, and improve voluntary function of the orofacial, lingual, and laryngeal musculature were utilized in all but 1 patient. Direct methods including compensatory strategies such as head and neck positioning, and techniques such as supraglottic swallowing and the Mendelsohn maneuver were additionally employed in nearly one-half of patients. Swallowing therapy is associated with successful outcome, as defined by exclusively oral feeding, among patients with neurogenic dysphagia, regardless of pretreatment variables including time since disease onset. Indirect treatment methods appear to be effective when used either alone or in combination with direct methods. Achievement of oral feeding is not associated with undue risk of pneumonia. Further rigorous scientific studies are needed.

KW - Deglutition

KW - Deglutition disorders

KW - Dysphagia

KW - Swallowing rehabilitation

KW - Swallowing therapy

UR - http://www.scopus.com/inward/record.url?scp=0028813545&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028813545&partnerID=8YFLogxK

U2 - 10.1007/BF00261272

DO - 10.1007/BF00261272

M3 - Article

C2 - 7859526

AN - SCOPUS:0028813545

VL - 10

SP - 1

EP - 5

JO - Dysphagia

JF - Dysphagia

SN - 0179-051X

IS - 1

ER -