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Dysphagia OnlineFirst articles

Cranial Nerve Deficits Predict Pharyngeal Phase Swallowing Impairment in Patients with Neurogenic Dysphagia: A Cross-Sectional Study

  • Original Article

The examination of the cranial nerves (CN) provides an accurate analysis of facial-oral integrity, motility and sensitivity that is fundamental to understanding swallowing efficiency. The aim of this cross-sectional study is to verify whether the …

‘Without the Data You’re Not Going to Know If It’s Important or Not’: A Mixed Methods Study on What Dysphagia Intervention Outcomes are Important to People with Parkinson’s Disease and Family Members

  • Original Article

The lack of patient and public involvement in oropharyngeal dysphagia (OD) intervention studies in Parkinson’s disease (PD) can bias the choice of outcomes to be measured in these studies. This study aimed to obtain perspectives of individuals …

Obesity Impacts the Likelihood of Symptom Resolution in Patients with Esophagogastric Junction Outflow Obstruction

  • Original Article

Esophagogastric junction outflow obstruction (EGJOO) is an esophageal motility disorder characterised by an elevated integrated relaxation pressure (IRP) with preserved peristalsis. Most functional EGJOO symptoms are self-limiting. This study …

Upper Airway Sensory Testing in Dysphagia – Implications for Clinical Practice and Future Research Directions

  • Open Access
  • Original Artice

Adequate upper airway (oral, pharyngeal and laryngeal) sensation is crucial for safe and efficient swallowing and airway protection. Despite its importance, methods of upper airway sensory testing for individuals with dysphagia remain poorly …

The Effects of Swallowing Exercises in Healthy Older Adults: A Systematic Review

  • Original Article

Dysphagia, common among older adults, leads to significant morbidity and potential mortality. The role of preventative exercises in healthy, community-dwelling elderly people remains to be understood. In this systematic review, we aimed to …

A Pilot Study of a Modified Swallowing Screening Tool for Critically Ill Patients in the Intensive Care Unit

  • Open Access
  • Original Article

The lack of early assessment tools for swallowing function in patients in the intensive care unit (ICU) may lead to delays in oral intake. This study assessed the effectiveness of a new bedside swallowing screening tool in detecting dysphagia in …

Upper Esophageal Sphincter Abnormalities and Esophageal Motility Recovery After Peroral Endoscopic Myotomy for Achalasia

  • Open Access
  • Original Article

Abnormalities in the upper esophageal sphincter (UES) in patients with achalasia and the impact of peroral endoscopic myotomy (POEM) on the UES and esophageal body remain uncertain. To outline the prevalence and nature of UES abnormalities across …

Clinical Conundrum: Swallowing Virtual Reality as a Novel Diagnostic Tool for Severe Dysphagia after Deep Neck Infection

  • Open Access
  • Clinical Conundrum

A 52-year-old man was urgently hospitalized at the previous hospital because of deep neck and mediastinal abscesses (Fig. 1 A) extending from the left mandible to the mediastinum, caused by caries in the left second molar tooth. He underwent …

Relationship between Quality of Life and Swallowing in Hypertensive Individuals with Obstructive Sleep Apnea

  • Original Article

Resistant hypertension (RHTN) is defined by blood pressure levels above the recommended targets, even with the use of three antihypertensive medications from different classes [ 1 ]. Obstructive sleep apnea (OSA) is a sleep-related respiratory …

Time to Onset of Dysphagia Following Head and Neck Radiation

  • Open Access
  • Original Article

To evaluate the time of onset of dysphagia in a cohort of head and neck cancer patients treated with radiation or chemoradiation. Retrospective chart review of adult patients. 237 patients met inclusion criteria for the study. The average age at …

Eating and Drinking with Acknowledged Risks (EDAR) in Older Adults: A Qualitative Study of the Experiences of Clinicians in Japan and the UK

  • Open Access
  • Original Article

Eating and drinking are fundamental to life. However, older patients are often restricted with oral intake due to feared risk of aspiration. Eating and Drinking with Acknowledged Risks (EDAR) is an alternative process which enables comfort …

Diagnostic Validity of Clinical Observations for Detecting Physiologic Swallowing Impairment

  • Original Article

A clinical swallow evaluation (CSE) is a noninvasive and indirect assessment of the anatomical and physiological integrity of the swallowing mechanism in a natural setting. A CSE goes beyond a screening, a dichotomized indicator of dysphagia risk …

Dysphagia-Specific Instrument Based on Item Response Theory and International Classification of Functioning, Disability and Health

  • Original Article

This study aimed to identify functional challenges faced by individuals with non-esophageal dysphagia and to offer a tool for quantitatively evaluating the person abilities within the framework of the International Classification of Functioning …

eTWST: An Extension to the Timed Water Swallow Test for Increased Dysphagia Screening Accuracy

  • Open Access
  • Original Article

We aimed to fine-tuning the Timed Water Swallow Test (TWST) screening procedure to provide the most reliable prediction of the Flexible Endoscopic Evaluation of Swallowing (FEES) assessment outcomes, with age, sex, and the presence of clinical …

Oral Transport, Penetration, and Aspiration in PD: Insights from a RCT on STN + SNr Stimulation

  • Original Article

Dysphagia is frequent and detrimental in advanced Parkinson’s disease (PD) and does not respond to standard treatments. Experimental models suggested that pathological overactivity of the substantia nigra pars reticulata (SNr) may hinder oral …

A Retrospective Review of Clinical Characteristics and Risk Factors of Dysphagia in Patients with Dermatomyositis

  • Open Access
  • Original Article

Background: Dermatomyositis is a rare autoimmune-mediated disease characterised by distinctive rash and progressive muscle weakness. Patients with dermatomyositis may develop swallowing disorders (dysphagia) due to the inflammation of muscles …

Reliability and Validity of the Turkish Version of the Deglutition Handicap Index

  • Original Article

The Deglutition Handicap Index (DHI) is a self-reported questionnaire focus on dysphagia related quality of life of patients. The present study was aimed to translate the DHI into Turkish, and investigate the reliability and validity of the …

A Ducted, Biomimetic Nipple Improves Aspects of Infant Feeding Physiology and Performance in an Animal Model

  • Original Article

Breastfeeding is widely regarded as the optimal form of feeding infants, as it provides both nutritional and physiological benefits. For example, breastfed infants generate greater intraoral suction and have higher amplitude muscle activities …

The Comparison of Oropharyngeal Dysphagia in Alzheimer’s Disease versus Older Adults with Presbyphagia

  • Original Article

Dysphagia is defined as difficulty in swallowing, while presbyphagia is described as a change in swallowing process in healthy older adults, which is a compensable physiological impairment and synonymous with dysphagia. Aging is a well-known risk …