Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi

Amaç: Bu çalışmanın amacı inme sonrası disfaji görülen bireylerde kullanılan postüral adaptasyon manevralarının bireylerin yutması üzerine etkisini incelemektir. Gereç ve Yöntem: Fonksiyonel oral alım skalasına göre disfaji görülen 64 inmeli birey bu çalışmaya dahil edilmiştir. Bireylerin yutma becerileri Teat-10 testi ile baş nötral pozisyonda ve etkilemiş tarafa rotasyon yaptırılarak 2 kez değerlendirilmiştir. Bulgular: Etkilenen arter bölgelerine göre yutma bozukluk şiddetlerinde belirgin farklılık olduğu bulunmuştur(p

The Effects of Compensatory Posture on Swallowing in Dysphagic Stroke Patients

Objective: The purpose of this study is to examine the effect of postural adaptation maneuvers used in dysphagia in stroke patients. Methods: Sixty-four stroke subjects with dysphagia according to functional oral intake scale were included in this study. Subjects swallow ability tested twice with Teat-10 test while in neutral head position and head rotation on affected side. Results: It has been found that there is a significant difference in the severity of swallowing disorders compared to the affected arterial regions (p

Kaynakça

1. Brogan E, Langdon C, Brookes K, et al. Respiratory infections in acute stroke: nasogastric tubes and immobility are stronger predictors than dysphagia. Dysphagia. 2014;29: 340–345. pmid:24445382.

2. Finlayson O, Kapral M, Hall R, et al. Risk factors, inpatient care, and outcomes of pneumonia after ischemic stroke. Neurology. 2011;77: 1338–1345. doi: 10.1212/WNL.0b013e31823152b1. pmid:21940613

3. Takizawa C, Gemmell E, Kenworthy J, et al. A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson‘s disease, Alzheimer‘s disease, head injury, and pneumonia. Dysphagia. 2016;31(3):434-41. doi:10.1007/s00455-016-9695-9

4. Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovascular diseases. 2000;10(5): 380-6 DOI:10.1159/000016094.

5. Mann G, Hankey GJ, Cameron D. Swallowing function after stroke. Stroke; a journal of cerebral circulation. 1999;30(4):744-8.

6. Dou Z, Lan Y, Yu F. Application of videofluoroscopy digital analysis in swallowing function assessment for brainstem stroke patients with dysphagia. Chin J Rehabil Med. 2013;28:799–805. doi:10.3969/j.issn.1001- 1242.2013.09.003

7. Suntrup S, Kemmling A, Warnecke T, et al. The impact of lesion location on dysphagia incidence, pattern and complications in acute stroke. Part 1: dysphagia incidence, severity, and aspiration. Eur J Neurol. 2015;22:832–8. doi:10.1111/ene.12670

8. Kwon M, Lee JH, Kim JS. Dysphagia in unilateral medullary infarction Lateral vs medial lesions. Neurology. 2005;65(5):714-8. doi: 10.1212/01.wnl.0000174441.39903.d8

9. Sørensen RT, Rasmussen RS, Overgaard K, et al. Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke. J Neurosci Nurs. 2013;45(3):139–46. DOİ: 10.1097/JNN.0b013e31828a412c

10. Brogan E, Langdon C, Brookes K, et al. Dysphagia and factors associated with respiratory infections in the first week post stroke. Neuroepidemiology. 2014;43(2):140–4. DOI:10.1159/000366423

11. Almirall J, Rofes L, Serra-Prat M, et al. Oropharyngeal dysphagia is a risk factor for community-acquired pneumonia in the elderly. Eur Respir J. 2013;41:923–8. DOI: 10.1183/09031936.00019012

12. Carrión S, Cabré S, Monteis R, et al. Oropharyngeal dysphagia is a prevalent risk factor for malnutrition in a cohort of older patients admitted with an acute disease to a general hospital. Clin Nutr. 2015;34:436–42. doi:10.1016/j.clnu.2014.04.014

13. Gariballa S. Poor nutritional status on admission predicts poor outcomes after stroke: Observational data from the FOOD trial. Commentary. Stroke; a journal of cerebral circulation. 2003;34(6):1450-6. doi: 10.1161/01.STR.0000074037.49197.8C

14. Nishioka S, Okamoto T, Takayama M, et al. Malnutrition risk predicts recovery of full oral intake among older adult stroke patients undergoing enteral nutrition: secondary analysis of a multicentre survey (the APPLE study). Clin Nutr. 36 (2017) 1089-1096. doi:10.1016/j.cinu2016.06.028

15. Robbins J, Kays SA, Gangnon RE, et al. The effects of lingual exercise in stroke patients with dysphagia. Archives of physical medicine and rehabilitation. 2007; 88(2): 150-8. doi: 10.1016/j.apmr.2006.11.002

16. Yoon WL, Khoo JKP, Liow SJR. Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a Shaker-type exercise. Dysphagia. 2014;29:243–8. DOİ:10.1007/s00455- 013-9502-9

17. Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. The Lancet Neurology. 2006;5(1):31-7. doi:10.1016/S1474-4422(05)70252-0

18. Don Kim K, Lee HJ, Lee MH, et al. Effects of neck exercises on swallowing function of patients with stroke. J Phys Ther Sci. 2015;274:1005-8. doi:10.1589/jpts.27.1005

19. Fraser S, Steele CM. The effect of chin down position on penetration-aspiration in adults with dysphagia. Can. J Speech Lang Pathol Aud. 2012;36:142–8.

20. Teramoto S, Yoshida K, Hizawa N. Update on the pathogenesis and management of pneumonia in the elderly-roles of aspiration pneumonia. Respir Investig 2015;53:178-84. doi:10.1016/j.resinv.2015.01.003

21. Macrae P, Anderson C, Humbert I. Mechanisms of airway protection during chin-down swallowing. J Speech Lang Hear Res. 2014;57:1251-1258 doi:10.1044/2014_JSLHR-S-13-0188

22. Takasaki K, Umeki H, Kumagami H, et al. Influence of head rotation on upper esophageal sphincter pressure evaluated by high-resolution manometry system. Otolaryngol Head Neck Surg. 2010;142:214-7.

23. M. Balou, G.H. McCullough, F. Aduli, et al. Manometric measures of head rotation and chin tuck in healthy participants. Dysphagia, 29 (1) (2014), pp. 25-32. doi: 10.1007/s00455-013-9472-y

24. McCulloch MT, Hoffman RM, Ciucci RM. High-resolution manometry of pharyngeal swallow pressure events associated with head turn and chin tuck. Ann Otol Rhinol Laryngol. 2010;9(6):369–76.

Kaynak Göster

1151 648

Arşiv
Sayıdaki Diğer Makaleler

The Evaluation of the Nicotine Dependence in Psychiatric Disorders

HÜLYA ERTEKİN, YUSUF HAYDAR ERTEKİN

Proton Pompa İnhibitörü Kullanımının Blastocystis sp.’ nin Görülme Sıklığı Üzerine Etkisi

ETEM HIZALER, VESİLE ŞENOL, ÜLFET ÇETİNKAYA, İzzet ŞAHİN

Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi

ELİF YAKŞİ, RAMAZAN KURUL, ŞEBNEM AVCI, MUHAMMED NUR ÖGÜN

Gebelikte Depresyon ve Anksiyete

Ferda KAYA ZAMAN, Nurşah ÖZKAN, Dilek TOPRAK

Assessment of the Views of Undergraduate Students about Female Body and Sexual Life in Pregnancy and the Postpartum Period

YEŞİM AKSOY DERYA, TUBA UÇAR, Çiğdem ERDEMOĞLU, AYŞE NUR YILMAZ, Ayşe SÖNMEZ

Orta-Yüksek Yoğunluktaki Fiziksel Aktiviteyi Ölçen Üç Eksenli (3D) Sensör Destekli Pedometre Kullanımının Vücut Kompozisyonuna Etkisi: Randomize Kontrollü Çalışma

Yusuf Haydar ERTEKİN, YUSUF HAYDAR ERTEKİN

The Perception of Privacy in the Emergency Department: Medical Faculty Hospital as a Case in Point

HÜLYA ÖZTÜRK, ÖMÜR ŞAYLIGİL, AHMET MUSMUL, Nurdan ERGÜN ACAR

Erzincan Üniversitesi Tıp Fakültesi Klinik Eğitim Dönemi Öğrencilerinin Staj Kurulları ile İlgili Görüşleri, Öğrenci Merkezli Tıp Eğitimi Metotlarına İlişkin Bilgi Düzeyi ve Yaklaşımları

SELÇUK AKTURAN, MUKADDER SUNAR

Apiterapi ve I. Ulusal Apiterapi Kongresi

Onur ÖZTÜRK, MUSTAFA ÜNAL

Palyatif Bakım Hastalarında Klinik Özellikler ve Prognostik Faktörler

Mehmet YÜRÜYEN, Işıl ÖZBAŞ TEVETOĞLU, Yeliz TEKMEN, Özlem POLAT, İsmail Arslan, Yıldız OKUTURLAR