Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

The effect of intensified nonverbal facilitation of swallowing on dysphagia after severe acquired brain injury: A randomised controlled pilot study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. An interdisciplinary visual team in an acute and sub-acute stroke unit: Providing assessment and early rehabilitation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Family needs after brain injury: A cross cultural study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Hydrocephalus during rehabilitation following severe TBI. Relation to recovery, outcome, and length of stay

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Intervention - tidlig rehabilitering, vågenhed og deltagelse

    Publikation: Bidrag til bog/antologi/rapportBidrag til bog/antologi

  2. Mobilising patients with severe acquired brain injury in intensive care (MAWERIC) - Protocol for a randomised cross-over trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: There is little high-level evidence for the effect of the nonverbal facilitation of swallowing on swallowing ability in the subacute stage of rehabilitation following severe acquired brain injury (ABI). OBJECTIVE: To pilot test a randomised controlled trial to determine the effect of an intensification of the nonverbal facilitation of swallowing on dysphagia. METHODS: Ten patients with severe ABI and dysphagia were randomised into two groups at a highly specialised neurorehabilitation clinic. The intervention group received an intensification of the nonverbal facilitation of swallowing and the control group received basic care of the face and mouth in addition to treatment as usual for two sessions of 20 minutes per day for three weeks. Outcomes were Functional Oral Intake Scale (FOIS), Penetration Aspiration Scale (PAS), and electrophysiological swallowing specific parameters (EMBI). RESULTS: The intensified intervention was feasible. PAS and FOIS scores improved in both groups, with no differences between groups. The swallowing specific parameters reflected clinically observed changes in swallowing. CONCLUSIONS: PAS and FOIS are feasible instruments to measure dysphagia. It is possible and valid to measure swallowing frequency and kinematics using electromyography and bioimpedance. The definitive study should have widened inclusion criteria and optimise intervention timing to maintain patient arousal.

OriginalsprogEngelsk
TidsskriftNeuroRehabilitation
Vol/bind45
Udgave nummer4
Sider (fra-til)525-536
Antal sider12
ISSN1053-8135
DOI
StatusUdgivet - 2019

Bibliografisk note

Funding Information:
The study was supported by the Danish Occupational Therapist Association (FF 2–13–3), the Glostrup Hospitals Research grant and Department of Neurorehabilitation, TBI Unit, Rigshospitalet.

Publisher Copyright:
© 2019-IOS Press and the authors. All rights reserved.

ID: 69923277