Дисертації з теми "Dysphagia training"
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Farazi, Md Moshiur Rahman. "3D biomechanical oropharyngeal model for training and diagnosis of dysphagia." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/55738.
Повний текст джерелаApplied Science, Faculty of
Graduate
Mulkern, Ashley. "International Dysphagia Diet Standardization Initiative and Dietetic Professionals." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595243813821332.
Повний текст джерелаAthukorala, Ruvini Piyadarshika. "Skill training for swallowing rehabilitation in individuals with Parkinson's disease." Thesis, University of Canterbury. Communication Disorders, 2012. http://hdl.handle.net/10092/6936.
Повний текст джерелаRule, David. "Implementation Strategies for the International Dysphagia Diet Standardization Initiative (IDDSI)." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562842405344779.
Повний текст джерелаNagaya, Masahiro, Teruhiko Kachi, Takako Yamada, and Yasunori Sumi. "Videofluorographic observations on swallowing in patients with dysphagia due to neurodegenerative diseases." Nagoya University School of Medicine, 2004. http://hdl.handle.net/2237/5400.
Повний текст джерелаGaynor, Christine Marie. "The preparation and involvement of Oregon speech-language pathologists in dysphagia." PDXScholar, 1989. https://pdxscholar.library.pdx.edu/open_access_etds/3976.
Повний текст джерелаWalsh, Colleen K. "The Use of Iterative Prototyping for a Novel Training Cup." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1587465625444196.
Повний текст джерелаLinder, Kelli Marie. "A Comparative Analysis of Two Prototype Smart Training Cups: An Iterative Process." Miami University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=miami1461948535.
Повний текст джерелаLanham, Amanda Marie. "Training Cup Perceptions of School-Age Children." Miami University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=miami1398894674.
Повний текст джерелаHägg, Mary. "Sensorimotor Brain Plasticity in Stroke Patients with Dysphagia : A Methodological Study on Investigation and Treatment." Doctoral thesis, Uppsala University, Otolaryngology and Head and Neck Surgery, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8337.
Повний текст джерелаAims
The aims of the thesis were to validate investigation instruments for stroke patients with dysphagia, and to improve oropharyngeal dysphagia therapies.
Methods/Results
A Lip Force Meter, LF 100, affirmed excellent intra- and inter-reliability, sensitivity and specificity. Controls had significantly stronger lip force (LF) and swallowing capacity (SC) than stroke patients. A normal lower limit of LF was set to 15 Newton. Dysphagia symptoms improved in 7 stroke patients after a 5-week sensorimotor stimulation therapy comprising manual body and facial regulation in combination with palatal plate application. Impaired LF and impaired SC were parallel phenomena in 22 acute stroke patients and did not differ regardless of presence or absence of facial palsy. LF and SC improved and were parallel phenomena in 30 stroke patients and did not differ regardless of presence or absence of facial palsy, time lag between stroke attack and start of treatment, or age. SC was normalized in 19 of 30 dysphagia patients after a 5-8-week daily lip muscle self-training with an oral screen.
Conclusions
LF100 is an appropriate and reliable instrument for measuring lip force. Dysphagia improvement, by body and facial sensorimotor stimulation in combination with palatal plate application, or by training with an oral screen is excellent examples of brain plasticity and cortical reorganisation. . Swallowing capacity and lip force in stroke patients are parallel phenomena. A sub clinical facial paresis seems to be present in most stroke patients. Training with an oral screen can improve LF and SC in stroke patients with oropharyngeal dysphagia.
Eddy, Brandon Scott. "The effects of neuromuscular electrical stimulation training on the electromyographic power spectrum of suprahyoid musculature." Thesis, University of Iowa, 2015. https://ir.uiowa.edu/etd/1593.
Повний текст джерелаSella, Oshrat. "Skill versus Strength in Swallowing Training: Neurophysiological, Biomechanical, and Structural Assessments." Thesis, University of Canterbury. Communication Disorders, 2012. http://hdl.handle.net/10092/7767.
Повний текст джерелаSiskovich, Kristen M. "A Novel Method for Evaluating Flow Rates, Posture, and Bolus Size During Open-Cup Drinking in Children." Miami University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=miami1461952523.
Повний текст джерелаAxelsson, Karin. "Eating problems and nutritional status after stroke." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 1988. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-99332.
Повний текст джерела[2] s., s. 1-45: sammanfattning, s. 49-130: Härtill 6 uppsatser
digitalisering@umu
Wang, Hsueh-Pei, and 王雪珮. "Traditional Swallowing Training Combined with Game-Based Biofeedback in Post-Stroke Dysphagia." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/57036799999603932042.
Повний текст джерела國立臺北護理健康大學
聽語障礙科學研究所
102
Swallow maneuver is a common technique in traditional dysphagia rehabilitation. It can facilitate the neuromuscular recovery directly and thus regain the normal pharyngeal swallowing mechanism in dysphagia individuals. However, the training effect of swallow maneuver in dysphagia rehabilitation is unsatisfactory since the dysphagic patients might have difficult in performing the expected pharyngeal muscle contraction due to impaired pharyngeal sensation or inadequate learning ability. Previous researches depicted that biofeedback can assist the stroke patients to identify the internal covert physiologic activities of swallowing when applied in swallowing maneuver. This study attempted to recognize the influence of laryngeal elevation exercise, including effortful swallow and Mendelsohn’s maneuver, combined with innovated game-based swallowing biofeedback on swallow physiology, swallow function, and life quality in the stroke dysphagic patients. Twenty stroke patients with dysphagia were randomized into the study group (n=10) and control group (n=10). There were no differences in age, onset time, lesion sites and swallow function between the two groups. Every participant underwent 16 sessions treatment in which one hour for each session and two to three sessions per week. Every section included thirty-minute traditional swallowing treatment and thirty-minute laryngeal elevation exercise. The participants in study group received game-based swallowing biofeedback during the laryngeal elevation exercise. Submental ultrasonography, Functional Oral Intake Scale, and SWAL-QOL were measured before and after 16 sections’ treatment. There was significant improvement in swallow function of both groups after treatment. The study group had greatly significant improvements in the hyoid bone displacement distance, the score of Functional Oral Intake Scale, and actual diet intake in SWAL-QOL than those of control group. The nasogastric tube removal rate of the study group (80%) was higher than the control group (20%). In conclusion, both laryngeal elevation exercise and laryngeal elevation exercise combined with game-based biofeedback group improved the the swallowing function in stroke patients with dysphagia. Moreover, the laryngeal elevation exercise combined with game-based swallowing biofeedback had better effect in swallow function, hyoid bone displacement distance, and SWAL-QOL of the stroke patients with dysphagia than those of laryngeal elevation exercise only.
Chen, Miao-Yen, and 陳妙言. "Effectiveness of dysphagia rehabilitation within six months after stroke by difference swallowing training." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/84304984631297941001.
Повний текст джерела國立陽明大學
護理學系
101
Background and Importance: Dysphagia is a commonly seen symptom in patients who have an impaired cranial nerve, a degenerative disease, or senility. Dysphagia is often occurs as a result of stroke. Nearly half of stroke patients recover their swallowing function within seven days after the stroke; however, 11 to 13% continue to suffer from dysphagia after six months. Dysphagia problems that persist in stroke patients may include inability to swallow, choking and coughing, and delayed swallowing reflex, among others. The ideal rehabilitation period for treating dysphagia is within six months of the stroke. Aims: To explore if either increased thermal stimulation or the supraglottic swallow maneuver, in addition to exercise training, results in improved swallowing function in dysphagia patients over exercise training alon. Methods: A total of 52 subjects completed training. Stroke patients with dysphagia from the neurology clinic and wards in two local and regional medical institutions in northern Taiwan were recruited as the participant sample for this study. A repeated measure experimental design was adopted and each of the different swallowing training programs was executed five times a week for eight weeks, meaning that each subject underwent swallowing training forty times. Both the experimental and control groups began with swallowing exercise training as the training base. An increase in thermal stimulation was added for experimental group 1, while experimental group 2 added the supraglottic swallow maneuver. Then, pre-test, mid-test, post-test, and follow-up test data for the subjects were collected for comparative analysis. The subjects were randomly chosen on a weekly basis from the neurology clinic and wards and then divided into the three groups. Research tools that were used included the National Institutes of Health Stroke Scale (NIHSS), the Short Portable Mental Status Questionnaire (SPMSQ), a swallowing checkup questionnaire, a 90-ml water swallowing test, a peripheral arterial blood oxygen saturation analysis, laryngeal electromyography, spirometry (to measure peak expiratory flow rate, (PEFR)), the swallowing training programs, and a self-assessment of the swallowing training programs. Results: The generalized estimating equation (GEE) model was used to test the effects of the swallowing training. No statistical differences were found with regard to the main effects among the groups. The frequency of choking and coughing, daily record of choking and coughing, swallowing speed, residual water after swallowing, dysphagia scores, and other terms tested at different times did reach statistical differences with increased training time. In terms of interaction effect analysis for training time and group, an interaction effect was found in the choking and coughing indicator in the inter-test and post-test for experimental group 1 (ß=1.865,p=0.026;ß=1.792,p=0.048); swallowing speed in experiment group 1 had an interaction effect in the 1M and 3M post-tests (ß=-2.348, p=0.017; ß=-2.221, p=0.048); and the time span between the maximum value of laryngeal surface electromyography (S-EMG) in experimental group 1 (ß=0.213, p=0.012) and (ß=0.126, p=0.040) in experimental group 2 also saw an interaction effect. In terms of the basic properties of stroke, pathological data analysis indicated that the amount of residual water after swallowing had an interaction effect on the National Institutes of Health Stroke Scale (NIHSS) scores of experimental group 2 (ß=3.813, p=0.000). The maximum value of laryngeal surface electromyography (S-EMG) and the stroke type in experimental group 1 saw an interaction effect as well (cerebral embolism ß=-0.332, p=0.016; cerebral thrombosis ß=-0.367, p=0.010). In addition, the peripheral arterial blood oxygen concentration and the stroke type of experimental group 2 had an interaction effect (experimental group 2: thrombosis ß=-3.311, p=0.045). Lastly, peripheral arterial blood oxygen concentrations and the National Institutes of Health Stroke Scale (NIHSS) scores for stroke severity also had an interaction effect (ß=0.875, p=0.015). Self-assessments of the swallowing training programs indicated that 49 patients (94.2%) said their dysphagia had been relieved. Discussion and Conclusion: The results showed that neither increased thermal stimulation or the supraglottic swallow maneuver led to significant additional improvements in swallowing function, indicating that swallowing exercise-based training alone is sufficient for improving swallowing disorders. Thus, it is suggested that future clinical care can choose swallowing exercise training as the main method of intervention. This can improve the neuromuscular dysfunction of dysphagia caused by impaired cranial nerves to achieve optimal recovery, providing a means to enhance the effects of swallowing nursing programs offered to patients with dysphagia. It is advised that future research efforts should include more medical institutions from which to select patients to increase the number of samples. Also, to reduce any possible deviations, a third party can be added to the swallowing training program to help collect subjective data after a week of training. Furthermore, swallowing training programs should cover swallowing exercise-based training, along with self-practice manuals and multimedia teaching methods, to assist patients in practicing swallowing movements to speed the recovery of swallowing function.
Hoosen, Azra. "Bridging the gap : establishing the need for a dysphagia training programme for nurses and speech-language therapists working with tracheostomised patients in critical care in government hospitals in Gauteng." Thesis, 2012. http://hdl.handle.net/10539/11840.
Повний текст джерела