Improving swallowing function with thickening agents in post-stroke oropharyngeal dysphagia: a real-world experience

References

• 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):434–441. doi:10.1007/s00455-016-9695-9.
   PubMed Web of Science ®Google Scholar
• Singh S, Hamdy S. Dysphagia in stroke patients. Postgrad Med J. 2006;82(968):383–391. https://academic.oup.com/pmj/article/82/968/383/7045298.
   PubMed Web of Science ®Google Scholar
• Cohen DL, Roffe C, Beavan J, et al. Post-stroke dysphagia: a review and design considerations for future trials. Int J Stroke. 2016;11(4):399–411. doi:10.1177/1747493016639057.
   PubMed Web of Science ®Google Scholar
• González-Fernández M, Ottenstein L, Atanelov L, et al. Dysphagia after stroke: an overview. Curr Phys Med Rehabil Rep. 2013;1(3):187–196. doi:10.1007/s40141-013-0017-y.
   PubMedGoogle Scholar
• Clavé P, Shaker R. Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol. 2015;12(5):259–270. doi:10.1038/nrgastro.2015.49.
   PubMed Web of Science ®Google Scholar
• Smithard DG, O'Neill PA, Parks C, et al. Complications and outcome after acute stroke: does dysphagia matter? Stroke. 1996;27(7):1200–1204. doi:10.1161/01.str.27.7.1200.
   PubMed Web of Science ®Google Scholar
• Arnold M, Liesirova K, Broeg-Morvay A, et al. Dysphagia in acute stroke: incidence, burden and impact on clinical outcome. PLoS One. 2016;11(2):e0148424. doi:10.1371/journal.pone.0148424.
   PubMed Web of Science ®Google Scholar
• Ekberg O, Hamdy S, Woisard V, et al. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia. 2002;17(2):139–146. doi:10.1007/s00455-001-0113-5.
   PubMed Web of Science ®Google Scholar
• Labeit B, Kremer A, Muhle P, et al. Costs of post-stroke dysphagia during acute hospitalization from a health-insurance perspective. Eur Stroke J. 2023;8(1):361–369. doi:10.1177/23969873221147740.
   PubMed Web of Science ®Google Scholar
• Alamer A, Melese H, Nigussie F. Effectiveness of neuromuscular electrical stimulation on post-stroke dysphagia: a systematic review of randomized controlled trials. Clin Interv Aging. 2020;15:1521–1531. doi:10.2147/CIA.S262596.
   PubMed Web of Science ®Google Scholar
• Diéguez-Pérez I, Leirós-Rodríguez R. Effectiveness of different application parameters of neuromuscular electrical stimulation for the treatment of dysphagia after a stroke: a systematic review. J Clin Med. 2020;9(8):1–19.
   Web of Science ®Google Scholar
• Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol. 2006;5(1):31–37. doi:10.1016/S1474-4422(05)70252-0.
   PubMed Web of Science ®Google Scholar
• Jones O, Cartwright J, Whitworth A, et al. Dysphagia therapy post stroke: an exploration of the practices and clinical decision-making of speech-language pathologists in Australia. Int J Speech Lang Pathol. 2018;20(2):226–237. doi:10.1080/17549507.2016.1265588.
   PubMed Web of Science ®Google Scholar
• Krekeler BN, Rowe LM, Connor NP. Dose in exercise-based dysphagia therapies: a scoping review. Dysphagia. 2021;36(1):1–32. doi:10.1007/s00455-020-10104-3.
   PubMed Web of Science ®Google Scholar
• Tarihci Cakmak E, Sen EI, Doruk C, et al. The effects of neuromuscular electrical stimulation on swallowing functions in post-stroke dysphagia: a randomized controlled trial. Dysphagia. 2023;38(3):874–885. doi:10.1007/s00455-022-10512-7.
   PubMed Web of Science ®Google Scholar
• Wirth R, Dziewas R, Beck AM, et al. Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clin Interv Aging. 2016;11:189–208. doi:10.2147/CIA.S97481.
   PubMed Web of Science ®Google Scholar
• Bath PM, Lee HS, Everton LF. Swallowing therapy for dysphagia in acute and subacute stroke. Cochrane Database Syst. Rev. 2018.
   Web of Science ®Google Scholar
• Dennis MS, Lewis SC, Warlow C, FOOD Trial Collaboration. Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicentre randomised controlled trial. Lancet. 2005;365(9461):764–772. doi:10.1016/S0140-6736(05)17983-5.
   PubMed Web of Science ®Google Scholar
• McCurtin A, Healy C. Why do clinicians choose the therapies and techniques they do? Exploring clinical decision-making via treatment selections in dysphagia practice. Int J Speech Lang Pathol. 2017;19(1):69–76. doi:10.3109/17549507.2016.1159333.
   PubMed Web of Science ®Google Scholar
• Dantas RO, Kern MK, Massey BT, et al. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol Gastrointest Liver Physiol. 1990;258:G675–G681.
   PubMed Web of Science ®Google Scholar
• Clavé P, De Kraa M, Arreola V, et al. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther. 2006;24(9):1385–1394. doi:10.1111/j.1365-2036.2006.03118.x.
   PubMed Web of Science ®Google Scholar
• Cichero JAY, Lam P, Steele CM, et al. Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia. 2017;32(2):293–314. doi:10.1007/s00455-016-9758-y.
   PubMed Web of Science ®Google Scholar
• Cichero JAY. Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Nutr J. 2013;12(1):54. doi:10.1186/1475-2891-12-54.
   PubMedGoogle Scholar
• Hansen T, Beck AM, Kjaersgaard A, et al. Second update of a systematic review and evidence-based recommendations on texture modified foods and thickened liquids for adults (above 17 years) with oropharyngeal dysphagia. Clin Nutr ESPEN. 2022;49:551–555. doi:10.1016/j.clnesp.2022.03.039.
   PubMed Web of Science ®Google Scholar
• Newman R, Vilardell N, Clavé P, et al. Effect of bolus viscosity on the safety and efficacy of swallowing and the kinematics of the swallow response in patients with oropharyngeal dysphagia: white paper by the European Society for Swallowing Disorders (ESSD). Dysphagia. 2016;31(2):232–249. doi:10.1007/s00455-016-9696-8.
   PubMed Web of Science ®Google Scholar
• Lazenby-Paterson T. Thickened liquids: do they still have a place in the dysphagia toolkit? Curr Opin Otolaryngol Head Neck Surg. 2020;28(3):145–154. doi:10.1097/MOO.0000000000000622.
   PubMed Web of Science ®Google Scholar
• McCurtin A, Byrne H, Collins L, et al. Alterations and preservations: practices and perspectives of speech-language pathologists regarding the intervention of thickened liquids for swallowing problems. Am J Speech Lang Pathol. 2023;33(1):117–134. http://pubs.asha.org/doi/10.1044/2023_AJSLP-23-00226. doi:10.1044/2023_AJSLP-23-00226.
   PubMed Web of Science ®Google Scholar
• Bolivar-Prados M, Rofes L, Arreola V, et al. Effect of a gum-based thickener on the safety of swallowing in patients with poststroke oropharyngeal dysphagia. Neurogastroenterol Motil. 2019;31(11):e13695. doi:10.1111/nmo.13695.
   PubMed Web of Science ®Google Scholar
• Bolivar-Prados M, Hayakawa Y, Tomsen N, et al. Shear-viscosity-dependent effect of a gum-based thickening product on the safety of swallowing in older patients with severe oropharyngeal dysphagia. Nutrients. 2023;15(14):15. doi:10.3390/nu15143279.
   Web of Science ®Google Scholar
• Borders JC, Steele CM. The effect of liquid consistency on penetration-aspiration: a Bayesian analysis of two large datasets. Front Rehabil Sci. 2024;5:1337971. https://www.frontiersin.org/articles/10.3389/fresc.2024.1337971/full. doi:10.3389/fresc.2024.1337971.
   PubMedGoogle Scholar
• Giraldo-Cadavid LF, Leal-Leaño LR, Leon-Basantes GA, et al. Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia. Laryngoscope. 2017;127(9):2002–2010. doi:10.1002/lary.26419.
   PubMed Web of Science ®Google Scholar
• Carucci LR, Ann Turner M. Dysphagia revisited: common and unusual causes. Radiographics. 2015;35(1):105–122. doi:10.1148/rg.351130150.
   PubMed Web of Science ®Google Scholar
• Tamin S, Marpaung D, Sitorus F. Increasing risk of silent aspiration in stroke patients. J Exp Clin Med. 2023;40(2):364–369.
   Google Scholar
• Leder SB, Cohn SM, Moller BA. Fiberoptic endoscopic documentation of the high incidence of aspiration following extubation in critically ill trauma patients. Dysphagia. 1998;13(4):208–212. doi:10.1007/PL00009573.
   PubMed Web of Science ®Google Scholar
• Helliwell K, Hughes VJ, Bennion CM, et al. The use of videofluoroscopy (VFS) and fibreoptic endoscopic evaluation of swallowing (FEES) in the investigation of oropharyngeal dysphagia in stroke patients: a narrative review. Radiography. 2023;29(2):284–290. doi:10.1016/j.radi.2022.12.007.
   PubMed Web of Science ®Google Scholar
• Fattori B, Giusti P, Mancini V, et al. Comparison between videofluoroscopy, fiberoptic endoscopy and scintigraphy for diagnosis of oro-pharyngeal dysphagia. Acta Otorhinolaryngol Ital. 2016;36(5):395–402. doi:10.14639/0392-100X-829.
   PubMed Web of Science ®Google Scholar
• Steele CM, Alsanei WA, Ayanikalath S, et al. The Influence of Food Texture and Liquid Consistency Modification on Swallowing Physiology and Function: A Systematic Review. Dysphagia. 2015;30(2):272–273. doi:10.1007/s00455-014-9578-x.
   PubMed Web of Science ®Google Scholar
• Langdon PC, Lee AH, Binns CW. High incidence of respiratory infections in “Nil by Mouth” tube-fed acute ischemic stroke patients. Neuroepidemiology. 2009;32(2):107–113. doi:10.1159/000177036.
   PubMed Web of Science ®Google Scholar
• Langmore SE, Skarupski KA, Park PS, et al. Predictors of aspiration pneumonia in nursing home residents. Dysphagia. 2002;17(4):298–307. doi:10.1007/s00455-002-0072-5.
   PubMed Web of Science ®Google Scholar
• Langmore SE, Terpenning MS, Schork A, et al. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia. 1998;13(2):69–81. doi:10.1007/PL00009559.
   PubMed Web of Science ®Google Scholar
• Kang JH, Baik HW, Chung HK. Trace element deficiencies in long-term tube fed patients. Espen J. 2014;9(2):E63–E68.
   Google Scholar
• Umrania R, Patel D, Patel B, et al. Survey of psychosocial issues of nasogastric tube feeding in head-and-neck cancer patients. Indian J Palliat Care. 2021;27(1):113–117.
   PubMed Web of Science ®Google Scholar
• Archer SK, Wellwood I, Smith CH, et al. Dysphagia therapy in stroke: A survey of speech and language therapists. Int J Lang Commun Disord. 2013;48(3):283–296. doi:10.1111/1460-6984.12006.
   PubMed Web of Science ®Google Scholar
• Langmore SE, Pisegna JM. Efficacy of exercises to rehabilitate dysphagia: A critique of the literature. Int J Speech Lang Pathol. 2015;17(3):222–229. doi:10.3109/17549507.2015.1024171.
   PubMed Web of Science ®Google Scholar
• Geeganage C, Beavan J, Ellender S, et al. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev. 2012;10: CD000323. doi:10.1002/14651858.CD000323.pub2.
   PubMedGoogle Scholar
• Krekeler BN, Vitale K, Yee J, et al. Adherence to dysphagia treatment recommendations: A conceptual model. J Speech, Lang Hear Res. 2020;63:1641–1657.
   PubMed Web of Science ®Google Scholar
• Steele SJ, Ennis SL, Dobler CC. Treatment burden associated with the intake of thickened fluids. Breathe (Sheff). 2021;17(1):210003. doi:10.1183/20734735.0003-2021.
   PubMedGoogle Scholar
• Masuda H, Ueha R, Sato T, et al. Risk Factors for Aspiration Pneumonia After Receiving Liquid-Thickening Recommendations. Otolaryngol Head Neck Surg. 2022;167:125–132.
   PubMed Web of Science ®Google Scholar
• King JM, Ligman K. Patient noncompliance with swallowing recommendations: reports from speech-language pathologists. Contemp Issues Commun Sci Disord. 2011;38:53–60.
   Google Scholar
• Herentry K. Performance-based preference for a novel xanthan gum-based thickener among clinicians treating dysphagia patients. Eur Geriatr Med. 2011;2:S24–S206.
   Google Scholar
• Schulz S, Scholz V, Lehnert B. Tasteless thickening agents? A competitive comparison. HNO. 2022;70(8):588–594. doi:10.1007/s00106-022-01161-1.
   PubMed Web of Science ®Google Scholar
• Hibberd J. Acceptance, compliance, and tolerance of a novel xanthan gum-based thickener on oropharyngeal dysphagia patients. Dysphagia. 2011;26:432–475.
   Google Scholar
• Hadde EK, Chen J. Shear and extensional rheological characterization of thickened fluid for dysphagia management. J Food Eng. 2019;245:18–23.
   Web of Science ®Google Scholar
• RCSLT. Position statement on the use of thickened fluids in the management of people with swallowing difficulties. 2024. https://www.rcslt.org/wp-content/uploads/2024/01/Thickened-fluids-position-paper.pdf
   Google Scholar