Effects of Device-Facilitated Isometric Progressive Resistance Oropharyngeal Therapy on Swallowing and Health-Related Outcomes in Older Adults with Dysphagia.

摘要: Swallowing disorders (dysphagia) are associated with malnutrition, aspiration pneumonia, and mortality in older adults. Strengthening interventions have shown promising results, but the effectiveness of treating dysphagia adults remains to be established. The Swallow STRengthening OropharyNGeal (Swallow STRONG) Program is a multidisciplinary program that employs specific approach oropharyngeal strengthening-device-facilitated (D-F) isometric progressive resistance (I-PRO) therapy-with goal reducing health-related sequelae veterans dysphagia. Participants completed 8 weeks D-F I-PRO therapy while receiving nutritional counseling respiratory status monitoring. Assessments were at baseline, 4, weeks. At each visit, videofluoroscopic swallowing studies performed. Dietary swallowing-related quality life questionnaires administered. Long-term monitoring for 6-17 months after enrollment allowed comparison pneumonia incidence hospitalizations before program. Veterans confirmed videofluoroscopy (N = 56; 55 male, 1 female; mean age 70) enrolled. Lingual pressures increased anterior (effect estimate 92.5, P < .001) posterior locations 85.4, over Statistically significant improvements occurred on eight 11 subscales Quality Life Disorders (SWAL-QOL) Questionnaire estimates 6.5-19.5, .04) self-reported sense effort -18.1, .001). Higher Functional Oral Intake Scale scores 0.4, .02) indicated participants able eat less-restrictive diets. There was 67% reduction diagnoses, although difference not statistically significant. number hospital admissions decreased significantly 0.96; .009) from enrollment. Findings suggest STRONG strengthening may an effective treatment