dysphagia
Conditions
Interventions
The subject'
s kyphoscoliosis index (KI) and craniovertebral angle (CVA), an indicator of forward head posture, are measured at the initial evaluation by the speech-language pathologist (SLP) (Milne et al., 1974)
Sponsors
Public Interest Incorporated Association Yuurinkouseikai, Fuji Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The subject was an elderly patient admitted to the general ward of Hospital A and rehabilitated by SLP with a diagnosis of dysphagia. The following five criteria were selected: 1. late-elderly patients aged 75 years or older; 2. patients with a Barthel Index score of 0/100 and full assistance in ADLs, who have difficulty in independent oral care; 3. patients with no organic damage requiring acute treatment such as fracture, dislocation, or muscle tear in the trunk and neck; 4. patients with maxillofacial and oral diseases that do not require dental treatment; and 5. patients with no acute cerebrovascular disease on imaging findings. The patients who fulfill all five criteria will be selected.
Exclusion criteria
Exclusion criteria: Patients who significantly refuse oral care assistance due to severe dementia, post-ischemic cerebrovascular disease, or psychiatric disorders. Patients undergoing tracheal intubation and non-invasive positive pressure ventilation as treatment for acute respiratory failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oral function (oral dryness, tongue and lip motor function, tongue pressure, amount of mouth opening and swallowing function) after 2 weeks of intervention by a speech-language pathologist | — |
Secondary
| Measure | Time frame |
|---|---|
| Basic Information Gender, age, height, weight, BMI (Body Mass Index) Medical information Number of remaining teeth, dentures, underlying diseases, complications, inflammation values (WBC, CRP), nutritional values (TP, ALB), residence before admission, time from admission to SLP intervention, number of days in hospital Kyphosis During the first evaluation, the patient's Kyphosis index (KI) and craniovertebral angle (CVA), a measure of forward head posture, are measured (Milne et al., 1974), (Tamai et al., 2022). In this study, KI13 or higher is determined as kyphosis with reference to a study of Japanese subjects and classified into two groups: non-kyphosis group and kyphosis group (Yanagida et al., 2015). | — |
Countries
Japan
Contacts
Public ContactAkihiro Sugiyama
Public Interest Incorporated Association Yuurinkouseikai, Fuji Hospital Department of Rehabilitation
Outcome results
None listed