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Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi

Yıl 2018, Cilt: 10 Sayı: 1, 61 - 64, 28.03.2018
https://doi.org/10.18521/ktd.349254

Öz

Özet

Amaç



Bu çalışmanın amacı inme sonrası disfaji
görülen bireylerde kullanılan postüral adaptasyon manevralarının bireylerin
yutması üzerine etkisini incelemektir.



Gereç
ve Yöntem



Fonksiyonel oral alım skalasına göre disfaji
görülen 64 inmeli birey bu çalışmaya dahil edilmiştir. Bireylerin yutma
becerileri Teat-10 testi baş nötral pozisyonda ve etkilemiş tarafa rotasyon
yaptırılarak 2 kez değerlendirilmiştir.



Bulgular



Etkilenen arter bölgelerine göre yutma
bozukluk şiddetlerinde belirgin farklılık olduğu bulunmuştur(p<0.05).
Pozisyonlama sonrası yapılan yutma değerlendirmesi sonuçlarında nötral
pozisyona göre yutmalarının anlamlı düzeyde değiştiği gözlenmiştir(p<0.05).



Sonuç



Bu çalışmanında chin tuck postürüne ek
olarak başın etkilenen tarafa rotasyonunun inmeli disfajik bireylerde yutmayı
olumlu etkilediği bulunmuştur



Anahtar
kelimeler: Disfaji, İnme, Rehabilitasyon



 



 




Kaynakça

  • 1. Stechmiller JK. Early nutritional screening of older adults: review of nutritional support. Journal of infusion nursing. 2003;26(3):170-7.
  • 2. Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest Journal. 2003;124(1):328-36.
  • 3. Takizawa C, Gemmell E, Kenworthy J, Speyer R. 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):434-41.
  • 4. Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovascular diseases. 2000;10(5):380-6.
  • 5. Mann G, Hankey GJ, Cameron D. Swallowing function after stroke. Stroke; a journal of cerebral circulation. 1999;30(4):744-8.
  • 6. Homer J, Massey E, Riski J, Lathrop D, Chase K. Aspiration following stroke Clinical correlates and outcome. Neurology. 1988;38(9):1359
  • 7. Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. Br Med J (Clin Res Ed). 1987;295(6595):411-4.
  • 8. Kwon M, Lee JH, Kim JS. Dysphagia in unilateral medullary infarction Lateral vs medial lesions. Neurology. 2005;65(5):714-8.
  • 9. Logemann JA. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery. 1998;6(6):395- 400.
  • 10. Teasell RW, Bach D, McRae M. Prevalence and recovery of aspiration poststroke: a retrospective analysis. Dysphagia. 1994;9(1):35-9.
  • 11. Smithard D, O'neill P, Park C, Morris J, Wyatt R, England R, et al. Complications and outcome after acute stroke. Stroke; a journal of cerebral circulation. 1996;27(7):1200-4.
  • 12. Crary MA, Carnaby-Mann GD, Miller L, Antonios N, Silliman S. Dysphagia and nutritional status at the time of hospital admission for ischemic stroke. Journal of stroke and cerebrovascular diseases. 2006;15(4):164-71.
  • 13. Gariballa S. Poor nutritional status on admission predicts poor outcomes after stroke: Observational data from the FOOD trial. Commentary. Stroke; a journal of cerebral circulation. 2003;34(6):1450-6.
  • 14. Sala R, Munto M, de La Calle J, Preciado I, Miralles T, Cortes A, et al. Swallowing changes in cerebrovascular accidents: incidence, natural history, and repercussions on the nutritional status, morbidity, and mortality. Revista de neurologia. 1998;27(159):759-66.
  • 15. Robbins J, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, et al. The effects of lingual exercise in stroke patients with dysphagia. Archives of physical medicine and rehabilitation. 2007;88(2):150-8.
  • 16. Shaker R, Easterling C, Kern M, Nitschke T, Massey B, Daniels S, et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122(5):1314-21.
  • 17. Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. The Lancet Neurology. 2006;5(1):31-7.
  • 18. Ertekin C, Keskin A, Kiylioglu N, Kirazli Y, On AY, Tarlaci S, et al. The effect of head and neck positions on oropharyngeal swallowing: a clinical and electrophysiologic study. Archives of physical medicine and rehabilitation. 2001;82(9):1255-60.
  • 19. Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ. Effects of postural change on aspiration in head and neck surgical patients. Otolaryngology —Head and Neck Surgery. 1994;110(2):222-7.
  • 20. Rasley A, Logemann J, Kahrilas P, Rademaker A, Pauloski B, Dodds W. Prevention of barium aspiration during videofluoroscopic swallowing studies: Value of change in posture. AJR American journal of roentgenology. 1993;160(5):1005-9.
  • 21. Bülow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in patients with pharyngeal dysfunction. Dysphagia. 2001;16(3):190-5.
  • 22. Castell JA, Castell DO, Schultz AR, Georgeson S. Effect of head position on the dynamics of the upper esophageal sphincter and pharynx. Dysphagia. 1993;8(1):1-6.
  • 23. Lewin JS, Hebert TM, Putnam JB, DuBrow RA. Experience with the chin tuck maneuver in postesophagectomy aspirators. Dysphagia. 2001;16(3):216-9.
  • 24. Kahrilas P, Logemann J, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. American Journal of Physiology-Gastrointestinal and Liver Physiology. 1991;260(3):G450-G6.

The Effects of Compensatory Posture on Swallowing in Dysphagic Stroke Patients

Yıl 2018, Cilt: 10 Sayı: 1, 61 - 64, 28.03.2018
https://doi.org/10.18521/ktd.349254

Öz

Abstract

Objective

The purpose of this study is to examine the effect of postural adaptation maneuvers used in dysphagia in stroke patients.

Methods

Sixty-four stroke subjects with dysphagia according to functional oral intake scale were included in this study. Subjects swallow ability tested twice with Teat-10 test while in neutral head position and head rotation on affected side.

Results

It has been found that there is a significant difference in the severity of swallowing disorders compared to the affected arterial regions (p<0.05). It has been observed that swallowing evaluations after positioning have significantly changed the swallowing according to the neutral position(p<0.05).

Conclusion

In this study it was found that in addition to the chin tuck posture, head rotation to the affected side positively affected swallowing of stroke patients.

Keywords: Dysphagia, Stroke, Rehabilitation

Kaynakça

  • 1. Stechmiller JK. Early nutritional screening of older adults: review of nutritional support. Journal of infusion nursing. 2003;26(3):170-7.
  • 2. Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest Journal. 2003;124(1):328-36.
  • 3. Takizawa C, Gemmell E, Kenworthy J, Speyer R. 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):434-41.
  • 4. Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovascular diseases. 2000;10(5):380-6.
  • 5. Mann G, Hankey GJ, Cameron D. Swallowing function after stroke. Stroke; a journal of cerebral circulation. 1999;30(4):744-8.
  • 6. Homer J, Massey E, Riski J, Lathrop D, Chase K. Aspiration following stroke Clinical correlates and outcome. Neurology. 1988;38(9):1359
  • 7. Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. Br Med J (Clin Res Ed). 1987;295(6595):411-4.
  • 8. Kwon M, Lee JH, Kim JS. Dysphagia in unilateral medullary infarction Lateral vs medial lesions. Neurology. 2005;65(5):714-8.
  • 9. Logemann JA. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery. 1998;6(6):395- 400.
  • 10. Teasell RW, Bach D, McRae M. Prevalence and recovery of aspiration poststroke: a retrospective analysis. Dysphagia. 1994;9(1):35-9.
  • 11. Smithard D, O'neill P, Park C, Morris J, Wyatt R, England R, et al. Complications and outcome after acute stroke. Stroke; a journal of cerebral circulation. 1996;27(7):1200-4.
  • 12. Crary MA, Carnaby-Mann GD, Miller L, Antonios N, Silliman S. Dysphagia and nutritional status at the time of hospital admission for ischemic stroke. Journal of stroke and cerebrovascular diseases. 2006;15(4):164-71.
  • 13. Gariballa S. Poor nutritional status on admission predicts poor outcomes after stroke: Observational data from the FOOD trial. Commentary. Stroke; a journal of cerebral circulation. 2003;34(6):1450-6.
  • 14. Sala R, Munto M, de La Calle J, Preciado I, Miralles T, Cortes A, et al. Swallowing changes in cerebrovascular accidents: incidence, natural history, and repercussions on the nutritional status, morbidity, and mortality. Revista de neurologia. 1998;27(159):759-66.
  • 15. Robbins J, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, et al. The effects of lingual exercise in stroke patients with dysphagia. Archives of physical medicine and rehabilitation. 2007;88(2):150-8.
  • 16. Shaker R, Easterling C, Kern M, Nitschke T, Massey B, Daniels S, et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122(5):1314-21.
  • 17. Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. The Lancet Neurology. 2006;5(1):31-7.
  • 18. Ertekin C, Keskin A, Kiylioglu N, Kirazli Y, On AY, Tarlaci S, et al. The effect of head and neck positions on oropharyngeal swallowing: a clinical and electrophysiologic study. Archives of physical medicine and rehabilitation. 2001;82(9):1255-60.
  • 19. Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ. Effects of postural change on aspiration in head and neck surgical patients. Otolaryngology —Head and Neck Surgery. 1994;110(2):222-7.
  • 20. Rasley A, Logemann J, Kahrilas P, Rademaker A, Pauloski B, Dodds W. Prevention of barium aspiration during videofluoroscopic swallowing studies: Value of change in posture. AJR American journal of roentgenology. 1993;160(5):1005-9.
  • 21. Bülow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in patients with pharyngeal dysfunction. Dysphagia. 2001;16(3):190-5.
  • 22. Castell JA, Castell DO, Schultz AR, Georgeson S. Effect of head position on the dynamics of the upper esophageal sphincter and pharynx. Dysphagia. 1993;8(1):1-6.
  • 23. Lewin JS, Hebert TM, Putnam JB, DuBrow RA. Experience with the chin tuck maneuver in postesophagectomy aspirators. Dysphagia. 2001;16(3):216-9.
  • 24. Kahrilas P, Logemann J, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. American Journal of Physiology-Gastrointestinal and Liver Physiology. 1991;260(3):G450-G6.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Elif Yakşi

Ramazan Kurul Bu kişi benim

Şebnem Avcı

Muhammed Nur Ögün

Yayımlanma Tarihi 28 Mart 2018
Kabul Tarihi 29 Kasım 2017
Yayımlandığı Sayı Yıl 2018 Cilt: 10 Sayı: 1

Kaynak Göster

APA Yakşi, E., Kurul, R., Avcı, Ş., Ögün, M. N. (2018). Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi. Konuralp Medical Journal, 10(1), 61-64. https://doi.org/10.18521/ktd.349254
AMA Yakşi E, Kurul R, Avcı Ş, Ögün MN. Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi. Konuralp Medical Journal. Mart 2018;10(1):61-64. doi:10.18521/ktd.349254
Chicago Yakşi, Elif, Ramazan Kurul, Şebnem Avcı, ve Muhammed Nur Ögün. “Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi”. Konuralp Medical Journal 10, sy. 1 (Mart 2018): 61-64. https://doi.org/10.18521/ktd.349254.
EndNote Yakşi E, Kurul R, Avcı Ş, Ögün MN (01 Mart 2018) Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi. Konuralp Medical Journal 10 1 61–64.
IEEE E. Yakşi, R. Kurul, Ş. Avcı, ve M. N. Ögün, “Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi”, Konuralp Medical Journal, c. 10, sy. 1, ss. 61–64, 2018, doi: 10.18521/ktd.349254.
ISNAD Yakşi, Elif vd. “Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi”. Konuralp Medical Journal 10/1 (Mart 2018), 61-64. https://doi.org/10.18521/ktd.349254.
JAMA Yakşi E, Kurul R, Avcı Ş, Ögün MN. Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi. Konuralp Medical Journal. 2018;10:61–64.
MLA Yakşi, Elif vd. “Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi”. Konuralp Medical Journal, c. 10, sy. 1, 2018, ss. 61-64, doi:10.18521/ktd.349254.
Vancouver Yakşi E, Kurul R, Avcı Ş, Ögün MN. Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi. Konuralp Medical Journal. 2018;10(1):61-4.