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Article
Exploring the Acceptability of Behavioral Swallowing Interventions for Head and Neck Cancer Patients During Radiotherapy: A Qualitative Study of Patients’ Experience
The PRO-ACTIVE randomized clinical trial offers 3 swallowing therapies to Head and Neck Cancer (HNC) patients during radiotherapy namely: reactive, proactive low- (“EAT-RT” only), and high-intensity (“EAT-RT +...
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Article
Accuracy of Dysphagia Screening by Non-clinical Research Staff in the Emergency Department
Although the emergency department (ED) is the initial care setting for the majority of older adults requiring hospital admission, there is a paucity of ED-based dysphagia research in this at-risk population. T...
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Article
The Quantification of Radiation Fibrosis Using Clinically Indicated Magnetic Resonance Imaging for Head and Neck Cancer Patients
Currently, no objective method exists to measure the extent of fibrosis in swallowing musculature in head and neck cancer (HNC) patients. We developed and psychometrically tested a method of quantifying fibros...
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Article
Open AccessA pilot observation using ultrasonography and vowel articulation to investigate the influence of suspected obstructive sleep apnea on upper airway
Failure to employ suitable measures before administering full anesthesia to patients with obstructive sleep apnea (OSA) who are undergoing surgery may lead to develo** complications after surgery. Therefore,...
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Article
Changes in Cardiac Function During a Swallow Exercise Program in Patients with Coronary Artery Disease
Research regarding risks of swallow treatment suggests that patients with coronary artery disease (CAD) experience changes in heart rate/rhythm when completing the supraglottic swallow and super-supraglottic s...
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Article
Generating Items for a Novel Bedside Dysphagia Screening Tool Post Acute Pediatric Stroke
Bedside dysphagia assessment protocols are not well developed in acute pediatric stroke unlike adults. The objective of this study was to identify items deemed relevant and feasible by expert consensus to info...
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Article
Open AccessPsychometric properties of patient-reported outcome measures for dysphagia in head and neck cancer: a systematic review protocol using COSMIN methodology
Dysphagia (swallowing difficulty) is one of the most common and debilitating sequelae of head and neck cancer (HNC). Patient-reported outcome measures (PROMs) are a fundamental component of dysphagia outcomes ...
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Article
Translation and Validation of the TOR-BSST© into Brazilian Portuguese for Adults with Stroke
Brazil has a higher rate of dysphagia in stroke patients compared to developed countries, but does not have a fully validated method for early identification of dysphagia in this population. The aim of this st...
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Article
Biomechanical Biomarkers of Tongue Impairment During Swallowing in Persons Diagnosed with Amyotrophic Lateral Sclerosis
The impact of tongue dysfunction on deglutition in persons diagnosed with amyotrophic lateral sclerosis (ALS) is not well understood. This information is needed to improve our understanding of the mechanisms o...
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Article
Dysphagia and Associated Pneumonia in Stroke Patients from Brazil: A Systematic Review
Dysphagia and its associated complications are expected to be relatively more frequent in stroke patients in Brazil than in similar patients treated in developed countries due to the suboptimal stroke care in ...
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Article
What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF)
A combination of outcome measures are required to provide important information on the physiological profile and associated impact of dysphagia in head and neck cancer (HNC). Choosing the most appropriate tool...
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Article
Open AccessLingual and Jaw Kinematic Abnormalities Precede Speech and Swallowing Impairments in ALS
Early identification of bulbar involvement in persons with ALS is critical for improving diagnosis and prognosis; however, efficacious diagnostic markers have not yet been identified. The purpose of this study...
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Article
Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection
Early identification of dysphagia by screening is recommended best practice for patients admitted to hospital with acute stroke. Screening can reduce the risk of pneumonia and promote stroke recovery, yet some...
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Article
Open AccessThe feasibility of assessing swallowing physiology following prolonged intubation after cardiovascular surgery
Dysphagia following prolonged intubation after cardiovascular (CV) surgery is common occurring in 67% of patients; however, this population’s swallowing physiology has never been prospectively evaluated using ...
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Article
Open AccessRecognizing the Importance of Dysphagia: Stumbling Blocks and Step** Stones in the Twenty-First Century
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Article
Therapeutic intervention in oropharyngeal dysphagia
Strong supportive evidence of effectiveness is not available for many dysphagia treatments so clinicians need to use best available evidence to support therapy...
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Article
“I didn’t actually know there was such a thing as rehab”: survivor, family, and clinician perceptions of rehabilitation following treatment for head and neck cancer
The purpose of this study was to obtain first-hand contributions from survivors, family members, and front-line health care professionals regarding the rehabilitation needs for head and neck cancer (HNC) patie...
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Article
The Effect of Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement on Swallowing and Swallow-Related Outcomes in Patients Undergoing Radiotherapy for Head and Neck Cancer: A Systematic Review
Patients undergoing radiotherapy for head and neck cancer (HNC) often experience malnutrition and dehydration during treatment. As a result, some centres place PEG tubes prophylactically (pPEG) to prevent thes...
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Article
Open AccessDevelopment and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention map** protocol
Evidence suggests that rehabilitation interventions can improve function and quality of life in survivors of head and neck cancer (HNC), but there is a lack of coordinated, integrated services, and those offer...
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Article
Dysphagia and Associated Risk Factors Following Extubation in Cardiovascular Surgical Patients
Following cardiovascular (CV) surgery, prolonged mechanical ventilation of >48 h increases dysphagia frequency over tenfold: 51 % compared to 3–4 % across all durations. Our primary objective was to identify d...