Online citations, reference lists, and bibliographies.
← Back to Search

Direct Effects Of Facio-Oral Tract Therapy® On Swallowing Frequency Of Non-tracheotomised Patients With Acute Neurogenic Dysphagia

Jürgen Konradi, Annekatrin Lerch, Marilena Cataldo, T. Kerz
Published 2015 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
Objectives: The aim of this study was to investigate the direct effect of Facio-Oral Tract Therapy® on swallowing frequency of non-tracheotomised patients with acute neurogenic dysphagia. Methods: Within a pre-, post-/during and follow-up study design, 19 non-tracheotomised dysphagic patients were included consecutively and treated according to three specific preselected Facio-Oral Tract Therapy stimulation techniques. Results: The primary outcome was the direct effect of the three different Facio-Oral Tract Therapy stimulation techniques on the number of swallows. We found a significant effect of Facio-Oral Tract Therapy on swallowing frequency as compared to baseline with an increase by 65.63% and medium effect size of D = 0.62. No significant difference could be demonstrated when comparing baseline to follow-up. Conclusion: For the first time, this positive therapy effect could be demonstrated on a population of non-tracheotomised patients. Facio-Oral Tract Therapy seems to be an appropriate means for improving effectiveness and safety of swallowing. Since improvement was not long lasting, it appears to be reasonable to apply therapy frequently during the day with the plausible result of minimising the amount of aspirated saliva and thereby reducing the risk of aspiration pneumonia. Further studies may consider choosing a randomised controlled trial design to demonstrate that change in swallow frequency is related to the target intervention only.
This paper references
Assessment of coma and impaired consciousness : A critical review
Ah Chowdhury (2009)
10.1007/978-3-642-12943-8_6
Mundhygiene in der F.O.T.T.: therapeutisch – strukturiert – regelmäßig
Barbara Elferich (2011)
10.1007/s004550000038
Accuracy of Bedside Clinical Methods Compared with Fiberoptic Endoscopic Examination of Swallowing (FEES) in Determining the Risk of Aspiration in Acute Stroke Patients
S. Lim (2014)
10.1378/CHEST.124.1.328
Aspiration pneumonia and dysphagia in the elderly.
P. Marik (2003)
Prevention of pneumonia in elderly stroke patients by systematic diagnosis 8 SAGE Open Medicine and treatment of dysphagia: an evidence-based comprehensive analysis of the literature
DL Doggett (2001)
10.1093/OXFORDJOURNALS.QJMED.A069082
The natural history and clinical consequences of aspiration in acute stroke.
D. Kidd (1995)
Adult hemiplegia: Evaluation and treatment
Berta Bobath (1978)
10.1111/J.1365-2842.2005.01453.X
Breathing type and body position effects on sternocleidomastoid and suprahyoid EMG activity.
T. de Mayo (2005)
10.1016/S0140-6736(74)91639-0
Assessment of coma and impaired consciousness. A practical scale.
G. Teasdale (1974)
A penetrationaspiration scale
JC Rosenbek (1996)
10.5555/URI:PII:000399939390359I
Changes in pharyngeal dimensions effected by chin tuck.
M. Welch (1993)
10.3109/09638280903556482
A decision-algorithm defining the rehabilitation approach: ‘Facial oral tract therapy’®
T. S. Hansen (2010)
10.1111/J.1365-2842.2005.01586.X
Effect of reclining and chin-tuck position on the coordination between respiration and swallowing.
T. Ayuse (2006)
10.1007/BF02414429
Fiberoptic endoscopic examination of swallowing safety: A new procedure
S. Langmore (2006)
10.1007/BF00265206
Thermal application reduces the duration of stage transition in dysphagia after stroke
J. Rosenbek (2004)
10.1053/GAST.2002.32999
Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening.
R. Shaker (2002)
10.1097/00020840-199812000-00008
Evaluation and treatment of swallowing disorders
J. Logemann (1983)
10.1007/s00455-001-0087-3
Prevention of Pneumonia in Elderly Stroke Patients by Systematic Diagnosis and Treatment of Dysphagia: An Evidence-Based Comprehensive Analysis of the Literature
David L. Doggett (2001)
Adult hemiplegia: evaluation and treatment. London: William Heinemann Medical Books Ltd
B Bobath (1978)
10.1007/S12019-000-0010-0
Evaluation and treatment of swallowing disorders
J. Shapiro (1992)
10.3109/13682829809179436
Is a 'safe swallow' really safe?
L. Hirst (1998)
10.1007/BF00417897
A penetration-aspiration scale
J. Rosenbek (2004)
10.1001/ARCHNEUR.1994.00540220099020
Aspiration and relative risk of medical complications following stroke.
M. Holas (1994)
10.1044/1058-0360.0501.23
Effect of a Tongue-Holding Maneuver on Posterior Pharyngeal Wall Movement During Deglutition
M. Fujiu (1996)
10.1093/PTJ/70.12.855
Coordination of posture and movement.
J. Frank (1990)
10.2214/AJR.180.6.1801613
Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia.
L. Pikus (2003)
10.1177/000348949610500202
Supraglottic and Pharyngeal Sensory Abnormalities in Stroke Patients with Dysphagia
J. H. Martin (1996)
10.1007/978-3-662-47634-5_5
Nahrungsaufnahme – mehr als Schlucken
D. Mueller (2015)
The benefit of head rotation on pharyngoesophageal dysphagia.
J. Logemann (1989)
10.1155/NP.2001.131
Adaptability and Flexibility of the Human Motor System: Implications for Neurological Rehabilitation
Theo Mulder (2001)
10.1044/1058-0360.0604.17
Clinical Assessment of Swallowing and Prediction of Dysphagia Severity
S. Daniels (1997)
10.1007/978-3-642-12943-8_15
Pilotstudie zu F.O.T.T. bei neurologischen Patienten
R. O. Seidl (2011)
10.1007/978-3-540-49685-4
Die Therapie des Facio-Oralen Trakts
R. Nusser-Müller-Busch (2004)
10.1016/0016-5085(89)90391-0
Upper esophageal sphincter opening and modulation during swallowing.
P. Jacob (1989)
10.1177/0269215507076393
Pilot study of a neurophysiological dysphagia therapy for neurological patients
R. Seidl (2007)
10.1007/s00455-009-9239-7
Effects of Therapy in Oropharyngeal Dysphagia by Speech and Language Therapists: A Systematic Review
R. Speyer (2009)
10.1177/0194599814545472
Patients
R. Rosenfeld (2014)
Effects of therapy in oropharyngeal
R Speyer (2007)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar