Evidenzbasierte Dysphagietherapie

Zusammenfassung

Die Dysphagietherapie ist noch eine recht junge Behandlungsform, die aus der neurologischen Rehabilitation nicht mehr wegzudenken ist. Patienten mit Schluckstörungen gehen davon aus, die bestmögliche Therapie zu erhalten. Klinische Studien bilden die Basis, ergänzen die individuellen Erfahrungen der Therapeuten und bieten allen Beteiligten einen Wirksamkeitsnachweis. Lebendig erklärt die Autorin den historischen Hintergrund der einzelnen Konzepte und gibt einen guten kritischen Überblick der derzeitigen Evidenzlage.

• Literatur

• 1 Bartolome G. Grundlagen der funktionellen Dysphagietherapie (FDT). In: Bartolome G, Schröter-Morasch H, Hrsg. Schluckstörungen – Diagnostik und Rehabilitation. München, Jena: Urban & Fischer; 2010: 245-370
• 2 Bülow M, Olsson R, Ekberg O. Supraglottic swallow, effortful swallow, and chin tuck did not alter hypopharyngeal intrabolus pressure in patients with pharyngeal dysfunction. Dysphagia 2002; 17: 197-201
• 3 Bülow M, Olsson R, Ekberg O. Videoradiographic analysis of how carbonated thin liquids and thickened liquids affect the physiology of swallowing in subjects with aspiration on thin liquids. Acta Radiol 2003; 44: 366-372
• 4 Bülow M, Speyer R, Baijens L et al. Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction. Dysphagia 2008; 23: 302-309
• 5 Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol 2006; 5: 31-37
• 6 Cichero JA. Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Nutrition Journal 2013; 12: 54-54
• 7 Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil 2005; 86: 1516-1520
• 8 Doeltgen SH, Macrae P, Huckabee ML. Pharyngeal pressure generation during tongue-hold swallows across age groups. Am J Speech Lang Pathol 2011; 20: 124-130
• 9 Easterling C, Grande B, Kern M et al. Attaining and maintaining isometric and isokinetic goals of the Shaker exercise. Dysphagia 2005; 20: 133-138
• 10 Ebihara T, Ebihara S, Maruyama M et al. A randomized trial of olfactory stimulation using black pepper oil in older people with swallowing dysfunction. J Am Geriatr Soc 2006; 54: 1401-1406
• 11 Ebihara S, Kohzuki M, Sumi Y et al. Sensory stimulation to improve swallowing reflex and prevent aspiration pneumonia in elderly dysphagic people. J Pharmacol Sci 2011; 115: 99-104
• 12 Fujiu M, Logemann JA. Effects of a tongue-holding maneuver on posterior wall movement during deglutition. Am J Speech Lang Pathol 1996; 5: 23-30
• 13 Guyatt G et al. Evidence-based Medicine – Evidence-based Medicine Working Group. JAMA 1992; 268: 2420-2425
• 14 Hoffman MR, Mielens JD, Ciucci MR et al. High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the Mendelsohn maneuver. Dysphagia 2012; 27: 418-426
• 15 Jayasekiran V, Singh S, Tyrrell P et al. Adjunctive functional pharyngeal electrical stimulation reverses swallowing disability after brain lesions. Gastroenterology 2010; 138: 1737-1746
• 16 Kahrilas PJ, Logemann JA, Krugler C et al. Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol 1991; 260: G450-G456
• 17 Kuhlemeier KV, Palmer JB, Rosenberg D. Effect of liquid bolus consistency and delivery method on aspiration and pharyngeal retention in dysphagia patients. Dysphagia 2001; 16: 119-122
• 18 Lazzara G, Lazarus C, Logemann JA. Impact of thermal stimulation on the triggering of the swallowing reflex. Dysphagia 1986; 73-77
• 19 Lazarus C et al. Effects of two types of tongue strengthening exercises in young normals. Folia Phoniatr Logop 2003; 55: 199-205
• 20 Logemann JA, Kahrilas PJ, Kobara M et al. The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil 1989; 70: 767-771
• 21 Logemann JA, Pauloski BR, Colangelo L et al. Effects of a sour bolus on oropharyngeal swallowing measures in patients with neurogenic dysphagia. J Speech Hear Res 1995; 38: 556-563
• 22 Logemann JA, Gensler G, Robbins J et al. A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson‘s disease. J Speech Lang Hear Res 2008; 51: 173-183
• 23 Logemann JA, Rademaker A, Pauloski BR et al. A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study. Dysphagia 2009; 24: 403-411
• 24 Ludlow CL, Humbert I, Saxon K et al. Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal. dysphagia 2007; 22: 1-10
• 25 McHorney CA, Martin-Harris B et al. Clinical validity of the SWAL-QOL and SWAL-CARE outcome tools with respect to bolus flow measures. Dysphagia 2006; 21: 141-148
• 26 Mendelsohn MS, Martin RE. Airway protection during breath-holding. Ann Otol Rhinol Laryngol 1993; 102: 941-944
• 27 Murray J. Entscheidungsfindung im Dysphagiemanagement. In: Stanschus S, (Hrsg.) Rehabilitation von Dysphagien. Schulz-Kirchner; 2006: 61-82
• 28 Power ML, Fraser CH, Hobson A et al. Evaluating oral stimulation as a treatment for dysphagia after stroke. Dysphagia 2006; 21: 49-55
• 29 Prosiegel M, Heintze M, Wagner-Sonntag E et al. Schluckstörungen bei neurologischen Patienten: Eine prospektive Studie zu Diagnostik, Störungsmustern, Therapie und Outcome. Nervenarzt 2002; 73: 364-370
• 30 Prosiegel M (federführend) Qualitätskriterien und Standards für die Diagnostik und Therapie von Patienten mit neurologischen Schluckstörungen. Neurogene Dysphagien – Leitlinien 2003 der DGNKN Neurol & Rehabil 2003; 9: 157-181
• 31 Prosiegel M (federführend) Neurogene Dysphagien. Leitlinien für Diagnostik und Therapie der DGN 2012;
• 32 Robbins J, Kays SA, Gangnon RE et al. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil 2007; 88: 150-158
• 33 Robbins J, Gensler G, Hind J et al. Comparison of 2 interventions for liquid aspiration on pneumonia incidence: a randomized trial. Ann Intern Med 2008; 148: 509-518
• 34 Rosenbek JC, Robbins J, Fishback B et al. Effects of thermal application on dysphagia after stroke. J Speech Hear Res 1991; 34: 1257-1268
• 35 Rosenbek JC, Robbins J, Willford WO et al. Comparing treatment intensities of tactile-thermal application. Dysphagia 1998; 13: 1-9
• 36 Sackett D, Rosenberg WMC, Gray JAM et al. Evidence based medicine: what it is and what it isn’t. BMJ 1996; 312: 71-72
• 37 Sciortino K, Liss JM, Case JL et al. Effects of mechanical, cold, gustatory, and combined stimulation to the human anterior faucial pillars. Dysphagia 2003; 18: 16-26
• 38 Shaker R, Easterling C, Kern M et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology 2002; 122: 1314-1321
• 39 Shanahan TK, Logemann JA, Rademaker AW et al. Chin-down posture effect on aspiration in dysphagic stroke patients. Arch Phys Med Rehabil 1993; 74: 736-739
• 40 Teismann I, Steinsträter O, Warnecke T et al. . BMC Neuroscience 2009; 10: 71-71
• 41 Tsukamoto Y. CT study of closure of the hemipharynx with head rotation in a case of lateral mudullary syndrome. Dysphagia 2000; 15: 17-18