Impact of Modified Diet, Swallowing Exercises, and Neuromuscular Electrostimulation on Severity of Oropharyngeal Dysphagia of Geriatric Patients
2024

Impact of Diet, Exercises, and Electrical Stimulation on Swallowing Difficulties in Older Patients

Sample size: 64 publication 10 minutes Evidence: moderate

Author Information

Author(s): Rugaitienė Margarita, Lesauskaitė Vita, Ulozienė Ingrida, Kalinauskaitė Gerda, Juška Marius, Damulevičienė Gytė

Primary Institution: Lithuanian University of Health Sciences

Hypothesis

Can a short-term treatment combining dietary modifications, swallowing exercises, and neuromuscular electrostimulation reduce the severity of oropharyngeal dysphagia in geriatric patients?

Conclusion

A short-term multidisciplinary approach can effectively alleviate symptoms of oropharyngeal dysphagia in older patients.

Supporting Evidence

  • 18.8% of patients improved from moderate to mild dysphagia.
  • 33.3% improved from severe to moderate dysphagia.
  • The median PAS score decreased from four points to three points after treatment.

Takeaway

This study shows that changing what older people eat, helping them practice swallowing, and using special electrical devices can make it easier for them to swallow.

Methodology

Participants underwent dietary modifications, swallowing exercises, and neuromuscular electrostimulation over a 10-day treatment period, with assessments before and after treatment.

Potential Biases

The study may not be applicable to all geriatric patients due to the exclusion of those with significant comorbidities.

Limitations

The long-term effectiveness of the interventions is unknown, and participants with significant comorbidities were excluded.

Participant Demographics

Participants were aged 60 and older, with an average age of 77.8 years, and 56.3% were female.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.3390/medicina60121927

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