Cover image of the article: Effects of sensory and oral- motor exercises on oropharyngeal dysphagia in patients with multiple sclerosis

Image Credit:Koomesh

Effects of sensory and oral- motor exercises on oropharyngeal dysphagia in patients with multiple sclerosis

Authors

Maryam Tarameshlu, Leila GhelichiLeila Ghelichi ORCID,*, Amir Reza Azimi
*Corresponding Author: Email: ghelichi.l@iums.ac.ir

Koomesh:Vol. 21, issue 3; 456-459
Published online:Sep 09, 2019
Article type:Research Article
Received:Jul 01, 2018
Accepted:Apr 09, 2019
How to Cite:Tarameshlu M, Ghelichi L, Azimi AR. Effects of sensory and oral- motor exercises on oropharyngeal dysphagia in patients with multiple sclerosis. koomesh. 2019;21(3):e153091. doi:

Abstract

Introduction: Swallowing disorders are commonly observed in more than one-third of patients with multiple sclerosis. Dysphagia in these patients, decreases quality of life and increases a risk of dehydration and aspiration pneumonia. These complications are a common cause of death and morbidity in late multiple sclerosis. The aim of this research was to examine the effects of thermal-tactile stimulation & oromotor exercises on dysphagia improvement in multiple sclerosis patients. Materials and Methods: Fifteen patients with the age range of 20-50 years who had one types of swallowing disorders participated in this study. Therapeutic strategies included Thermal-Tactile Stimulation and Oral-motor Exercises. Treatment was performed for 16 sessions. Relatively, for assessing the effect of this protocol, Northwestern Dysphagia Patient Check Sheet was taken at two stages: before treatment initiation and after completion of treatment. Results: After providing the treatment protocol, dysphagia (p=0.04), oral dysphagia (p=0.03), pharyngeal delay (p=0.001) and aspiration (p=0.01) and pharyngeal dysphagia (p=0.02) improved significantly. Conclusion: Our study showed that thermal-tactile stimulation and oral-motor exercises were effective approach in improving swallow in patients with multiple sclerosis

Highlights

References

  • 1.
    Rosenbek JC, Jones HN. Dysphagi in movement disorders. San Diego: Plural Publishing 2009.
  • 2.
    Ertekin C, Aydogd I. Neurophysiology of swallowing. Clin Neurophysiol 2003; 114: 2226-2244.
  • 3.
    Jean A. Brain stem control of swallowing: neuronal network and cellular mechanisms. Physiol Rev 2001; 81: 929-969.
  • 4.
    Logemann JA. Evaluation and treatment of swallowing disorders.Austin: 2nd edn. Pro-Ed 1998.
  • 5.
    Abraham S, Yun PT. Laryngopharyngeal dysmotility in multiple sclerosis. Dysphagia 2002; 16: 69-74.
  • 6.
    Cichero J, Murdoch B. Dysphagia: Foundation, Theory and Practice.West Sussex. Kohn Wiley & Sons Ltd 2006.
  • 7.
    Hartelius L, Svensson P. Speech and swallowing symptoms associated with Parkinsons disease and multiple sclerosis. Folia Phoniatr Logop 1994; 46: 9-17.
  • 8.
    Thomas FJ, Wiles CM. Dysphagia and nutritional status in multiple sclerosis. J Neurol 1999; 246: 677-682.
  • 9.
    Herrera W, Zeligman BE, Gruber J. Dysphagia in multiple sclerosis: clinical and videofluoroscopic correlations. J Neurol Rehabil 1990; 4: 1-8.
  • 10.
    Hughes JC, Enderby PM, Langton Hewer R. Dysphagia and multiple sclerosis: a study and discussion of its nature and impact. Clin Rehabil 1994; 8: 18-26.
  • 11.
    Poser CM, Paty DW, Scheinberg L, Mc Donald WI, Davis FA, Ebers GC, et al. New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann Neurol 1983; 13: 227-231.
  • 12.
    Logemann JA. Dysphagia: evaluation and treatment. Folia Phoniatr Logop 1995; 47: 140-164.
  • 13.
    Calcagno P, Ruoppolo G, Grasso MG, De Vincentiis M, Paolucci S. Dysphagia in multiple sclerosis prevalence and prognostic factors. Acta Neurol Scand 2002; 105: 40-43.
  • 14.
    Marches-Ragona R, Restivo DA, Marioni G, Ottaviano G, Masiero S, Staffieri A. Evaluation of swallowing disorders in multiple sclerosis. Neural Sci 2006; 27: 335-337.
  • 15.
    Restivo DA, Marches-Ragona R, Patti F. Management of swallowing disorders in multiple sclerosis. Neural Sci 2006; 27: 338-340.
  • 16.
    Scheinberg L, Smith CR. Rehabilitation of patients with multiple sclerosis. Neurol Cli 1987; 54: 585-600.
  • 17.
    Burks JS, Johnson KP. Multiple sclerosis diagnosis, medical management, and rehabilitation. San Diego: Demos Medical Publishing 2000.
  • 18.
    Rasely A, Logemann JA, Kahrilas PJ, Rademaker AW, Pauloski BR, Dodds WJ. Prevention of barium aspiration during videofluoroscopic swallowing studies: Value of change in posture. Am J Roentol 1993; 160: 1005-1009.
  • 19.
    Logemann JA. Swallowing disorders and their management in patients with multiple sclerosis. Nat Multiple Scler Soc 2006; 1-6.
  • 20.
    Sorensen P, Brown SH, Logemann JA. Communication disorders and dysphagia. Neurorehabil Neural Repair 1994; 8: 137-143.
  • 21.
    Poorjavad M. Associated Factors with Swallowing Disorders in patients with Multiple Sclerosis. J Isfahan Univ Med Sci 2010; 28: 104 (Persian).##.

Copyright

© 2019, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

Similar Articles

30
Apr
2019
Rehabilitation Strategies of Dysphagia in a Patient with Multiple Sclerosis: A Case Study

Rehabilitation Strategies of Dysphagia in a Patient with Multiple Sclerosis: A Case Study

Morteza Farazi,
Zahra Ilkhani,
Shahrzad Jaferi,
Mahbubeh Haghighi

Farazi M, Ilkhani Z, Jaferi S, Haghighi M. Rehabilitation Strategies of Dysphagia in a Patient with Multiple Sclerosis: A Case Study. Zahedan J Res Med Sci. 2019;21(2):e85773. doi: https://doi.org/10.5812/zjrms.85773

19
Nov
2022
Effect of Conventional Speech Therapy Combined with Music Therapy on Swallowing in Patients with Parkinson's Disease (Telerehabilitation): A Randomized-Controlled Trial

Effect of Conventional Speech Therapy Combined with Music Therapy on Swallowing in Patients with Parkinson's Disease (Telerehabilitation): A Randomized-Controlled Trial

Zeinab Mohseni,
Arezoo Saffarian,
Reyhane Mohamadi,
Jamileh Abolghasemi,
Seyed Amir Hasan Habibi

Mohseni Z, Saffarian A, Mohamadi R, Abolghasemi J, Habibi SAH. Effect of Conventional Speech Therapy Combined with Music Therapy on Swallowing in Patients with Parkinson's Disease (Telerehabilitation): A Randomized-Controlled Trial. Middle East J Rehabil Health Stud. 2023;10(1):e131572. doi: https://doi.org/10.5812/mejrh-131572

30
Nov
2012
Resistance Training and Vibration Improve Muscle Strength and Functional Capacity in Female Patients with Multiple Sclerosis

Resistance Training and Vibration Improve Muscle Strength and Functional Capacity in Female Patients with Multiple Sclerosis

Elham Eftekhari,
Mina Mostahfezian,
Masoud Etemadifar,
Ardeshir Zafari

Eftekhari E, Mostahfezian M, Etemadifar M, Zafari A. Resistance Training and Vibration Improve Muscle Strength and Functional Capacity in Female Patients with Multiple Sclerosis. Asian J Sports Med. 2012;3(4):34552. doi: https://doi.org/10.5812/asjsm.34552

12
Jun
2018
Comparison of Dysphonia Severity Index and its Parameters Among Individuals with Multiple Sclerosis and Healthy Subjects

Comparison of Dysphonia Severity Index and its Parameters Among Individuals with Multiple Sclerosis and Healthy Subjects

Mahnoosh Fazeli,
Negin Moradi,
Majid Soltani,
Ehsan Naderifar,
Nastaran Majdinasab,
Seyed Mahmood Latifi

Fazeli M, Moradi N, Soltani M, Naderifar E, Majdinasab N, et al. Comparison of Dysphonia Severity Index and its Parameters Among Individuals with Multiple Sclerosis and Healthy Subjects. Shiraz E-Med J. 2018;19(7):e64857. doi: https://doi.org/10.5812/semj.64857

28
Dec
2016
Realtion between the voice disorder and the quality of life in patients with multiple sclerosis

Realtion between the voice disorder and the quality of life in patients with multiple sclerosis

hedieh hashemi,
ali sadollahi,
Jalal Bakhtiyari,
Hadise ghomi,
Raheb Ghorbani,
Afshin Samaei

hashemi H, sadollahi A, Bakhtiyari J, ghomi H, Ghorbani R, et al. Realtion between the voice disorder and the quality of life in patients with multiple sclerosis. koomesh. 2016;18(2):e151139. doi:

More by these authors

Maryam TarameshluPubMedScholar
Leila GhelichiPubMedScholar
Amir Reza AzimiPubMedScholar
Share
Cited by
Metrics