Efficacy control protocol in oropharyngeal dysphagia

Silva, Roberta Gonçalves da; Jorge, Adriana Gomes; Peres, Fernanda Matias; Cola, Paula Cristina; Gatto, Ana Rita; Spadotto, André Augusto
Rev. CEFAC 12(1): 75-81, ILUS, TAB. 2010 Feb.

ABSTRACT

PURPOSE: to submit a proposal for efficacy control in neurogenic oropharyngeal dysphagia.
METHODS: the protocol was proposed in accordance with other researches and applied in one post-stroke individual, with right-hemispheric lesion confirmed by computed tomography, with oropharyngeal dysphagia, male gender, 66-year old, with laringotraqueal aspiration and using nasogastric feeding tube before swallowing therapy. In order to control the therapy effectiveness in pre- and post-swallowing therapy, the following procedures were applied: classification of severity degree for oropharyngeal dysphagia, functional oral intake scale (FOIS), videofluoroscopic evaluation of swallowing with additional swallowing pharyngeal transit time evaluation using a specific software and individual perception.
RESULTS: before swallowing therapy, severe oropharyngeal dysphagia, FOIS level 1, presence of laryngotracheal aspiration, and 13 seconds of pharyngeal transit time were found. After swallowing therapy, moderate oropharyngeal dysphagia, FOIS level 5, absence of laryngotracheal aspiration, and 4 seconds of pharyngeal transit time were found.
CONCLUSION: the proposed protocol could measure changes, both for pathophysiology of swallowing as well as for oral ingestion of the individual. We believe that it is still necessary to include nutritional and lung status of the individual in efficacy control of oropharyngeal dysphagia.

Keywords: Deglutition Disorders; Rehabilitation; Efficacy.

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