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Chen YJ, Chen YT, Lin LC, Chen SC, Wang CT, Hsieh CM. Effects of Olfactory Stimulation on Swallowing Function in Taiwanese Older Adults. Gerontol Geriatr Med 2021; 7:23337214211015449. [PMID: 34104681 PMCID: PMC8155783 DOI: 10.1177/23337214211015449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 03/26/2021] [Accepted: 04/01/2021] [Indexed: 11/21/2022] Open
Abstract
This pretest-posttest pilot study was to examine the effects of how
olfactory stimulation (OS) influenced swallowing function in older
adults. Forty-four community-dwelling older residents (24 OS & 20
control) from southern Taiwan were recruited. Participants in the
intervention group administered pre-meal OS using odor and flavor
inhalation. The study found that physiological responses for different
food textures significantly differed between groups at post-test
(p ≤ .02). Within the
experimental group, swallowing function, and individual satisfaction
showed significant differences before and after the odor inhalation
over time (p < .01, ηp2 = 0.16–0.33). An individual’s satisfaction to their
own swallowing capacity was largely enhanced by the significant
interaction between time and group (F[1, 42] = 11.34,
p = .002, ηp2 = 0.21), but not for physiological response to OS
and swallowing function. The results suggest OS may be advantageous to
improving physiological response to OS, swallowing function and
satisfaction with swallowing capacity in older adults.
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Affiliation(s)
- Yea-Jyh Chen
- University of North Carolina at Wilmington, Wilmington, USA
| | - Yea-Tzy Chen
- National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.,University of Taipei, Taipei, Taiwan
| | - Li-Chu Lin
- Cathay General Hospital (Sijhih Branch), Taipei, Taiwan
| | - Su-Chiu Chen
- National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Chi-Te Wang
- University of Taipei, Taipei, Taiwan.,Far Eastern Memorial Hospital, New Taipei, Taiwan
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Malandraki GA, Arkenberg RH, Mitchell SS, Malandraki JB. Telehealth for Dysphagia Across the Life Span: Using Contemporary Evidence and Expertise to Guide Clinical Practice During and After COVID-19. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2021; 30:532-550. [PMID: 33555933 PMCID: PMC8740558 DOI: 10.1044/2020_ajslp-20-00252] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Revised: 10/15/2020] [Accepted: 11/22/2020] [Indexed: 05/19/2023]
Abstract
Purpose Our aim was to critically review recent literature on the use of telehealth for dysphagia during the COVID-19 pandemic and enhance this information in order to provide evidence- and practice-based clinical guidance during and after the pandemic. Method We conducted a rapid systematized review to identify telehealth adaptations during COVID-19, according to peer-reviewed articles published from January to August 2020. Of the 40 articles identified, 11 met the inclusion criteria. Full-text reviews were completed by three raters, followed by qualitative synthesis of the results and description of practical recommendations for the use of telehealth for dysphagia. Results Seven articles were guidelines articles, three were editorials, and one was a narrative review. One article focused on telehealth and dysphagia during COVID-19. The remaining 10 mentioned telehealth in varying degrees while focusing on dysphagia management during the pandemic. No articles discussed pediatrics in depth. The most common procedure for which telehealth was recommended was the clinical swallowing assessment (8/11), followed by therapy (7/11). Six articles characterized telehealth as a second-tier service delivery option. Only one article included brief guidance on telehealth-specific factors, such as legal safeguards, safety, privacy, infrastructure, and facilitators. Conclusions Literature published during the pandemic on telehealth for dysphagia is extremely limited and guarded in endorsing telehealth as an equivalent service delivery model. We have presented prepandemic and emerging current evidence for the safety and reliability of dysphagia telemanagement, in combination with practical guidelines to facilitate the safe adoption of telehealth during and after the pandemic.
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Affiliation(s)
- Georgia A. Malandraki
- Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN
| | - Rachel Hahn Arkenberg
- Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN
| | - Samantha S. Mitchell
- Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN
| | - Jaime Bauer Malandraki
- Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN
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Dhamija RK, Srivastava A, Chauhan S, Shah U, Nagda T, Palande D, Chitnis S, Dantala PS, Solomon JM, Krishnan SM, Someshwar H, Surya N. Consensus Statement on Neurorehabilitation during COVID-19 Times: Expert Group on Behalf of the Indian Federation of Neurorehabilitation (IFNR). Ann Indian Acad Neurol 2021; 24:138-141. [PMID: 34220054 PMCID: PMC8232470 DOI: 10.4103/aian.aian_997_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 09/29/2020] [Accepted: 10/03/2020] [Indexed: 11/04/2022] Open
Abstract
The COVID19 pandemic in India is causing significant morbidity and disruptions of healthcare delivery. The rapidly escalating contagion is straining our public health system, which is already under pressure due to a shortage of infrastructure and inadequate workforce. Neuro rehabilitation services that are still in its infancy in our country have been significantly interrupted in the last six months. An expert group from Indian Federation of Neurorehabilitation (IFNR) have formulated the guidelines and consensus recommendations for Neurologists, Physiatrists, and Therapists managing neurological disabilities during COVID 19. The aim of this consensus paper is to sensitize the clinicians and therapists about maintaining the continuum of care and rehabilitation needs of Covid patients as well as non Covid patients with neurological disorders during the ongoing COVID 19 pandemic.
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Affiliation(s)
- Rajinder K Dhamija
- Department of Neurology, Lady Hardinge Medical College and SSK Hospital, New Delhi, India
| | - Abhishek Srivastava
- Centre for Physical Medicine and Rehabilitation, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India
| | - Sonal Chauhan
- Department of Physical Medicine and Rehabiltation, Lady Hardinge Medical College and SSK Hospital, New Delhi, India
| | - Urvashi Shah
- Center for Neuropsychology Studies, Department of Neurology, KEM Hospital, Mumbai, Maharashtra, India
| | - Taral Nagda
- Department of Pediatric Orthopaedics, NH SRCC Children's Hospital, Mumbai, Maharashtra, India
| | - Deepak Palande
- Department of Neurosurgery, Sir J J Hospital and Grant Government Medical College, Mumbai, Maharashtra, India
| | - Sonal Chitnis
- School of Audiology Speech and Language Pathology, Bharati Vidyapeeth (DU) Medical College, Pune, Maharashtra, India
| | - P S Dantala
- Department of Orthotics, Dhyan Health Care, Mumbai, Maharashtra, India
| | - John M Solomon
- Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Karnataka, India
| | - S Murali Krishnan
- Faculty of Occupational Therapy, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Hitav Someshwar
- Department of Neurophysiotherapy, KJ Somaiya College of Physiotherapy, Mumbai, Maharashtra, India
| | - Nirmal Surya
- Indian Federation of Neurorehabilitation, Surya Neuro Centre, Mumbai, Maharashtra, India
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