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Management Of Dysphagia In Tracheostomized Patients: A Narrative Review, Chih-En Liu, Shu-Mei Yang, Ming-Yen Hsiao
Management Of Dysphagia In Tracheostomized Patients: A Narrative Review, Chih-En Liu, Shu-Mei Yang, Ming-Yen Hsiao
Rehabilitation Practice and Science
Swallowing disorders are prevalent in tracheostomized patients and are associated with a high incidence of aspiration. This narrative review discusses the primary causes and subsequent management strategies for dysphagia in this population. Factors such as reduced laryngeal elevation, compromised hypopharyngeal and laryngeal sensations, impaired vocal cord function, loss of glottic airflow and subglottic pressure, weakened cough reflex, increased respiratory secretions, and disuse muscle atrophy have been identified as major contributors. These challenges can lead to severe complications, including aspiration pneumonia and respiratory failure. Comprehensive evaluations that combine clinical assessments with a thorough review of a patient’s medical history are crucial. …
Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang
Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang
Rehabilitation Practice and Science
Background: Oral cavity cancer is the most common cancer in middle-aged men in Taiwan. Radiation fibrosis syndrome and lymphedema are the leading side effects in patients with oral cavity cancer, and can deteriorate their quality of life (QOL). The aim of this study was to prospectively evaluate common morbidities and their influences on QOL in patients with oral cavity cancer. Methods: 27 patients with oral cavity cancer who received surgery and radiotherapy (RT) were recruited. Clinical evaluations of each patient included the VAS pain scale, the lymphedema scale, facial distance measurement for lymphedema, maximal interincisal distance (MID), range of motion …
Effectiveness Of Post-Acute Rehabilitation On Functional Outcome After Hip Fracture, Yen-Ju Wang, Pei-Hsin Lin, Li-Ning Peng, Mu-Jung Kao, Serena Y.C Lin, Kuan-Hua Huang, Yen-Fang Chen, Miao-Ru Liang
Effectiveness Of Post-Acute Rehabilitation On Functional Outcome After Hip Fracture, Yen-Ju Wang, Pei-Hsin Lin, Li-Ning Peng, Mu-Jung Kao, Serena Y.C Lin, Kuan-Hua Huang, Yen-Fang Chen, Miao-Ru Liang
Rehabilitation Practice and Science
Objective: We investigated the effectiveness of functional recovery after 2-week post-acute rehabilitation in elderly people with hip fractures. Design: We divided the patients (N = 129) into 2 groups: the post-acute care (PAC) group (N = 90) that received 2-week in-hospital rehabilitation and the control group (N =39) that were discharged immediately. Outcomes were measured according to the Barthel Index (BI) score. Results: The BI scores at 2 weeks, 3 months, and 6 months were higher in the PAC group than those in the control group, especially for transfer and mobility. Males, aged less than 80 years old, or who …