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Full-Text Articles in Medicine and Health Sciences
Advantages Of Percutaneous Endoscopic Gastrostomy Tube Placement In Patients With Head And Neck Cancer Who Receive Radiation As Part Of Their Treatment, Nevin Thul
Speech and Hearing Sciences ETDs
The use of percutaneous endoscopic gastrostomy tubes as an intervention strategy in head and neck cancer was investigated in this retrospective chart review. Twenty-five veterans met the inclusion criteria and were categorized into two groups – use of prophylactic percutaneous endoscopic gastrostomy and absence of percutaneous endoscopic gastrostomy tube placement. Medical charts were reviewed and data extracted included weight, swallow function, swallow exercise compliance, and physical and social quality of life for 2 years post-treatment. Month-to-month data were compared across the two groups with respect to weight, swallow function, swallow exercise compliance, and physical and social quality of life scores. …
Establishing Effective Amplitude Criterion For Transcranial Direct Current Stimulation, Lindsey Michele Schwenger
Establishing Effective Amplitude Criterion For Transcranial Direct Current Stimulation, Lindsey Michele Schwenger
Senior Honors Projects, 2010-2019
My honors project will document and reflect on my experiences as a member of a research team that is studying transcranial direct current stimulation (tDCS) as a treatment for dysphagia, or difficulty swallowing, which affects a vast, diverse group of individuals. There is substantial need for more efficient and effective rehabilitation strategies used to restore abilities and reduce the risks associated with dysphagia. Recent studies have addressed these risks by exploring tDCS as a treatment for central nervous system damage caused by stroke, traumatic brain injury, and Parkinson's disease. Research has recently been conducted to test its effectiveness, but has …
Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel
Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel
Electronic Theses and Dissertations
Swallowing motility disorders (dysphagia) are a major complication following radiation treatment for head and neck cancer, affecting ~50% of those treated. One reason for this is that radiation causes muscle damage, provoking sensorimotor pathologies. Previous work has suggested that injury may cause discoordination between breathing and swallowing behaviors. We sought to determine if muscle injury provokes changes in this behavior. We hypothesized that acute suprahyoid muscle damage would alter cross-behavior excitability, causing destabilization of the respiratory-swallow pattern. Swallowing was evoked in anesthetized spontaneously breathing cats via injection of a 3cc bolus of water into the oropharyngeal cavity. A suprahyoid injury …
A New Surgical Approach For O-C2 Fusion, Solving The Problem Of Dysphagia., M. Kathryn Mcclure
A New Surgical Approach For O-C2 Fusion, Solving The Problem Of Dysphagia., M. Kathryn Mcclure
Electronic Theses and Dissertations
The fusion of the second cervical vertebrae to the occipital bone (O-C2 fusion) for head stabilization can result in postoperative dysphagia and dyspnea, negatively impacting the patient’s quality of life. Currently, the O-C2 angle is used for head placement, which may not place the head neutrally. We hypothesize that aligning the external auditory meatus with midline of the C2 will reduce oropharyngeal stenosis, reducing dysphagia. One male patient with poor swallow quality of life who required a revision of a previous O-C2 surgery was evaluated via videofluoroscopy and completed the standard swallow quality of life questionnaire (SWAL-QOL) before and after …
Transitioning Adults From A Tube-Feeding To An Oral Feeding In Long-Term Care Facilities, Patricia D. Mejorado
Transitioning Adults From A Tube-Feeding To An Oral Feeding In Long-Term Care Facilities, Patricia D. Mejorado
Theses and Dissertations
The objective of this investigation is to gain information regarding the transition of adults from a tube feeding to an oral feeding in long-term care facilities. Twelve surveys were administered to the speech language pathologist population from the UTRGV and UTPA communication sciences and disorders alumni via email invitation. The survey consisted of questions regarding: years practiced in long-term care facilities, interdisciplinary collaboration, protocol and/or algorithms for transitioning patients from a tube feeding to an oral feeding, documentation programs, access to meal intakes, the SLP’s role in the transition to oral feedings, and areas of concerns regarding the transition from …