Clinical Practice Guidelines for Oropharyngeal Dysphagia
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Published:2023-07-30
Issue:Suppl 1
Volume:47
Page:S1-S26
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ISSN:2234-0653
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Container-title:Annals of Rehabilitation Medicine
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language:en
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Short-container-title:Ann Rehabil Med
Author:
Yang SeoyonORCID, Park Jin-WooORCID, Min KyunghoonORCID, Lee Yoon SeORCID, Song Young-JinORCID, Choi Seong HeeORCID, Kim Doo YoungORCID, Lee Seung HakORCID, Yang Hee SeungORCID, Cha WonjaeORCID, Kim Ji WonORCID, Oh Byung-MoORCID, Seo Han GilORCID, Kim Min-WookORCID, Woo Hee-SoonORCID, Park Sung-JongORCID, Jee SungjuORCID, Oh Ju SunORCID, Park Ki DeokORCID, Jin Young JuORCID, Han SungjunORCID, Yoo DooHanORCID, Kim Bo HaeORCID, Lee Hyun HaengORCID, Kim Yeo HyungORCID, Kang Min-GuORCID, Chung Eun-JaeORCID, Kim Bo RyunORCID, Kim Tae-WooORCID, Ko Eun JaeORCID, Park Young Min, Park HanaroORCID, Kim Min-SuORCID, Seok JungirlORCID, Im SunORCID, Ko Sung-HwaORCID, Lim Seong HoonORCID, Jung Kee WookORCID, Lee Tae Hee, Hong Bo YoungORCID, Kim WoojeongORCID, Shin Weon-SunORCID, Lee Young ChanORCID, Park Sung JoonORCID, Lim JeonghyunORCID, Kim YoungkookORCID, Lee Jung HwanORCID, Ahn Kang-MinORCID, Paeng Jun-Young, Park JeongYunORCID, Song Young AeORCID, Seo Kyung Cheon, Ryu Chang Hwan, Cho Jae-KeunORCID, Lee Jee-Ho, Choi Kyoung HyoORCID
Abstract
Objective: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one’s physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia. Methods: Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.Results: Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended. Conclusion: This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.
Funder
Korean Academy of Rehabilitation Medicine Korean Dysphagia Society
Publisher
Korean Academy of Rehabilitation Medicine
Cited by
1 articles.
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1. Diagnosis and treatment of dysphagia;Journal of the Korean Medical Association;2023-10-10
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