Abstract
In this critique of research in behavioral treatment of dysphagia, three types of investigations are briefly reviewed: general managment guides, specific behavioral treatments applied to single patients or a few patients, and dysphagia programs applied to large numbers of patients. Efficacy of treatment has been demonstrated in some of the single-case or small-group studies where specific techniques have been utilized. Unfortunately, efficacy has not been demonstrated in any of the studies where large groups of patients have been enrolled in dysphagia programs. Some of the critical factors that have been lacking in many of these studies are discussed and the need to include functional outcome measures in efficacy studies is emphasized.
Similar content being viewed by others
References
Langmore SE, Miller RM: Behavioral treatment for adults with oropharyngeal dysphagia. Arch Phys Med Rehabil 75:1154–1160, 1994
Miller RM, Langmore SE: Treatment efficacy for adults with oropharyngeal dysphagia. Arch Phys Med Rehabil 75:1256–1262, 1994
Buckley JE, Addicks L, Maniglía J: Feeding patients with dysphagia. Nursing Forum 15(1):69–85, 1976
Larsen GL: Rehabilitation for dysphagia paralytica. J Speech Hear Disord 37(2):187–194, 1972
Larsen GL: Conservative management for incomplete dysphagia paralytica. Arch Phys Med Rehabíl 54(4):180–185, 1973
Logemann JA, Kahrilas PJ: Relearning to swallow after stroke—application of maneuvers and indirect biofeedback: a case study. Neurology 40:1136–1138, 1990
Shanahan TK, Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ: Chin-down posture effects on aspiration in dysphagic patients. Arch Phys Med Rehabil 74:736–739, 1993
Kahrilas PJ, Logemann JA, Drugler C, Flanagan E: Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol 260:6450–6456, 1991
Martin BJW, Logemann JA, Shaker R, Dodds WJ: Normal laryngeal valving patterns during three breath-hold maneuvers: a pilot investigation. Dysphagia 8:11–20, 1993
Lazzara GL, Lazarus C, Logemann JA: Impact of thermal stimulation on the triggering of the swallowing reflex. Dysphagia 1:73–77, 1986
Bryant M: Biofeedback in the treatment of a selected dysphagic patient. Dysphagia 6:140–144, 1991
Perlman AL, Luschei ES, DuMond CE: Electrical activity from the superior pharyngeal constrictor during reflexive and non-reflexive tasks. J Speech Hear Res 32:749–754, 1989
Sonies BC, Parent LJ, Morrish K, Baum BJ: Durational aspects of the oral-pharyngeal phase of swallowing in normal adults. Dysphagia 3:1–10, 1988
Trible WM: The rehabilitation of deglutition following head and neck surgery. Laryngoscope 77:518–523, 1967
Aguilar NV, Olson ML, Shedd DP: Rehabilitation of deglutition problems in patients with head and neck cancer. Am J Surgery 138(4):501–507, 1979
Logemann JA: The relationship of speech and swallowing in head and neck surgical patients. Semin Speech Language 6(4): 351–359, 1985
LaBlanc GR, Kraus K, Steckol KF: Rehabilitation of swallowing and communication following glossectomy. Rehabil Nursing 16(5):266–270, 1991
Robbins J, Levine RL: Swallowing after unilateral stroke of the cerebral cortex: preliminary experience. Dysphagia 3:11–17, 1988
Horner J, Buoyer FG, Alberts MJ, Helms MJ: Dysphagia following brain-sten stroke: clinícal correlates and outcome. Arch Neurol 48:1170–1173, 1991
Winstein CJ: Neurogenic dysphagia: frequency, progression, and outcome in adults following head injury. Phys Ther 63: 1992–1997, 1983
Bazemore PH, Tondonogy J, Ananth R: Dysphagia in psychiatric patients: clinical and videofluoroscopic study. Dysphagia 6:2–5, 1991
helfrich-Miller KR, Rector KL, Straka JA: Dysphagia: its treatment in the profoundly retarded patient with cerebral palsy. Arch Phys Med Rehabil 67:520–525, 1986
Morton RE, Bonas R, Fourie B, Minford J: Videofluoroscopy in the assessment of feeding disorders of children with neurologic problems. Dev Med Child Neurol 35:388–395, 1993
Bushmann M, Dobmeyer SM, Leeker L, Perlmutter JS: Swallowing abnormalities and their response to treatment in Parkinson's disease. Neurology 39:1309–1314, 1989
Lavers A: Feeding difficulties in patients with Huntington's disease. Can Nurse 79(3):920–921, 1982
Leopold NA, Kagel MC: Dysphagia in Huntington's disease. Arch Neuro 42:57–60, 1985
Kagel MC, Leopold NA: Dysphagia in Huntington's disease: a 16-year retrospective. Dysphagia 7(2):106–114, 1992
Logemann JA: Criteria for studies of treatment for oral-pharyngeal dysphagia. Dysphagia 1:193–199, 1987
Kasprisin AT, Clumeck H, Nino-Murcia M: The efficacy of rehabilitative management of dysphagia. Dysphagia 4:48–52, 1989
Martens L, Cameron T, Simonsen M: Effects of a multidisciplinary management program on neurologically imparied patients with dysphagia. Dysphagia 5:147–151, 1990
DePippo KL, Holas MA, Reding MJ, Mandel FS, Lesser ML: Dysphagia therapy following stroke: a controlled trial. Neurology 44:1655–1660, 1994
Barer DH: The natural history and functional consequences of dysphagia after hemispheric stroke. J Neuro Neurosurg Psychiatry 52:236–241, 1989
Feinberg MJ: Letter. Am J Radiology 157:647, 1991
Horner J, Massey EW, Riski JE, Lathrop DL, Chase KN: Aspiration following stroke: clinical correlates and outcome. Neurology 38:1359–1362, 1988
Johnson ER, McKenzie SW, Sievers A: Aspiration pneumonia in stroke. Arch Phys Med Rehabil 74:973–976, 1993
Croghan JE, Burke EM, Caplan S, Denman S: Pilot study of 12-month outcomes of nursing home patients with aspiration on videofluoroscopy. Dysphagia 9:141–146, 1994
Schmidt J, Holas M, Halvorson K, Reding M: Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia 9:7–11, 1994
Groher ME: Bolus management and aspiration pneumonia in patients with pseudobulbar dysphagia. Dysphagia 1:215–216, 1987
Logemann JA, Pauloski BA, Rademaker A, Cook B, Graner D, Milianti F, Beery Q, Stein D, Bowman J, Lazarus C, Heiser MA, Baker T: Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients. Dysphagia 7:179–186, 1992
McConnel FMS: Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope 98:71–78, 1988
Olsson R, Nilsson H, Ekberg O: Simultaneous videoradiography and pharyngeal solid state manometry (videomanometry) in 25 nondysphagic volunteers. Dysphagia 10:36–41, 1995
Logemann JA, Kahrilas PJ, Kobara M, Vakil NB: The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil 70:767–71, 1989
Lazarus C, Logemann JA: Effects of maneuvers on swallowing function in a dysphagic oral cancer patient. Head and Neck 15 (5):419–424, 1993
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Langmore, S.E. Efficacy of behavioral treatment for oropharyngeal dysphagia. Dysphagia 10, 259–262 (1995). https://doi.org/10.1007/BF00431419
Issue Date:
DOI: https://doi.org/10.1007/BF00431419