Advertisement

Dysphagia

, Volume 21, Issue 4, pp 243–253 | Cite as

Dysphagia Management: An Analysis of Patient Outcomes Using VitalStim™ Therapy Compared to Traditional Swallow Therapy

  • Mary KigerEmail author
  • Catherine S. Brown
  • Lynn Watkins
Article

Abstract

This study compares the outcomes using VitalStim™ therapy to outcomes using traditional swallowing therapy for deglutition disorders. Twenty-two patients had an initial and a followup videofluoroscopic swallowing study or fiberoptic endoscopic evaluation of swallowing and were divided into an experimental group that received VitalStim treatments and a control group that received traditional swallowing therapy. Outcomes were analyzed for changes in oral and pharyngeal phase dysphagia severity, dietary consistency restrictions, and progression from nonoral to oral intake. Results of χ2 analysis showed no statistically significant difference in outcomes between the experimental and control groups.

Keywords

Dysphagia VitalStim™ Deglutition Deglutition disorders 

References

  1. 1.
    Logemann JA: Evaluation and Treatment of Swallowing Disorders, 2nd ed. Austin, TX: Pro-Ed, 1998Google Scholar
  2. 2.
    American Speech, Language, Hearing Association: Instrumental diagnostic procedures for swallowing. Am Speech Lang Hear 34:25–33, 1992Google Scholar
  3. 3.
    American Speech, Language, Hearing Association: Sedation and topical anesthetics in audiology and speech-language pathology. Am Speech Lang Hear 34:41–42, 1992Google Scholar
  4. 4.
    Langmore S, Schatz K, Olson N: Fiberoptic endoscopic examination swallowing safety: a new procedure. Dysphagia 2:216–219, 1998CrossRefGoogle Scholar
  5. 5.
    Langmore S, Schatz K, Olson N: Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. Ann Otol Rhinol Laryngol 100:678–681, 1991PubMedGoogle Scholar
  6. 6.
    Mendelsohn MS, Martin RE: Airway protection during breath-holding. Ann Otol Rhinol Laryngol 102(12):941–944, 1993PubMedGoogle Scholar
  7. 7.
    Shaker R, Kern M, Bardan E, Arndorfer R, Hofmann C: Effect of isotonic/isometric head lift exercises on hypopharyngeal intrabolus pressure. Dysphagia 12(2):107, 1997Google Scholar
  8. 8.
    Lazarus C, Logemann JA, Huang DF, Rademaker AW: Effects of two types of tongue strengthening exercises in young normals. Folia Phoniatr Logop 55(4):199–205, 2003PubMedCrossRefGoogle Scholar
  9. 9.
    Lazarus C, Logemann JA, Song CW, Rademaker AW, Kahrilas PJ: Effects of voluntary maneuers on tongue base function for swallowing. Folia Phoniatr Logop 54(4):171–176, 2002PubMedCrossRefGoogle Scholar
  10. 10.
    Miller JL, Watkin KL, Chen MF: Muscle, adipose and connective tissue variations in intrinsic musculature of the adult human tongue J Speech Lang Hear Res 45(1):51–65, 2002PubMedCrossRefGoogle Scholar
  11. 11.
    Stefanakos KH: Resource text for a dysphagia workshop on deep pharyngeal neuromuscular stimulation: Effective treatment for pharyngeal dysphagia. Tampa, FL: The Speech Team, Inc., 1999Google Scholar
  12. 12.
    Freed M, Freed L, Chatburn RL, Christian M: Electrical stimulation for swallowing disorders caused by stroke. Respir Care 46(5):466–474, 2001PubMedGoogle Scholar
  13. 13.
    Freed M, Wijting Y: Training manual for patient assessment and treatment using VitalStim electrical stimulation. Hixson, TN: Chattanooga Group, 2003Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • Mary Kiger
    • 1
    • 3
    Email author
  • Catherine S. Brown
    • 2
  • Lynn Watkins
    • 1
  1. 1.Whitaker Rehabilitation CenterWinston-SalemUSA
  2. 2.Thomasville Medical CenterThomasvilleUSA
  3. 3.Forsyth Rehabilitation CenterWinston-SalemUSA

Personalised recommendations