Skip to main content

Dysphagie

  • Chapter
  • First Online:
Neurogeriatrie

Zusammenfassung

Die Dysphagie (Schluckstörung) wurde in den letzten Jahren in zunehmendem Maße als eine ebenso relevante Funktionsstörung für geriatrische Patienten erkannt wie die klassischen geriatrischen Syndrome und sollte deshalb den geriatrischen „I’s“ als „Impaired swallowing“ hinzugefügt werden. In Pflegeheimen weist schon heute etwa die Hälfte aller älteren Menschen eine Dysphagie auf. Am höchsten ist die Prävalenz von Dysphagien in der Gruppe alter Patienten mit neurologischen Erkrankungen, insbesondere infolge eines Schlaganfalls, einer Demenz oder eines Parkinson-Syndroms. Schlucken ist ein hochkomplexer Vorgang, der die orale, pharyngeale und ösophageale Phase umfasst. Während auf der Organebene des ICF-Modells die Diagnostik und Therapie von Schluckstörungen in der Neurogeriatrie jüngst erhebliche Fortschritte erzielt hat, gibt es auf den Ebenen Aktivität/Mobilität, soziales Umfeld, persönliche Faktoren und Umwelt noch weitreichenden Forschungsbedarf.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Affoo RH, Foley N, Rosenbek J, Shoemaker JK, Martin RE (2013) Swallowing dysfunction and autonomic nervous system dysfunction in Alzheimer’s disease: a scoping review of the evidence. J Am Geriatr Soc 61(12):2203–2213

    Article  PubMed  Google Scholar 

  • Alagiakrishnan K, Bhanji RA, Kurian M (2013) Evaluation and management of oropharyngeal dysphagia in different types of dementia: a systematic review. Arch Gerontol Geriatr 56(1):1–9

    Article  PubMed  Google Scholar 

  • Baijens LW, Clavé P, Cras P, Ekberg O, Forster A, Kolb GF, Leners JC, Masiero S, Mateos-Nozal J, Ortega O, Smithard DG1, Speyer R1, Walshe M (2016) European Society for Swallowing Disorders – European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging 11:1403–1428

    Article  PubMed  PubMed Central  Google Scholar 

  • Bartolome G, Schröter-Morasch H (2013) Schluckstörungen. Diagnostik und Rehabilitation, vol 5. Elsevier, München

    Google Scholar 

  • Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, Leonard RJ (2008) Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol 117(12):919–924

    Article  PubMed  Google Scholar 

  • Butler SG, Stuart A, Markley L, Rees C (2009) Penetration and aspiration in healthy older adults as assessed during endoscopic evaluation of swallowing. Ann Otol Rhinol Laryngol 118:190–198

    Google Scholar 

  • Carneiro D, das Graças Wanderley de Sales Coriolano M, Belo LR, Marcos Rabelo AR de, Asano AG, Lins OG (2014) Quality of life related to swallowing in Parkinson’s disease. Dysphagia 29(5):578−582

    Google Scholar 

  • Cheney DM, Siddiqui MT, Litts JK, Kuhn MA1, Belafsky PC (2015) The Ability of the 10-Item Eating Assessment Tool (EAT-10) to predict aspiration risk in persons with dysphagia. Ann Otol Rhinol Laryngol 124(5):351−354

    Google Scholar 

  • Clavé P, Shaker R (2015) Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol 12(5):259–270

    Article  PubMed  Google Scholar 

  • Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M (2008) Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr 27:806–815

    Google Scholar 

  • Coelho M, Marti MJ, Tolosa E, Ferreira JJ, Valldeoriola F, Rosa M, Sampaio C (2010) Late-stage Parkinson’s disease: the Barcelona and Lisbon cohort. J Neurol 257:1524–1532

    Google Scholar 

  • Cohen JT, Manor Y (2011) Swallowing disturbance questionnaire for detecting dysphagia. Laryngoscope 121(7):1383–1387

    Article  PubMed  Google Scholar 

  • Diehl-Schmid J, Richard-Devantoy S, Grimmer T, Förstl H, Jox R (2017) Behavioral variant frontotemporal dementia: advanced disease stages and death. A step to palliative care. Int J Geriatr Psychiatry 32:876–881

    Google Scholar 

  • Dziewas R, Beck AM, Clave P, Hamdy S, Heppner HJ, Langmore SE, Leischker A, Martino R, Pluschinski P, Roesler A, Shaker R, Warnecke T, Sieber CC, Volkert D, Wirth R (2017) Recognizing the importance of dysphagia: stumbling blocks and stepping stones in the twenty-first century. Dysphagia 32(1):78–82

    Article  PubMed  Google Scholar 

  • Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P (2002) Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 17(2):139–146

    Article  PubMed  Google Scholar 

  • Gabriel V (2004) Lebensqualität bei Schluckstörungen. Validierung eines Fragebogens zur Untersuchung der spezifischen Lebensqualität bei Schluckstörungen. Magisterarbeit, München

    Google Scholar 

  • Han M, Ohnishi H, Nonaka M et al (2011) Relationship between dysphagia and depressive states in patients with Parkinson’s disease. Parkinsonism Relat Disord 17:437–439

    Article  PubMed  Google Scholar 

  • Hooren MR van, Baijens LW, Vos R, Pilz W, Kuijpers LM, Kremer B, Michou E (2016) Voice- and swallow-related quality of life in idiopathic Parkinson’s disease. Laryngoscope 126(2):408–414

    Article  PubMed  Google Scholar 

  • ICD-10-GM-(2017) https://www.dimdi.de/static/de/klassi/icd-10-gm/kodesuche/onlinefassungen/htmlgm2017/

  • ICF (2001) http://www.dimdi.de/dynamic/de/klassi/downloadcenter/icf/stand2005/

  • Kai K, Hashimoto M, Amano K, Tanaka H, Fukuhara R, Ikeda M (2015) Relationship between eating disturbance and dementia severity in patients with Alzheimer’s disease. PLoS One 10(8):e0133666

    Article  PubMed  PubMed Central  Google Scholar 

  • Kalf H, Swart B de, Bonnier-Baars M, et al (2011) Guidelines for speech-language therapy in Parkinson’s disease. ParkinsonNet/NPF

    Google Scholar 

  • Kalf JG, de Swart BJ, Bloem BR, Munneke M (2012) Prevalence of oropharyngeal dysphagia in Parkinson’s disease: a meta-analysis. Parkinsonism Relat Disord 18(4):311–315

    Article  CAS  PubMed  Google Scholar 

  • Kuhlemeie KV (1994) Kuhlemeier KV. Epidemiology and dysphagia. Dysphagia Fall 9(4):209–217

    Article  Google Scholar 

  • Lam K, Lam FK, Lau KK et al (2007) Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson’s disease. Mov Disord 22:640–644

    Article  PubMed  Google Scholar 

  • Langmore SE, Pisegna JM (2015) Efficacy of exercises to rehabilitate dysphagia: a critique of the literature. Int J Speech Lang Pathol 17(3):222–229

    Article  PubMed  Google Scholar 

  • Leder SB, Suiter DM (2009) An epidemiologic study on aging and dysphagia in the acute care hospitalized population: 2000−2007. Gerontology 55(6):714–718

    Article  PubMed  Google Scholar 

  • Leow LP, Huckabee ML, Anderson T, Beckert L (2010) The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the swallowing quality of life (SWAL-QOL) questionnaire. Dysphagia 25(3):216–220

    Article  PubMed  Google Scholar 

  • Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA, Kahrilas PJ, Smith CH (2000) Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men. J Speech Lang Hear Res JSLHR 43(5):1264–1274

    Article  CAS  PubMed  Google Scholar 

  • Maeda K, Akagi J (2015) Decreased tongue pressure is associated with sarcopenia and sarcopenic dysphagia in the elderly. Dysphagia 30(1):80–87.

    Google Scholar 

  • Mann G, Hankey GJ, Cameron D (1999) Swallowing function after stroke: prognosis and prognostic factors at 6 month. Stroke 30:744–748

    Article  CAS  PubMed  Google Scholar 

  • Manor Y, Giladi N, Cohen A et al (2007) Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson’s disease. Mov Disord 22:1917–1921

    Article  PubMed  Google Scholar 

  • Manor Y, Balas M, Giladi N, Mootanah R, Cohen JT (2009) Anxiety, depression and swallowing disorders in patients with Parkinson’s disease. Parkinsonism Relat Disord 15:453–456

    Google Scholar 

  • Martino R, Foley N, Bhogal S et al (2005) Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 36:2756–2763

    Article  PubMed  Google Scholar 

  • McHorney CA, Bricker DE, Kramer AE, Rosenbek JC, Robbins J, Chignell KA, Logemann JA, Clarke C (2000a) The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia 15:115–121

    Google Scholar 

  • McHorney CA, Bricker DE, Robbins J, Kramer AE, Rosenbek JC, Chignell KA (2000b) The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: II. Item reduction and preliminary scaling. Dysphagia 15:122–133

    Google Scholar 

  • McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE (2002) The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 17:97–114

    Google Scholar 

  • Milosavljevic Z, Zelen I, Tanaskovic I, Sazdanovic M (2013) Morphometric analysis of muscularis proper and myenteric plexus of the normal human oesophagus. Age related changes. Folia morphologica 72(3):223–229

    Article  CAS  PubMed  Google Scholar 

  • Moreau C, Devos D, Baille G, Delval A, Tard C, Perez T, Daniel-Buhl N, Seguy D, Labreuche J, Duhamel A, Delliaux M, Dujardin K, Defebvre L (2016) Are upper-body axial symptoms a feature of early parkinson’s disease? PLoS One 11(9):e0162904

    Google Scholar 

  • Muhle P, Wirth R, Glahn J, Dziewas R (2015) Dziewas R. Schluckstörungen im Alter. Physiologie und Pathophysiologie. Nervenarzt 86(4):440–451

    Article  CAS  PubMed  Google Scholar 

  • Müller J, Wenning GK, Verny M et al (2001) Progression of dysarthria and dysphagia in postmortem-confirmed parkinsonian disorders. Arch Neurol 58:259–264

    Article  PubMed  Google Scholar 

  • Ney D, Weiss J, Kind A, Robbins J (2009) Senescent swallowing: impact, strategies, and interventions. Nutr Clin Pract 24:395–413

    Google Scholar 

  • Nobrega AC, Rodrigues B, Melo A (2008) Silent aspiration in Parkinson’s disease patients with diurnal sialorrhea. Clin Neurol Neurosurg 110:117–119

    Article  PubMed  Google Scholar 

  • Park H, Lee JY, Shin CM, Kim JM, Kim TJ, Kim JW (2015) Characterization of gastrointestinal disorders in patients with parkinsonian syndromes. Parkinsonism Relat Disord 21(5):455–460

    Article  PubMed  Google Scholar 

  • Plowman-Prine EK, Sapienza CM, Okun MS, Pollock SL, Jacobson C, Wu SS, Rosenbek JC (2009) The relationship between quality of life and swallowing in Parkinson’s disease. Mov Disord 24(9):1352–1358

    Article  PubMed  PubMed Central  Google Scholar 

  • Rofes L, Arreola V, Mukherjee R, Clavé P (2014) Sensitivity and specificity of the eating assessment tool and the volume-viscosity swallow test for clinical evaluation of oropharyngeal dysphagia. Neurogastroenterol Motil 26(9):1256–1265

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sato E, Hirano H, Watanabe Y, Edahiro A, Sato K, Yamane G, Katakura A (2014) Detecting signs of dysphagia in patients with Alzheimer’s disease with oral feeding in daily life. Geriatr Gerontol Int 14(3):549–555

    Article  PubMed  Google Scholar 

  • Selb M, Escorpizo R, Kostanjsek N, Stucki G, Üstün B, Cieza A (2015) A guide on how to develop an international classification of functioning, disability and health core set. Eur J Phys Rehabil Med 51(1):105–117

    CAS  PubMed  Google Scholar 

  • Serra-Prat M, Palomera M, Gomez C, Sar-Shalom D, Saiz A, Montoya JG, Navajas M, Palomera E, Clave P (2012) Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study. Age and Ageing 41(3):376–381

    Article  PubMed  Google Scholar 

  • Simons AJ (2012) Früherkennung von Dysphagien bei Parkinson (IPS). Inaugural-Dissertation, München

    Google Scholar 

  • Somasundaram S, Henke C, Neumann-Haefelin T, Isenmann S, Hattingen E, Lorenz MW, Singer OC (2012) Dysphagia risk assessment in acute left-hemispheric middle cerebral artery stroke. Cerebrovasc Dis 37(3):217–222

    Google Scholar 

  • Speyer R, Baijens L, Heijnen M et al (2010) Effects of therapy in oropharyngeal dysphagia by speech and language therapists: a systematic review. Dysphagia 25:40–65

    Article  PubMed  Google Scholar 

  • Speyer R, Cordier R, Kertscher B, Heijnen BJ (2014) Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: a systematic literature review. Biomed Res Int 2014:458678

    Article  PubMed  PubMed Central  Google Scholar 

  • Suominen M, Muurinen S, Routasalo P, Soini H, Suur-Uski I, Peiponen A, Finne-Soveri H, Pitkala KH (2005) Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr 59(4):578–583

    Article  CAS  PubMed  Google Scholar 

  • Sura L, Madhavan A, Carnaby G, Crary MA (2012) Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging 7:287–298

    PubMed  PubMed Central  Google Scholar 

  • Suttrup I, Warnecke T (2016a) Dysphagia in Parkinson’s disease. Dysphagia 31(1):24–32

    Article  PubMed  Google Scholar 

  • Suttrup I, Warnecke T (2016b) Dysphagia in Parkinson’s disease: pathophysiology, diagnosis and therapy. Fortschr Neurol Psychiatr 84(1):18–23

    PubMed  Google Scholar 

  • Takagi D, Hirano H, Watanabe Y, Edahiro A, Ohara Y, Yoshida H, Kim H, Murakami K, Hironaka S (2017) Relationship between skeletal muscle mass and swallowing function in patients with Alzheimer’s disease. Geriatr Gerontol Int 17(3):402–409

    Article  PubMed  Google Scholar 

  • Timmerman AA, Speyer R, Heijnen BJ, Klijn-Zwijnenberg IR (2014) Psychometric characteristics of health-related quality-of-life questionnaires in oropharyngeal dysphagia. Dysphagia 29(2):183–198

    Article  PubMed  Google Scholar 

  • Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M (2007) Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke 38:2948–2952

    Google Scholar 

  • Turley R, Cohen S (2009) Impact of voice and swallowing problems in the elderly. Otolaryngol Head Neck Surg 140:33–36

    Article  PubMed  Google Scholar 

  • Verdonschot RJ, Baijens LW, Serroyen JL, Leue C, Kremer B (2013) Symptoms of anxiety and depression assessed with the Hospital Anxiety and Depression Scale in patients with oropharyngeal dysphagia. J Psychosom Res 75(5):451–455

    Article  PubMed  Google Scholar 

  • Vogel AP, Rommel N, Sauer C, Horger M, Krumm P, Himmelbach M, Synofzik M (2017) Clinical assessment of dysphagia in neurodegeneration (CADN): development, validity and reliability of a bedside tool for dysphagia assessment. J Neurol 264(6):1107–1117

    Article  PubMed  Google Scholar 

  • Warnecke T, Im S, Kaiser 1, Hamacher C, Oelenberg S, Dziewas R (2017) Aspiration and dysphagia screening in acute stroke – the Gugging Swallowing Screen revisited. Eur J Neurol 24(4):594−601

    Google Scholar 

  • Warnecke T, Dziewas R (2018) Neurogene Dysphagien: Diagnostik und Therapie, 2. erweiterte und überarbeitete Aufl. Stuttgart, Kohlhammer-Verlag

    Google Scholar 

  • Wirth R, Dziewas R, Beck AM, Clavé P, Hamdy S, Heppner HJ, Langmore S, Leischker AH, Martino R, Pluschinski P, Rösler A, Shaker R, Warnecke T, Sieber CC, Volkert D (2016) Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clin Interv Aging 23(11):189–208

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tobias Warnecke .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Warnecke, T., Dziewas, R. (2019). Dysphagie. In: Maetzler, W., Dodel, R., Jacobs, A. (eds) Neurogeriatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57358-7_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-57358-7_12

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57357-0

  • Online ISBN: 978-3-662-57358-7

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics