期刊
HEAD & FACE MEDICINE
卷 17, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s13005-021-00257-3
关键词
Electric stimulation therapy; Oropharyngeal dysphagia; Temporomandibular joint disorders; Dental care; Speech-language pathology
资金
- Fondo de Ayuda a la Investigacion, Department for Research, Development and Innovation, Universidad de los Andes, Santiago de Chile [INV-IN-2015-101]
- CORFO-CTecnologicos para la Innovacion [18COTE-89695]
- CONICYT-FONDEF Chile [16I1036]
- Faculty of Dentistry
Oro-pharyngeal dysphagia and Temporo-Mandibular Jaw disorder are common issues affecting quality of life, with a lack of strong evidence-based treatment support. Caution is needed while exploring alternative therapeutic strategies and opportunities for innovation. An interdisciplinary approach is crucial for effective treatment of patients.
Oro-Pharyngeal Dysphagia - or simply dysphagia - is the difficulty (persistent) in swallowing/passing food and/or liquid from the mouth to the pharynx into the esophagus and finally the stomach; a deglutition disorder (a symptom, by definition, often due to neuro-degenerative/-muscular, drug-induced or localized structural pathologies such as head and neck tumors, lesions and associated surgical and/or radiation injuries) linked to severe consequences on Quality of Life (QoL), including malnutrition, dehydration, and even sudden death. Likewise, Temporo-Mandibular Jaw and Joint disorder(s) - or simply TMD - is a multifactorial etiological condition, regularly encountered in the dental office. Whether due to malocclusion, bruxism, stress and/or trauma, TMD destabilizes the whole cranio-mandibular system structurally and functionally, via affecting mastication, teeth, supporting structures, comfort and aesthetics, and thus, QoL, again. While several treatment regimens do exist for such conditions, some of which have been standardized for use over the years, most continue to lack proper evidence-based literature support. Hence, (1) caution is to be exercised; and (2) the need for alternative therapeutic strategies is amplified, subsequently, the door for innovation is wide open. Indeed, neuromuscular electrical stimulation or NMES, is perhaps a fine example. Herein, we present the interested oro-dental health care provider with an up-dated revision of this therapeutic modality, its potential benefits, risks and concerns, to best handle the dysphagic patient: an intra-disciplinary approach or strategy bridging contemporary dentistry with speech and language therapy; a rather obscure and un-discovered yet critical allied health profession. A pre-clinical and clinical prospectus on employing inventive NMES-based regimens and devices to manage TMD is also highlighted.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据