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Speech Language Pathology in the Neurocritical Care Unit

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Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review

Pamela D'Netto et al.

Summary: This systematic review aimed to identify clinical predictors of dysphagia recovery post-stroke. The study found that age, airway compromise, dysphagia severity, bilateral lesions, and stroke severity were identified as predictors of persistent dysphagia and negative recovery. However, the available literature was predominantly retrospective and comparisons of outcomes were limited by methodological differences.

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Rehabilitating Cough Dysfunction in Parkinson's Disease: A Randomized Controlled Trial

Michelle S. Troche et al.

Summary: Disorders of airway protection are common in Parkinson's disease (PD) and can lead to aspiration pneumonia and death. This study compared expiratory muscle strength training (EMST) and sensorimotor training for airway protection (smTAP) to improve cough-related outcomes in PD patients. The results showed that smTAP was more effective than EMST in improving cough function.

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Review Otorhinolaryngology

Effects of Food and Liquid Properties on Swallowing Physiology and Function in Adults

Rodolfo E. Pena-Chavez et al.

Summary: This study conducted a scoping review to examine the impact of food and liquid properties on swallowing physiology and function in adults. The findings revealed that various properties of food and liquids can modify the oral and pharyngeal phases of swallowing, including taste, odor, carbonation, viscosity, hardness, adhesiveness, and cohesiveness. These modifications also affect various measurements during swallowing, such as penetration/aspiration, oral transit time, lingual pressures, submental muscle contraction, oral and pharyngeal residue, hyoid and laryngeal movement, pharyngeal and upper esophageal sphincter pressures, and total swallow duration.

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Article Otorhinolaryngology

Biofeedback as an Adjunctive Treatment for Post-stroke Dysphagia: A Pilot-Randomized Controlled Trial

Sara Nordio et al.

Summary: The study found that using sEMG biofeedback rehabilitation can effectively improve pharyngeal clearance and safe swallowing in post-stroke dysphagia patients, reducing the risk of aspiration and malnutrition. The rehabilitative effects were stable at 2-month follow-up.

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Article Critical Care Medicine

Early Tracheostomy Is Associated With Shorter Ventilation Time and Duration of ICU Stay in Patients With Myasthenic Crisis-A Multicenter Analysis

Klemens Angstwurm et al.

Summary: In patients with myasthenic crisis, approximately half require a tracheostomy. Poor baseline health condition and late-onset myasthenia gravis are associated with the need for tracheostomy. An early tracheostomy (within 10 days) is associated with a shorter duration of mechanical ventilation and ICU length of stay.

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Early Neurorehabilitation and Recovery from Disorders of Consciousness After Severe COVID-19

Lindsey Gurin et al.

Summary: During the COVID-19 pandemic in New York City, implementing early neurorehabilitation protocols helped more than half of severe patients with prolonged unresponsiveness achieve a minimally conscious state or better. Factors like body mass index, serum C-reactive protein levels, oxygen partial pressure, and medication discontinuation were associated with recovery in these patients.

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Effect of effortful swallow on pharyngeal pressures during swallowing in adults with dysphagia: A pharyngeal high-resolution manometry study

Niall Heslin et al.

Summary: This study found that effortful swallowing significantly affects the pharyngeal swallowing biomechanics in adults with dysphagia, including an increase in pharyngeal contractile and opening duration. This suggests that effortful swallowing can improve swallowing difficulties and warrants further investigation in larger clinical populations.

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Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation The SETPOINT2 Randomized Clinical Trial

Julian Bosel et al.

Summary: This study aimed to test whether early tracheostomy improved functional outcome among patients with stroke receiving mechanical ventilation. The results showed that there was no significant difference in the rate of survival without severe disability at 6 months between the early tracheostomy group and the standard tracheostomy group.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

Article Critical Care Medicine

Effectiveness of combined non-pharmacological interventions in the prevention of delirium in critically ill patients: A randomized clinical trial

Tassia Nery Faustino et al.

Summary: This study evaluated the effectiveness of combined non-pharmacological interventions in preventing delirium in critically ill patients. The results showed that compared to standard care, combined non-pharmacological interventions effectively reduced the incidence of delirium in critically ill patients.

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Article Audiology & Speech-Language Pathology

Language function in the acute phase following non-traumatic subarachnoid haemorrhage: A prospective cohort study

Katrina Dunn et al.

Summary: This study aimed to examine and characterize the language function of individuals following non-traumatic SAH, and found that 18.6% of them had language impairment. Language impairment was associated with increased ICU and hospital length of stay, and manifested as difficulties in auditory comprehension, verbal expression, reading comprehension, and written expression. The findings highlight the importance of early, routine assessment of language function for individuals with non-traumatic SAH.

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The Practice, Outcome and Complications of Tracheostomy in Traumatic Brain Injury Patients in a Neurosurgical Intensive Care Unit: Surgical versus Percutaneous Tracheostomy and Early versus Late Tracheostomy

Yusrina Zahari et al.

Summary: This study investigated the effects of different tracheostomy techniques and early versus late timing on TBI patients. The results showed that percutaneous tracheostomy had shorter durations of mechanical ventilation and ICU stay compared to surgical tracheostomy. Early tracheostomy also had shorter durations of mechanical ventilation, ICU stay, and hospital stay compared to late tracheostomy.

MALAYSIAN JOURNAL OF MEDICAL SCIENCES (2022)

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Quantitative Measurement of Swallowing Performance Using Iowa Oral Performance Instrument: A Systematic Review and Meta-Analysis

Raffaella Franciotti et al.

Summary: Swallowing is a complex motor activity that serves important functions in digestion and airway protection. The Iowa Oral Pressure Instrument (IOPI) shows high reliability in diagnosing swallowing disorders and conditions that cause dysphagia. The study finds that maximum tongue pressure (MIP) can be considered a reliable measure of swallowing function in both adults and children. Intervention studies show that experimental tongue training exercises have better outcomes than traditional treatments in improving MIP values.

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Clinical utility and future direction of speaking valve: A review

Suna Lian et al.

Summary: This paper summarizes and analyzes the clinical research progress of the speaking valve in recent years, including its impact on patient vocalization, ventilator weaning, tracheal intubation and extubation, aspiration and swallowing function, as well as patient mobility and quality of life.

FRONTIERS IN SURGERY (2022)

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Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation The SETPOINT2 Randomized Clinical Trial

Julian Bosel et al.

Summary: The study aimed to investigate whether early tracheostomy could improve functional outcomes among stroke patients receiving mechanical ventilation. The results showed that early tracheostomy did not significantly improve the rate of survival without severe disability at 6 months compared to standard tracheostomy.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

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Surface Electromyographic Biofeedback and the Effortful Swallow Exercise for Stroke-Related Dysphagia and in Healthy Ageing

Sally K. Archer et al.

Summary: The study found that both stroke patients with dysphagia and healthy participants significantly increased muscle activity during Effortful Swallow (ES) exercises, with further enhancement when using sEMG biofeedback. Participant feedback on the technique was highly positive, with over 98% expressing willingness to use it regularly. These findings suggest the potential benefits of incorporating sEMG biofeedback and ES exercises into dysphagia therapy post-stroke.

DYSPHAGIA (2021)

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A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study

Erin Godecke et al.

Summary: The VERSE trial aimed to determine if intensive aphasia therapy initiated within 14 days post-stroke was more effective in improving communication recovery compared to usual care. The study found that early, intensive aphasia therapy did not show significant improvement in communication recovery within 12 weeks post stroke compared to usual care.

INTERNATIONAL JOURNAL OF STROKE (2021)

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Dysphagia screening in residential care settings: A scoping review

Constantino Estupinan Artiles et al.

Summary: This scoping review identified that formal dysphagia screening in residential care settings is not common practice and the existing tools are not validated for this population. Implementing dysphagia screening protocols specific to older adults in residential care settings may improve identification of dysphagia and prevent complications.

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Long-Term Outcomes in ICU Patients with Delirium A Population-based Cohort Study

Kirsten M. Fiest et al.

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AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2021)

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Treatment of post-stroke aphasia: A narrative review for stroke neurologists

Emilia Vitti et al.

Summary: This review focuses on helping physicians guide patients to optimal management of post-stroke aphasia, reviewing literature on treatment effectiveness for different individuals and the potential augmentation of behavioral therapy with non-invasive brain stimulation and medications.

INTERNATIONAL JOURNAL OF STROKE (2021)

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A systematic review on voiceless patients' willingness to adopt high-technology augmentative and alternative communication in intensive care units

Xin-Xing Ju et al.

Summary: Through the study guided by TAM model, it was found that voiceless patients in the ICU considered high-tech AAC devices as useful, easy to use, reducing communication difficulties, negative emotions, and improving symptom identification and management.

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Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support

Louise Rose et al.

Summary: Due to a lack of high-quality studies, uncertainty in results, and heterogeneity in measurements, there is limited understanding of the effectiveness of communication aids for individuals requiring an artificial airway.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2021)

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Speech Pathology Services Are Integral, but Underutilized in Tracheostomy Rehabilitation

Stephanie Davis et al.

Summary: This study focused on the importance of Speech Language Pathology (SLP) in rehabilitation after tracheostomy, aiming to improve efficiency and safety in decannulation. Results showed underutilization of SLP but significant improvement in decannulation rates with increased SLP services, suggesting the need for enhanced utilization in rehabilitation.

CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION (2021)

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Standard versus Accelerated Speaking Valve Placement after Percutaneous Tracheostomy A Randomized Controlled Feasibility Study

Kristen A. Martin et al.

Summary: This study investigated the feasibility of placing a speaking valve within 24 hours of percutaneous tracheostomy. The results showed that patients in the accelerated group tolerated longer speaking valve trials and potentially had better clinical outcomes compared to the standard group, which may contribute to faster recovery of speech and swallowing.

ANNALS OF THE AMERICAN THORACIC SOCIETY (2021)

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Post-extubation dysphagia: a problem needing multidisciplinary efforts

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A Systematic Review of the Physiological Effects of the Effortful Swallow Maneuver in Adults With Normal and Disordered Swallowing

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The Role of Cardiovascular Disease in Cognitive Impairment

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Disorders of Consciousness due to Traumatic Brain Injury: Functional Status Ten Years Post-Injury

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Stealing Cookies in the Twenty-First Century: Measures of Spoken Narrative in Healthy Versus Speakers With Aphasia

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The Influence of Phonomotor Treatment on Word Retrieval: Insights From Naming Errors

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A Systematic Review of Semantic Feature Analysis Therapy Studies for Aphasia

Evangelia Antonia Efstratiadou et al.

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Skill Training Resulted in Improved Swallowing in a Person with Multiple System Atrophy: An Endoscopy Study

Sarah E. Perry et al.

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Factors Associated With Gastrostomy Tube Removal in Patients With Dysphagia After Stroke: A Review of the Literature

Janina Wilmskoetter et al.

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Telehealth Stroke Dysphagia Evaluation Is Safe and Effective

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Janina Wilmskoetter et al.

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Marian C. Brady et al.

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Placebo-Controlled Trial of Familiar Auditory Sensory Training for Acute Severe Traumatic Brain Injury: A Preliminary Report

Theresa Louise-Bender Pape et al.

NEUROREHABILITATION AND NEURAL REPAIR (2015)

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Skill Training for Swallowing Rehabilitation in Patients With Parkinson's Disease

Ruvini P. Athukorala et al.

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Impact of Dysphagia Severity on Clinical Decision Making via Telerehabilitation

Elizabeth C. Ward et al.

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Effect of Verb Network Strengthening Treatment (VNeST) in Persons With Aphasia: Extension and Replication of Previous Findings

Lisa A. Edmonds et al.

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Specialized Early Treatment for Persons With Disorders of Consciousness: Program Components and Outcomes

Ronald T. Seel et al.

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ICU-Acquired Swallowing Disorders

Madison Macht et al.

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Dysphagia in Stroke, Neurodegenerative Disease, and Advanced Dementia

Kenneth W. Altman et al.

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Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury

Catriona M. Steele et al.

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Very early poststroke aphasia therapy: a pilot randomized controlled efficacy trial

Erin Godecke et al.

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Taste and Temperature in Swallowing Transit Time after Stroke

Paula C. Cola et al.

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McNeill Dysphagia Therapy Program: A Case-Control Study

Giselle D. Carnaby-Mann et al.

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The Incidence of Dysphagia Following Endotracheal Intubation A Systematic Review

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SPEACS-2: Intensive Care Unit Communication Rounds with Speech Language Pathology

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Clinical utility of the 3-ounce water swallow test

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