Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label swallowing. Show all posts
Showing posts with label swallowing. Show all posts

Friday, January 12, 2024

WVXU: UC study tests tongue exercises to improve swallowing function after stroke

In case you need this and your doctor is not up-to-date.

WVXU: UC study tests tongue exercises to improve swallowing function after stroke

WVXU highlighted a new trial at the University of Cincinnati that will test an at-home tongue endurance exercise to improve patients’ swallowing function after a stroke. 

Up to three-quarters of all stroke survivors have some form of difficulty swallowing (dysphagia) after a stroke.

"When you have a stroke, or another condition that impairs your swallowing, it impacts your life in an incredible way," Brittany Krekeler, PhD, assistant professor and clinician-scientist at the UC College of Medicine’s Dysphagia Rehabilitation Laboratory, told WVXU.

The study will enroll patients who have trouble swallowing three to six months after their stroke. Patients enrolled in the study will receive a device with a pressurized bulb that connects to their phone or tablet through Bluetooth to give them real-time feedback about how hard they are pressing the bulb with their tongue.

Participants in the trial will press their tongue to the bulb, with the device recording the number of times they do so and if they meet their goal. They’ll complete the exercises three times a day for eight weeks, with their goal increasing as they build endurance. 

"We're trying to target fatigue resistance or endurance of the tongue instead of strength because to swallow, you don't have to push your tongue as hard as you can every single time, you have to generate enough pressure to move whatever is in your mouth through your throat into your esophagus," Krekeler said. "What we're doing in this study is training people to press repeatedly over a longer period of time with the hope that that will carry over to more functional swallowing change."

Read the WVXU story.

Read more about the research.

Featured photo at top of a patient working in the Dysphagia Rehabilitation Laboratory. Photo/Rachel Treinen Photography.

Sunday, February 7, 2021

Food-softening machine allows all the family to enjoy same meals

Maybe something for your speech therapist if you have swallowing issues.

Food-softening machine allows all the family to enjoy same meals 

KYOTO--When Megumi Ogawa served meals designed for patients with a swallowing disorder to her father, he would refuse to eat and become grumpy.

“Food was a source of joy left for my dad, who could not move his body,” said Ogawa, 49. “He loved beef but could not consume it. I wanted to do something for him.”

So, Ogawa, who works at Panasonic Corp., sought the advice of a senior official she worked with at the company's plant in the Kansai region.

The official, Tokie Mizuno, quickly agreed that they should create a new home cooker for individuals troubled by the same problem.

Many food products targeting patients who have difficulty swallowing have been released to offer a greater variety of tastes and materials, but they can't be compared with their homemade counterparts.

“My grandmother lived to be 116, but always stuck to homemade dishes and had food my mother cooked until her last moment,” said Mizuno, 55. “Many people want to continue consuming meals made at home.”

As the two women had no experience in product development, they dedicated themselves to researching microwave ovens and pressure cookers at a meeting room in the plant. Their goal was to make a product that would soften food while maintaining its shape.

They also visited nursing care facilities to conduct interviews on holidays to assess the demand for such an item, if it was put on the market. 

All those efforts paid off when Ogawa and Mizuno won an in-house business project competition in 2016. But their brainchild did not come to fruition at the time.

This was because a certain level of unit sales and novelty are required for new products to be introduced and sold under the Panasonic brand. Officials decided that the market size and technological standards for a softener cooker were not enough.

Ogawa and Mizuno remained undeterred, and started soliciting those willing to join them. A circle was set up to pursue potential home appliances to assist in nursing care, enlisting the support of Masaru Morizane, 36, and other engineers.

Every time Ogawa became discouraged because of the lack of prospects for commercialization, Mizuno said to her, “we should do our best since we are weeds that rise up again no matter how many times we are stepped on.”

Mizuno continued, “Hardship will add spice to future happiness. Customers are waiting for our product.”

The patient endeavor of Ogawa and Mizuno finally paid off in April 2019, when a new electronics company, called Gifmo Co., was established in Kyoto with the support of a fund affiliated with Panasonic. Morizane became president of Gifmo.

Ogawa and Mizuno were assigned to Gifmo so they could concentrate on their own project at the firm’s headquarters within a two-story private home. The main office was set up in such a place because Konosuke Matsushita, founder of Panasonic, started his business using the first floor of his own residence as a workplace.

An electric pressure cooker produced at a Panasonic factory in China was upgraded to develop the food softening equipment. The factory is now also commissioned to manufacture the softener.

As soon as the product, designed like a rice cooker, hit the market under the name DeliSofter for 43,000 yen ($415), before taxes, in late July last year, it instantly sold the 100 units procured for initial sales. 

The equipment can soften various materials to give dysphagia patients the chance to share what their families are eating. The same technology as the pressure cooker is used to treat veggies and meat in 15 minutes and 30 minutes, respectively.

TABLE TURNS CHEERFUL

The special cooker has already proven a godsend for those who are  struggling to swallow food due to their health problems and age but are tired of easier-to-consume but insipid ready-made meals sold at grocery stores and elsewhere.

Chiharu Toyota, 36, a resident of Yokohama, said her 5-year-old eldest son Tokio has brightened up thanks to the DeliSofter, while seated at the dining table.

As Tokio has cerebral palsy and cannot swallow food smoothly, Chiharu would crush ingredients in a mixer and filter them through a sieve to convert meals into paste. The process took considerable time and Tokio did not like the finished dishes.

“He wanted to have the same things as other family members,” Chiharu said.

Buying a DeliSofter last summer drastically changed her household’s daily life. Foodstuffs processed in it can be chewed with the tongue and gum, whereas their flavors and shapes are not altered.

Tokio can now chew and swallow pieces of steak brought to his mouth. Tokio was so captivated with the “tasty” meal that he quickly responded when asked whether he wanted a second helping, bringing smiles all around the table.

No fewer than 100 dishes, including “manju” buns and “karaage” fried chicken, can be processed by the DeliSofter.

“Tokio has begun looking forward to having meals and has put on weight,” said Chiharu. “Our family’s quality of life has dramatically improved. I had never come across such a home appliance that has made us feel so complete inside.”

SURGING DEMAND

According to research firm Yano Research Institute Ltd., demand for softened meals is on a rapid increase. The market scale of food mainly for consumers in need of nursing care reached 73.4 billion yen in fiscal 2018, 1.4 times that of four years previously.

As the demand is expected to further expand, food makers are moving to refine their products’ flavors and textures. However, it is still difficult for them to reproduce the taste of being homemade.

Ogawa’s father died four years ago before he could enjoy specialties prepared at home with a DeliSofter, but Ogawa remains positive. She is dreaming of pitching a new product to make beverages safer to swallow and expanding the sales network outside Japan.

“I would like to contribute to creating a nursing care environment where people say thank you instead of sorry,” said Ogawa. “I will develop home electronics for nursing care to make that dream come true.”

For inquiries on the DeliSofter, visit the special website at: https://gifmo.co.jp/delisofter/ (in Japanese).

 

Thursday, December 15, 2016

Comparison of Dysphagia Rehabilitation Therapy with Natural Recovery on Swallowing Ability among Acute Stroke Patients

Have your doctor decipher this. Better hope a translation to English exists. 

Comparison of Dysphagia Rehabilitation Therapy with Natural Recovery on Swallowing Ability among Acute Stroke Patients


Journal of Rehabilitation Welfare Engineering & Assistive Technology , Volume 8(2) , Pgs. 109-118.

NARIC Accession Number: I242674.  What's this?
Author(s): S. Y. Heo; K. K. Kim.
Publication Year: 2014.
Abstract: The purpose of this study was to compare the effectiveness of rehabilitation therapy with natural recovery in patients who have dysphagia due to stroke. Participants were 98 patients with stroke-caused dysphagia who were divided into an experimental and a control group. Swallowing functions were examined based on a video fluoroscopic swallowing study (VFSS) for 8 weeks. Each group was evaluated with the Dysphagia Outcome and Severity Scale (DOSS), Dysphagia Severity Score (DSS), and Functional Outcome Swallowing Scale (FOSS) to assess swallowing ability in the first week, and re-evaluated in the 8th week during the session for investigating the recovery status. The author compared the above initial data and follow-up data using a Mann-Whitney U test, Kluskal-Wallis test, and Wilcoxon’s Signed Rank test, performed by IBM SPSS Statistics 20.0 for windows. There was statistically significant recovery in the experimenta1 group except measure of DOSS (p>O.05). The control group showed improvement in all the sca1es (p Descriptor Terms: Dysphagia, Rehabilitation, Stroke, Therapy.
Language: Korean

Thursday, October 1, 2015

Rotigotine Transdermal Patch Improves Swallowing Functions in Patients With Parkinson’s Disease

Would this help in stroke patients? Once again our stroke associations will fail by not following up on this with appropriate research. You'll have to wait 50 years because we have NO stroke strategy and no one that is even documenting anything resembling a strategy. We have NO stroke strategy by any of our stroke associations. They are all JUST WAITING FOR SOMEONE ELSE TO SOLVE THE PROBLEM! 

Rotigotine Transdermal Patch Improves Swallowing Functions in Patients With Parkinson’s Disease


 The rotigotine transdermal patch improves swallowing functions in patients with Parkinson’s disease (PD) who have difficulty swallowing, according to a study presented here on September 27 at the 140th Annual Meeting of the American Neurological Association (ANA).
“Abnormal swallowing, or dysphagia, is a potentially fatal symptom in Parkinson’s disease, and several studies have reported that the injection of apomorphine, a dopamine agonist, alleviated dysphagia in some patients with PD,” said Makito Hirano, MD, Nara Medical University School of Medicine, Nara, Japan. “Rotigotine is another dopamine agonist with non-oral administration, and its non-invasiveness seems to render this medicine even more suitable than apomorphine for patients with dysphagia.”
To investigate the efficacy of the rotigotine transdermal patch for dysphagia, the researchers conducted a retrospective, open-label study in which they evaluated swallowing functions using videofluoroscopic (VF) examination in 7 patients with PD and dysphagia (5 males and 2 females) at baseline and 1 to 2 weeks after treatment.
The evaluation was based on the scale established by the Japanese Society of Dysphagia Rehabilitation, which can separately assess oral and pharyngeal phases. The researchers also used Pharyngeal Transit Duration (PTD), as well as the Dysphagia Outcome Severity Scale (DOSS) to evaluate swallowing functions.
While the DOSS scores did not show significant changes, there were statistically significant improvements in PTD and in the Japanese scale scores during the oral and pharyngeal phases (P < .05, Wilcoxon signed-rank test).
Dr. Hirano stressed that the study objectively showed -- for the first time -- using videofluoroscopic examination, that rotigotine improved swallowing in patients with dysphagia with PD.
“Although antiparkinsonian medications are thought to improve swallowing during the oral phase, characterised mainly by voluntary movements, our results showed that rotigotine additionally improved swallowing during the pharyngeal phase, associated mainly with sequential reflexes of striatal muscles,” he said.
[Presentation title: Improvement of Swallowing Functions by Rotigotine Transdermal Patch in Patients With Parkinson’s Disease. Abstract S427]

Saturday, October 27, 2012

Phagenesis Launches First Treatment For Acute Dysphagia

Sorry about the commercial plug but your doctor may need to know about this and you telling them is the only way you might get treated with this. 

Phagenesis Launches First Treatment For Acute Dysphagia


Saturday, April 28, 2012

Current evaluation of upper oesophageal sphincter opening in dysphagia practice: an international SLT survey

I didn't have this but you can get an idea of what your SLT goes thru to test you. 

Current evaluation of upper oesophageal sphincter opening in dysphagia practice: an international SLT survey


Abstract

Background: The assessment of adequate upper oesophageal sphincter (UOS) opening during swallowing is an integral component of dysphagia evaluation.
Aims: To ascertain speech and language therapists’ (SLTs) satisfaction with current methods for assessing UOS function in people with dysphagia and to identify challenges encountered by SLTs with UOS evaluation.
Methods & Procedures: A survey was disseminated to 82 SLT managers in Ireland; to two dysphagia Special Interest Groups in the UK; and to the Royal College of Speech & Language Therapists’Bulletin periodical. A survey link was also posted on the American Speech and Hearing Association (ASHA) Division 13 (Dysphagia) web forum.
Outcomes & Results: Surveys from 224 SLTs with active dysphagia caseloads were included in data analysis. Only 17.9% (40/224) of SLTs were satisfied with the accuracy and reliability of UOS evaluations currently being employed in dysphagia practice. Satisfaction with current UOS evaluation was not associated with the level of clinical experience (r= 0.078; p= 0.246). Eighty-seven per cent (195/224) of SLTs working with dysphagia experience challenges in UOS evaluation. Challenges reported include lack of resources/equipment (55.9%), limited quantitative information (45.6%), lack of training (41%) and knowledge (39%) in UOS function, and limited multidisciplinary team involvement (34%).
Conclusions & Implications: SLTs across all levels of clinical experience are not satisfied with current UOS evaluation in dysphagia practice. Based on the specific challenges identified, recommendations to progress SLT evaluation of UOS function in people with dysphagia are proposed.