The Consequence of Coordinated Respiratory-Swallowing Therapy on Chronic Obstructive Pulmonary Disease Patients.

Authors: Nouf S. Almulaik, Manal A. Alkhunaizan, Ali E. Alanazi, Majed A. Alzahrani, Mohammed A. Shujaa, Yasser B. Alsowailem, Abdullah M. Alboaimi

DOI: https://doi.org/10.5281/zenodo.14043597

Short DOI: https://doi.org/g8p78c

Country: Saudi Arabia

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Abstract: Background: Swallowing difficulties occur frequently and negatively affect patients living with Chronic Obstructive Pulmonary Disease (COPD), as it raises the chances of aspiration pneumonia. Our objective was to look at the effects of a chin tuck gesture when swallowing as an augmentation strategy on a targeted respiration swallowing therapy to enhance swallowing by reducing the risk of aspiration.
Methods: Prospective, randomized controlled trial study was conducted in major city Teaching Hospital with a hundred ambulatorily COPD patients with dysphagia to be included in the study. Participants either received the chin tuck strategy on a targeted respiratory swallow therapy or performed normal routines. The main outcome measure was the Penetration Aspiration Scale score before and after treatment. Secondary measures included SWAL-QOL changes, peak cough flow and FEV1 in 1 second.
Results: Hartman et al.’s baseline pneumonia aspiration score results indicated that the intervention group saw great improvement in pen a NA PM PAS scores (p < 0.001) as well as the restrictions on swallowing the functional swallowing lifestyle subcomponent in the SWAL QOL (p = 0.002). The strength of Callister’s et al’s cough also improved (p = 0.04) but the Responding-FEV1 was not statistically significant in the study.
Conclusions: In patients with COPD and dysphagia, the use of respiratory-swallowing therapy resulted in improved swallowing function and quality of life. This would likely advance the strategy to reduce the potential risks of aspiration and enhance the respiratory efficiency among this subgroup.

Keywords: Chronic obstructive pulmonary disease, Swallowing disorder, Functional therapy of swallowing and respiration, Aspiration, Life quality concerning swallowing, Randomized control trial.

Paper Id: 231520

Published On: 2020-01-08

Published In: Volume 8, Issue 1, January-February 2020

Cite This: The Consequence of Coordinated Respiratory-Swallowing Therapy on Chronic Obstructive Pulmonary Disease Patients. - Nouf S. Almulaik, Manal A. Alkhunaizan, Ali E. Alanazi, Majed A. Alzahrani, Mohammed A. Shujaa, Yasser B. Alsowailem, Abdullah M. Alboaimi - IJIRMPS Volume 8, Issue 1, January-February 2020. DOI 10.5281/zenodo.14043597

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