سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Hashemian, Mohadeseh, Khorasani, Bijan, Tarameshlu, Maryam, Haghani, Hamid, Ghelichi, Leila, Ansari, Noureddin Nakhostin. (1398). Effects of Dysphagia Therapy on Swallowing Dysfunction after Total Thyroidectomy. , 31(6), 329-334. doi: 10.22038/ijorl.2019.36233.2193
Mohadeseh Hashemian; Bijan Khorasani; Maryam Tarameshlu; Hamid Haghani; Leila Ghelichi; Noureddin Nakhostin Ansari. "Effects of Dysphagia Therapy on Swallowing Dysfunction after Total Thyroidectomy". , 31, 6, 1398, 329-334. doi: 10.22038/ijorl.2019.36233.2193
Hashemian, Mohadeseh, Khorasani, Bijan, Tarameshlu, Maryam, Haghani, Hamid, Ghelichi, Leila, Ansari, Noureddin Nakhostin. (1398). 'Effects of Dysphagia Therapy on Swallowing Dysfunction after Total Thyroidectomy', , 31(6), pp. 329-334. doi: 10.22038/ijorl.2019.36233.2193
Hashemian, Mohadeseh, Khorasani, Bijan, Tarameshlu, Maryam, Haghani, Hamid, Ghelichi, Leila, Ansari, Noureddin Nakhostin. Effects of Dysphagia Therapy on Swallowing Dysfunction after Total Thyroidectomy. , 1398; 31(6): 329-334. doi: 10.22038/ijorl.2019.36233.2193

Effects of Dysphagia Therapy on Swallowing Dysfunction after Total Thyroidectomy

Iranian Journal of Otorhinolaryngology
مقاله 1، دوره 31، شماره 6 - شماره پیاپی 107، بهمن و اسفند 2019، صفحه 329-334    اصل مقاله (867.62 K)
نوع مقاله: Original
شناسه دیجیتال (DOI): 10.22038/ijorl.2019.36233.2193
نویسندگان
Mohadeseh Hashemian1؛ Bijan Khorasani2؛ Maryam Tarameshlu3؛ Hamid Haghani4؛ Leila Ghelichi* 3؛ Noureddin Nakhostin Ansari5
1Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
2Department of Clinical Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3Rehabilitation Research Center, Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
4Department of Biostatics, School of Management and Information, Iran University of Medical Sciences, Tehran, Iran.
5Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences.
چکیده
Introduction:
Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation program for patients with dysphagia; however, there is no evidence to support the efficacy of this approach in patients with post-thyroidectomy dysphagia. Regarding this, the purpose of the current study was to explore the effectiveness of TDT in swallowing dysfunction in patients suffering from post-thyroidectomy dysphagia.
 
Materials and Methods:
This pilot clinical trial was conducted on 21 patients with post-thyroidectomy dysphagia. The study population was randomly assigned into two groups of TDT and control. The patients in the TDT group received 18 treatment sessions for 6 weeks, 3 times a week. The Swallowing Impairment Score (SIS-6), Functional Oral Intake Scale (FOIS), and Persian Dysphagia Handicap Index (P-DHI) were the outcome measures. The outcome variables were assessed at the baseline, at the end of the treatment, and after a 6-week follow-up. The main effects of time and group and their interaction effect on SIS-6 and P-DHI scores were examined using repeated measures ANOVA. In addition, the intergroup comparison in terms of the FOIS score was analyzed using the Mann-Whitney U test. The Cohen's d effect size was also measured to ascertain the effects of the treatment.
 
Results:
According to the results, the TDT group showed a significant improvement in the SIS-6, FOIS and P-DHI scores over time (P<0.001). The results also revealed that the interaction effect of time and group was significant on SIS-6 and P-DHI scores (P<0.001). In addition, effect sizes on SIS-6, FOIS, and P-DHI scores were large in the TDT group.
 
Conclusion:
This study suggested that TDT could improve the swallowing dysfunction in the patients suffering from post-thyroidectomy dysphagia. As the results indicated, the improvements persisted 6 weeks after the end of TDT.
کلیدواژه‌ها
Deglutition؛ Traditional dysphagia therapy؛ Thyroidectomy؛ Swallowing disorders
مراجع
  1. Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. The Laryngoscope, 2013. 123(9): p. 2319-23.
  2. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy.Surgery,2003.133(3):p.      318-22.
  3. Park YM, Ho-Oh K, Cho JG, Beak SK, Kwon SY, Jung KY, et al. Changes in Voice-and Swallowing-Related Symptoms After Thyroidectomy: One-Year Follow-Up Study. Annals of Otology, Rhinology & Laryngology,2018.127 (3): p. 171-7.
  4. Lombardi CP, Raffaelli M, Alatri MD, Marchese MR, Rigante M, Paludetti G, et al. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Surgery, 2006. 140(6): p. 1026-34.
  5. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, et al. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. JAMA Otolaryngology–Head & Neck Surgery, 2018. 144(4): p. 342-8.
  6. Arakawa-Sugueno L, Ferraz AR, Morandi J, Capobianco DM, Cernea CR, Sampaio MA, et al. Videoendoscopic evaluation of swallowing after thyroidectomy:7 and 60 days.Dysphagia,2015.30(5): p. 496-505.
  7. Ekberg O. Dysphagia: Diagnosis and treatment. 2012: Springer Science & Business Media.
  8. Scerrino G, Inviati A, Giovanni SD, Paladino NC, Paola VD, Re GL, et al. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Otolaryngology–Head and Neck Surgery, 2013. 148(6): p. 926-32.
  9. Bou-Malhab F, Hans S, Laccourreye O, Brasnu D. Swallowing disorders in unilateral recurrent laryngeal nerve paralysis. in Annales d'oto-laryngologie et de chirurgie cervico faciale: bulletin de la Societe d'oto-laryngologie des hopitaux de Paris. 2000.
  10. Randolph GW. Surgical anatomy of the recurrent laryngeal nerve. Surgery of the thyroid and parathyroid glands, 2003: p. 300-2.
  11. Rosato L, Avenia N, Bernante P, Palma MD, Gulino G, Nasi PG, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World journal of surgery, 2004. 28(3): p. 271-6.
  12. Hyun K, Byon W, Park HJ, ParK Y, Park C, Yun JS. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Surgical endoscopy, 2014.28(6): p. 1914-20.
  13. Tae K, Kim KY, Yun BR, Ji YB, Prak CW, Kim DS, et al. Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillo-breast approach: comparison with open thyroidectomy. Surgical endoscopy, 2012. 26(7): p. 1871-7.
  14. Exarchos S, Lachanas VA, Tsiouvaka S, Tsea M, Hajiioannou JK, Skoulakis CE, Bizakis JB. The impact of perioperative dexamethasone on swallowing impairment score after thyroidectomy: a retrospective study of 118 total thyroidectomies. Clinical Otolaryngology, 2016. 41(5): p. 615-18.
  15. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. stroke, 2005. 36(12): p. 2756-63.
  16. Garcia-Peris P, Paron L, Velasco C, de la Cuerda C, Camblor M, Breton I, et al. Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: impact on quality of life. Clinical Nutrition, 2007. 26(6): p. 710-17.
  17. Finestone HM, Greene-Finestone LS. Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. Canadian Medical Association Journal, 2003. 169(10): p. 1041-4.
  18. Logemann JA. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery, 1998. 6(6): p. 395-400.
  19. Nagaya M, Kachi T, Yamada T. Effect of swallowing training on swallowing disorders in Parkinson's disease. Scandinavian journal of rehabilitation medicine, 2000. 32(1): p. 11-15.
  20. Tarameshlu M, Ghelichi L, Azimi AM, Nakhostin-Ansari N, Khatoonabadi AR. The effect of traditional dysphagia therapy on the swallowing function in patients with Multiple Sclerosis: A pilot double-blinded randomized controlled trial. Journal of Bodywork and Movement Therapies, 2019. 23(1): p.171-9.
  21. Govender R, Wood CE, Tylor SA, Smith CH, Barratt H, Gardner B. Patient experiences of swallowing exercises after head and neck cancer: A qualitative study examining barriers and facilitators using behaviour change theory. Dysphagia, 2017. 32(4): p. 559-69.
  22. Ghelichi L, Joghataei MT, Jalaie S, Nakhostin-Ansari N, Forogh B, Mehrpour M. A single-subject study to evaluate the inhibitory repetitive transcranial magnetic stimulation combined with traditional dysphagia therapy in patients with post-stroke dysphagia. Iranian journal of neurology, 2016. 15(3): p. 140.
  23. Bakhtiyari J, Sarraf P, Nakhostin-Ansari N, Tafakhori A, Logemann J, Faghihzadeh S, et al. Effects of early intervention of swallowing therapy on recovery from dysphagia following stroke. Iranian journal of neurology, 2015. 14(3): p. 119.
  24. Lombardi CP, Raffaelli M, Dalatri L, Crea CD, Marchese MR, Maccora D, et al. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. World Journal of Surgery, 2008. 32(5): p. 693-700.
  25. Crary MA, Mann GDC, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of physical medicine and rehabilitation, 2005. 86(8):
    p. 1516-20.
  26. Asadollahpour F, Baghban K, Asadi M. Validity and reliability of the persian version of the dysphagia handicap index (DHI). Iranian journal of otorhinolaryngology, 2015. 27(80): p. 185.
  27. Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF. The Dysphagia handicap index: development and validation. Dysphagia, 2012. 27(1): p. 46-52.
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