Clinical Practice Guidelines for Oropharyngeal Dysphagia

Seoyon Yang, Jin Woo Park, Kyunghoon Min, Yoon Se Lee, Young Jin Song, Seong Hee Choi, Doo Young Kim, Seung Hak Lee, Hee Seung Yang, Wonjae Cha, Ji Won Kim, Byung Mo Oh, Han Gil Seo, Min Wook Kim, Hee Soon Woo, Sung Jong Park, Sungju Jee, Ju Sun Oh, Ki Deok Park, Young Ju JinSungjun Han, Doo Han Yoo, Bo Hae Kim, Hyun Haeng Lee, Yeo Hyung Kim, Min Gu Kang, Eun Jae Chung, Bo Ryun Kim, Tae Woo Kim, Eun Jae Ko, Young Min Park, Hanaro Park, Min Su Kim, Jungirl Seok, Sun Im, Sung Hwa Ko, Seong Hoon Lim, Kee Wook Jung, Tae Hee Lee, Bo Young Hong, Woojeong Kim, Weon Sun Shin, Young Chan Lee, Sung Joon Park, Jeonghyun Lim, Youngkook Kim, Jung Hwan Lee, Kang Min Ahn, Jun Young Paeng, Jeong Yun Park, Young Ae Song, Kyung Cheon Seo, Chang Hwan Ryu, Jae Keun Cho, Jee Ho Lee, Kyoung Hyo Choi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one’s physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia. Methods: Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology. Results: Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended. Conclusion: This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.

Original languageEnglish
Pages (from-to)S1-S26
JournalAnnals of Rehabilitation Medicine
Volume47
DOIs
StatePublished - 2023

Bibliographical note

Publisher Copyright:
© Copyright 2023 by Korean Academy of Rehabilitation Medicine

Keywords

  • Deglutition disorders
  • Diagnosis
  • Rehabilitation
  • Therapeutics
  • Treatment

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