Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing

Objective:To assess the safety and effectiveness of swallowing assistive gel (SAG) during capsule swallowing in post-stroke patients and to ascertain the clinical feasibility of SAG in managing patients'oral medication.Methods:A total of 31 post-stroke patients who were evaluated as level 4-7 i...

Full description

Saved in:
Bibliographic Details
Main Authors: Meng DAI, Delian AN, Ke ZHANG, Yaowen ZHANG, Zulin DOU
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2019-10-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.05015
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841537022015045632
author Meng DAI
Delian AN
Ke ZHANG
Yaowen ZHANG
Zulin DOU
author_facet Meng DAI
Delian AN
Ke ZHANG
Yaowen ZHANG
Zulin DOU
author_sort Meng DAI
collection DOAJ
description Objective:To assess the safety and effectiveness of swallowing assistive gel (SAG) during capsule swallowing in post-stroke patients and to ascertain the clinical feasibility of SAG in managing patients'oral medication.Methods:A total of 31 post-stroke patients who were evaluated as level 4-7 in Functional OralI Intake Scale (FOIS) and showed no choking in water swallow test were recruited. Each of them would take capsules by water and SAG orally under videofluoroscopic swallowing study (VFSS). Successful swallowing ratio and quantitative parameters were evaluated and compared. We analyzed quantitative parameters included oral transit time (OTT), stage transition time (STT), pharyngeal transit time (PTT), UES opening time (UOT), delay time (DT), hyoid bone superior movement (HSM), hyoid bone anterior movement (HAM) and UES opening diameter (UOD).Results:Successful swallowing ratio was 80.65%by using SAG, which was significantly higher than 54.84%by using water (χ<sup>2</sup>=4.724, <italic>P</italic>=0.030). Oral transit time of taking capsules with SAG(3 688.2±3 370.6) ms tended to be longer (<italic>P</italic>&lt; 0.05) than water (1 886.2±1 467.4) ms, while HSM tended to be larger (<italic>P</italic>&lt; 0.05) by using water (15.61±5.59) mm than by using SAG(11.74±4.94) mm.Conclusion:With the advantages in lubrication and smoothness, SAG can ease capsule swallowing in post-stroke patients and bring safety as well. The method is clinically applicable.
format Article
id doaj-art-416c7aa5ace04a338b0ae1204225f44d
institution Kabale University
issn 2096-0328
language English
publishDate 2019-10-01
publisher Editorial Office of Rehabilitation Medicine
record_format Article
series 康复学报
spelling doaj-art-416c7aa5ace04a338b0ae1204225f44d2025-01-14T10:04:18ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282019-10-0129151923130336Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic SwallowingMeng DAIDelian ANKe ZHANGYaowen ZHANGZulin DOUObjective:To assess the safety and effectiveness of swallowing assistive gel (SAG) during capsule swallowing in post-stroke patients and to ascertain the clinical feasibility of SAG in managing patients'oral medication.Methods:A total of 31 post-stroke patients who were evaluated as level 4-7 in Functional OralI Intake Scale (FOIS) and showed no choking in water swallow test were recruited. Each of them would take capsules by water and SAG orally under videofluoroscopic swallowing study (VFSS). Successful swallowing ratio and quantitative parameters were evaluated and compared. We analyzed quantitative parameters included oral transit time (OTT), stage transition time (STT), pharyngeal transit time (PTT), UES opening time (UOT), delay time (DT), hyoid bone superior movement (HSM), hyoid bone anterior movement (HAM) and UES opening diameter (UOD).Results:Successful swallowing ratio was 80.65%by using SAG, which was significantly higher than 54.84%by using water (χ<sup>2</sup>=4.724, <italic>P</italic>=0.030). Oral transit time of taking capsules with SAG(3 688.2±3 370.6) ms tended to be longer (<italic>P</italic>&lt; 0.05) than water (1 886.2±1 467.4) ms, while HSM tended to be larger (<italic>P</italic>&lt; 0.05) by using water (15.61±5.59) mm than by using SAG(11.74±4.94) mm.Conclusion:With the advantages in lubrication and smoothness, SAG can ease capsule swallowing in post-stroke patients and bring safety as well. The method is clinically applicable.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.05015strokecapsuleswallowing assistive geloral medicationvideofluoroscopic swallowing
spellingShingle Meng DAI
Delian AN
Ke ZHANG
Yaowen ZHANG
Zulin DOU
Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing
康复学报
stroke
capsule
swallowing assistive gel
oral medication
videofluoroscopic swallowing
title Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing
title_full Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing
title_fullStr Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing
title_full_unstemmed Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing
title_short Feasibility Study of Swallowing Assistive Gel during Capsule Swallowing in Post-Stroke Patients by Videofluoroscopic Swallowing
title_sort feasibility study of swallowing assistive gel during capsule swallowing in post stroke patients by videofluoroscopic swallowing
topic stroke
capsule
swallowing assistive gel
oral medication
videofluoroscopic swallowing
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.05015
work_keys_str_mv AT mengdai feasibilitystudyofswallowingassistivegelduringcapsuleswallowinginpoststrokepatientsbyvideofluoroscopicswallowing
AT delianan feasibilitystudyofswallowingassistivegelduringcapsuleswallowinginpoststrokepatientsbyvideofluoroscopicswallowing
AT kezhang feasibilitystudyofswallowingassistivegelduringcapsuleswallowinginpoststrokepatientsbyvideofluoroscopicswallowing
AT yaowenzhang feasibilitystudyofswallowingassistivegelduringcapsuleswallowinginpoststrokepatientsbyvideofluoroscopicswallowing
AT zulindou feasibilitystudyofswallowingassistivegelduringcapsuleswallowinginpoststrokepatientsbyvideofluoroscopicswallowing