Oropharyngeal Dysphagia in Acute Cervical Spinal Cord Injury: A Literature Review

被引：14

作者：

McRae, Jackie ^{[1
]}

Morgan, Sarah ^{[2
]}

Wallace, Emma ^{[3
]}

Miles, Anna ^{[4
]}

机构：

[1] St Georges Univ London, Ctr Allied Hlth, Cranmer Terrace, London SW17 0RE, England

[2] Southport & Ormskirk NHS Trust, Speech & Language Therapy Dept, North West Reg Spinal Injuries Ctr, Southport, England

[3] Univ Sydney, Fac Med & Hlth, Discipline Speech Pathol, Sydney, NSW, Australia

[4] Univ Auckland, Speech Sci, Auckland, New Zealand

来源：

DYSPHAGIA | 2023年 / 38卷 / 04期

关键词：

Dysphagia; Deglutition; Cervical spinal cord injury; Speech and language therapy; Risk factors; ACUTE INTERMITTENT HYPOXIA; FUNCTIONAL ELECTRICAL-STIMULATION; VOLUNTARY COUGH; RISK-FACTORS; INJECTION LARYNGOPLASTY; LARYNGEAL PENETRATION; RESPIRATORY-FUNCTION; PULMONARY-FUNCTION; STROKE PATIENTS; SURGERY;

D O I：

10.1007/s00455-022-10535-0

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Dysphagia (swallowing impairment) is a frequent complication of cervical spinal cord injury (cSCI). Recently published national guidance in the UK on rehabilitation after traumatic injury confirmed that people with cSCI are at risk for dysphagia and require early evaluation while remaining nil by mouth [National Institute for Health and Care Excellence. Rehabilitation after traumatic injury (NG211), 2022, ]. While the pathogenesis and pathophysiology of dysphagia in cSCI remains unclear, numerous risk factors have been identified in the literature. This review aims to summarize the literature on the risk factors, presentation, assessment, and management of dysphagia in patients with cSCI. A bespoke approach to dysphagia management, that accounts for the multiple system impairment in cSCI, is presented; the overarching aim of which is to support effective management of dysphagia in patients with cSCI to prevent adverse clinical consequences.

引用

页码：1025 / 1038

页数：14

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