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eISSN 2713-6191

Table. 4.

Summary of interventions and assessments for sarcopenic dysphagia in review studies

Author
(yr)
Design Partici
pants
Study aims Intervention Measurement method Results
Wakabayashi, & Uwano (2016)8 Case study 71-year old-man with lung cancer ∙To report a case of sarcopenic dysphagia treated by rehabilitation nutrition. ∙Physical rehabilitation
∙Swallowing rehabilitation
∙Nutrition
FOIS, MNA-SF ∙He no longer had dysphagia and malnutrition.
∙Rehabilitation nutrition using a combination of both rehabilitation and nutritional care management is presumptively useful for treating sarcopenic dysphagia.
Maeda, & Akagi (2016)19 Case study 80-year-old woman with a history of severe dysphagia ∙To describe a case of sarcopenic dysphagia that improved with comprehensive care, including nutritional support and rehabilitation. ∙Physical rehabilitation
∙Swallowing rehabilitation
∙Nutrition
∙Nursing care
FOIS ∙We confirmed improvements in all aspects of the goals we set at the initiation of NST intervention.
∙Sarcopenic dysphagia was improved by comprehensive care, including nutritional support.
Borda et al. (2017)20 Case study 77-year-old woman with dysphagia and esophagitis ∙To report a case of recurrent and progressive dysphagia that was improved. ∙Physical rehabilitation
∙Nutrition
MNA, EAT-10 ∙The patient was eating pureed and low-consistency food by herself with an improvement in her functionality and nutritional status.
∙The treatment objectives are nutritional and deglutition rehabilitation (new ways to feed the patient, only if it is strictly indicated).
Hashida et al. (2017)21 Case study 75-year-old woman with tongue cancer ∙To report a case of tongue cancer with severe sarcopenic dysphagia that was improved. ∙Physical rehabilitation
∙Swallowing rehabilitation
∙Nutrition
∙Nursing care
Videofluoroscopy, PAS, FOIS, MNA-SF ∙She no longer had sarcopenia or malnutrition and no aspiration pneumonia was detected during the intervention period.
∙Nutritional support and rehabilitation are important for treating dysphagia with sarcopenia and atrophy of the reconstructed tongue in patients with tongue cancer.
Yamada, Shamoto, Maeda, & Wakabayashi (2018)22 Case study 72-year-old man with PD ∙To describe a patient with PD who developed sarcopenic dysphagia and showed improvement through home-based therapy with rehabilitation and nutrition support. ∙Physical rehabilitation
∙Nutrition
Videofluoroscopy,MWST, FT, DSS, MNA-SF ∙By day 121 after discharge, his swallowing function returned to normal.
∙Sarcopenic dysphagia may be a complication of PD, and home-based combined therapy with rehabilitation and aggressive nutrition management may be effective for patients with this condition.
Nagano et al. (2020)18 One group non-randomized studies 95 sarcopenic older patient (≥65 years) ∙To investigate the impact of physical intervention and the amount of nutritional intake on increasing tongue strength for sarcopenia who were not receiving swallowing rehabilitation. ∙Physical rehabilitation
∙Nutrition
JMS, MASA, MNA-SF ∙Tongue strength after the intervention was significantly increased, The MASA scores were significantly increased.
∙High energy and protein intake demonstrated a significant impact on the tongue strength increase after the intervention.
∙Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function.
Nakayama et al. (2020)23 Case study 89-year old man with gastric cancer ∙To plot the time course and recovery of hyoid bone and thyroid cartilage movements during swallowing in a patient with sarcopenic dysphagia. ∙Swallowing rehabilitation
∙Nutrition
Videofluoroscopy ∙Adequate nutritional intake and training of hyoid muscles are thought to comprise effective treatment for sarcopenic dysphagia.
∙Measuring the maximum displacements and moving velocities of the hyoid bone and thyroid cartilage during swallowing in patients with sarcopenic dysphagia was an effective way to monitor their improvement.

FOIS: functional oral intake scale, MNA-SF: mini nutritional assessment short form, MNA: mini nutritional assessment, EAT-10: eating assessment tool-10, PAS: penetration-aspiration scale, MWST: modified water swallowing test, FT: food test, DSS: dysphagia severity scale, JMS: JMS tongue pressure measuring instrument, MASA: mann assessment of swallowing ability

J Korean Dysphagia Soc 2022;12:96~104 https://doi.org/10.34160/jkds.2022.12.2.003
© J. Korean Dysphagia Soc.