Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
- 주제(키워드) dysphagia , singing , laryngeal elevation , head and neck cancer , Parkinson's disease
- 주제(기타) Neurosciences
- 설명문(일반) [Yeo, Myung Sun; Yoo, Ga Eul] Ewha Womans Univ, Grad Sch, Dept Mus Therapy, Ewhayeodae Gil 52, Seoul 03760, South Korea; [Yeo, Myung Sun] Ewha Womans Univ, Ewha Mus Rehabil Ctr, Ewhayeodae Gil 52, Seoul 03760, South Korea; [Cho, Sung-Rae] Yonsei Univ, Dept & Res Inst Rehabil Med, Coll Med, Yosei Ro 50-1, Seoul 03722, South Korea; [Cho, Sung-Rae] Yonsei Univ, Coll Med, Brain Korea 21 Plus Project Med Sci, Seoul 03722, South Korea; [Kim, Soo Ji] Ewha Womans Univ, Grad Sch Educ, Mus Therapy Educ, Ewhayeodae Gil 52, Seoul 03760, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 MDPI
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000183469
- 본문언어 영어
- Published As http://dx.doi.org/10.3390/brainsci11080997
초록/요약
Swallowing difficulties are a common complaint among patients with a variety of diseases. To address these concerns, a singing-enhanced swallowing protocol was constructed, and its differential benefits for two patient populations were investigated. Two patients with Parkinson's disease (PD) and two patients with head and neck cancer (HNC) participated in this study. Each patient participated in 30-min individual sessions of a singing-enhanced swallowing protocol two times per week for 12 weeks. Following the intervention, laryngeal diadochokinesis and quality-of-life measurements were found to be higher in all four patients. However, the Videofluoroscopic Dysphagia Scale showed this improvement was associated with different swallowing tasks for each patient group. In addition, the maximum phonation time decreased for patients with HNC, while it increased for patients with PD. The findings support the use of a singing-enhanced swallowing protocol for patients whose swallowing difficulties are due to neurological or structural impairment. In addition, the study results suggest that different intervention components should be considered depending on the etiology of the patient's swallowing difficulties.
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