Update on the evaluation and management of dysphagia in sporadic inclusion body myositis.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-12-01 Epub Date: 2023-09-01 DOI:10.1097/MOO.0000000000000922

Kendrea L Focht Garand, Georgia A Malandraki, Mazen M Dimachkie

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Abstract

Purpose of review: Dysphagia is a common symptom of sporadic inclusion body myositis (IBM), affecting disease trajectory and patient quality-of-life. Despite this, it is considerably understudied. The purpose of this review is to summarize current evidence related to the evaluation and management of dysphagia in IBM. We highlight a patient case involving a multidisciplinary management approach, and we encourage continued exploration of exercises for delaying progression and improving impairments in patients with IBM and dysphagia.

Recent findings: Recent investigations confirm that dysphagia in IBM is a debilitating and complex symptom that warrants timely evaluation and management. Further, they highlight the lack of validation of standardized swallowing-related metrics specifically for IBM and the limited evidence supporting a consensus of management approaches. Small scale research and clinical anecdotal data support a multidisciplinary and multipronged patient-centered approach, including rehabilitative exercise protocols, for dysphagia management in IBM.

Summary: A paucity exists in the literature to effectively guide clinical decision-making for patients with IBM and dysphagia. Given this, it is our belief that a careful multidisciplinary and multipronged patient-centered approach is critical for dysphagia management in IBM. Prospective, longitudinal research on the underlying mechanisms of swallowing dysfunction using advanced and validated swallowing-related outcome measures is urgently needed.

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散发性包涵体肌炎吞咽困难的评估和治疗进展。

综述目的：吞咽困难是散发性包涵体肌炎（IBM）的常见症状，影响疾病轨迹和患者生活质量。尽管如此，它的研究还是相当不足。本综述的目的是总结目前与IBM吞咽困难评估和管理相关的证据。我们强调了一个涉及多学科管理方法的患者案例，我们鼓励继续探索运动，以延缓IBM和吞咽困难患者的进展并改善其损伤。最近的发现：最近的调查证实，IBM的吞咽困难是一种使人衰弱的复杂症状，需要及时评估和治疗。此外，他们强调了缺乏专门针对IBM的标准化吞咽相关指标的验证，以及支持管理方法共识的证据有限。小规模研究和临床轶事数据支持IBM以患者为中心的多学科和多管齐下的方法，包括康复锻炼方案，用于吞咽困难管理。摘要：文献中缺乏有效指导IBM和吞咽困难患者临床决策的内容。考虑到这一点，我们相信，在IBM，一种谨慎的多学科和多管齐下的以患者为中心的方法对于吞咽困难的管理至关重要。迫切需要使用先进且经验证的吞咽相关结果指标对吞咽功能障碍的潜在机制进行前瞻性、纵向研究。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.

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