The Current State and Future Directions of Swallowing Care in Amyotrophic Lateral Sclerosis.

IF 1.2 Q4 REHABILITATION Current Physical Medicine and Rehabilitation Reports Pub Date : 2023-06-01 Epub Date: 2023-04-18 DOI:10.1007/s40141-023-00396-5

Tabitha H Kao, Bridget J Perry

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Abstract

Purpose of review: Difficulty swallowing (dysphagia) is of great concern to patients with ALS as its complications can increase mortality and reduce the quality of life. This review aims to provide an overview of the recent developments and the current state of assessment, treatment, and management of dysphagia in ALS.

Recent findings: The optimal timing of assessment, treatment, and management of dysphagia may be early in the ALS disease process, even before the dysphagia occurs. There is wide heterogeneity in SLP practice patterns for the management of dysphagia.

Summary: Dysphagia is common and debilitating; however, for various reasons, there is no clear consensus on how best to manage dysphagia in this population. Future work centered around predicting swallowing decline and improving interventions aimed at prolonging swallowing function in the early stages of the disease process may promote improved dysphagia care.

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肌萎缩侧索硬化症吞咽护理的现状和未来方向

综述目的：吞咽困难（吞咽困难）是ALS患者非常关注的问题，其并发症可增加死亡率并降低生活质量。本文综述了ALS患者吞咽困难的评估、治疗和管理的最新进展和现状。最近的研究发现：吞咽困难的评估、治疗和管理的最佳时机可能是在ALS疾病过程的早期，甚至在吞咽困难发生之前。SLP治疗吞咽困难的实践模式存在广泛的异质性。总结：吞咽困难是常见的，使人虚弱；然而，由于各种原因，对于如何最好地控制这一人群的吞咽困难，目前还没有明确的共识。未来的工作集中在预测吞咽衰退和改善干预措施，旨在延长疾病早期阶段的吞咽功能，可能会促进改善吞咽困难的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Physical Medicine and Rehabilitation Reports Medicine-Rehabilitation

CiteScore

1.70

自引率

0.00%

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期刊介绍： This journal aims to offer expert review articles on the most significant recent developments in physical medicine and rehabilitation. By providing clear, insightful, balanced contributions, the journal serves those for whom an understanding of emerging knowledge in the rehabilitation sciences is essential to optimizing health, function, and participation in individuals with physical disabilities. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An Editorial Board of more than 20 internationally diverse members reviews the annual table of contents, ensures that topics include emerging research, and suggests topics of special importance to their country/region. Topics covered may include amputee rehabilitation; interventional pain management; musculoskeletal rehabilitation; pediatric rehabilitation; spinal cord injury rehabilitation; stroke rehabilitation; swallowing disorders; and traumatic brain injury rehabilitation.