Abstract
Purpose: This study was designed to identify which of 3 treatments for aspiration on thin liquids - chin-down posture, nectar-thickened liquids, or honey-thickened liquids - results in the most successful immediate elimination of aspiration on thin liquids during the videofluorographic swallow study in patients with dementia and/or Parkinson's disease. Method: This randomized clinical trial included 711 patients ages 50 to 95 years who aspirated on thin liquids as assessed videofluorographically. All patients received all 3 interventions in a randomly assigned order during the videofluorographic swallow study. Results: Immediate elimination of aspiration on thin liquids occurred most often with honey-thickened liquids for patients in each diagnostic category, followed by nectar-thickened liquids and chin-down posture. Patients with most severe dementia exhibited least effectiveness on all interventions. Patient preference was best for chin-down posture followed closely by nectar-thickened liquids. Conclusion: To identify best short-term intervention to prevent aspiration of thin liquid in patients with dementia and/or Parkinson's disease, a videofluorographic swallow assessment is needed. Evidence-based practice requires taking patient preference into account when designing a dysphagic patient's management plan. The longer-term impact of short-term prevention of aspiration requires further study.
| Original language | English |
|---|---|
| Pages (from-to) | 173-183 |
| Number of pages | 11 |
| Journal | Journal of Speech, Language, and Hearing Research |
| Volume | 51 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 1 2008 |
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Keywords
- Aspiration
- Dementia
- Parkinson's disease
- Posture
- Thickened liquids
ASJC Scopus subject areas
- Rehabilitation
- Health Professions(all)
- Linguistics and Language
Cite this
A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease. / Logemann, Jeri A.; Gensler, Gary; Robbins, JoAnne; Lindblad, Anne S.; Brandt, Diane; Hind, Jacqueline A.; Kosek, Steven; Dikeman, Karen; Kazandjian, Marta; Gramigna, Gary D.; Lundy, Donna; McGarvey-Toler, Susan; Miller Gardner, Patricia J.
In: Journal of Speech, Language, and Hearing Research, Vol. 51, No. 1, 01.02.2008, p. 173-183.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease
AU - Logemann, Jeri A.
AU - Gensler, Gary
AU - Robbins, JoAnne
AU - Lindblad, Anne S.
AU - Brandt, Diane
AU - Hind, Jacqueline A.
AU - Kosek, Steven
AU - Dikeman, Karen
AU - Kazandjian, Marta
AU - Gramigna, Gary D.
AU - Lundy, Donna
AU - McGarvey-Toler, Susan
AU - Miller Gardner, Patricia J.
PY - 2008/2/1
Y1 - 2008/2/1
N2 - Purpose: This study was designed to identify which of 3 treatments for aspiration on thin liquids - chin-down posture, nectar-thickened liquids, or honey-thickened liquids - results in the most successful immediate elimination of aspiration on thin liquids during the videofluorographic swallow study in patients with dementia and/or Parkinson's disease. Method: This randomized clinical trial included 711 patients ages 50 to 95 years who aspirated on thin liquids as assessed videofluorographically. All patients received all 3 interventions in a randomly assigned order during the videofluorographic swallow study. Results: Immediate elimination of aspiration on thin liquids occurred most often with honey-thickened liquids for patients in each diagnostic category, followed by nectar-thickened liquids and chin-down posture. Patients with most severe dementia exhibited least effectiveness on all interventions. Patient preference was best for chin-down posture followed closely by nectar-thickened liquids. Conclusion: To identify best short-term intervention to prevent aspiration of thin liquid in patients with dementia and/or Parkinson's disease, a videofluorographic swallow assessment is needed. Evidence-based practice requires taking patient preference into account when designing a dysphagic patient's management plan. The longer-term impact of short-term prevention of aspiration requires further study.
AB - Purpose: This study was designed to identify which of 3 treatments for aspiration on thin liquids - chin-down posture, nectar-thickened liquids, or honey-thickened liquids - results in the most successful immediate elimination of aspiration on thin liquids during the videofluorographic swallow study in patients with dementia and/or Parkinson's disease. Method: This randomized clinical trial included 711 patients ages 50 to 95 years who aspirated on thin liquids as assessed videofluorographically. All patients received all 3 interventions in a randomly assigned order during the videofluorographic swallow study. Results: Immediate elimination of aspiration on thin liquids occurred most often with honey-thickened liquids for patients in each diagnostic category, followed by nectar-thickened liquids and chin-down posture. Patients with most severe dementia exhibited least effectiveness on all interventions. Patient preference was best for chin-down posture followed closely by nectar-thickened liquids. Conclusion: To identify best short-term intervention to prevent aspiration of thin liquid in patients with dementia and/or Parkinson's disease, a videofluorographic swallow assessment is needed. Evidence-based practice requires taking patient preference into account when designing a dysphagic patient's management plan. The longer-term impact of short-term prevention of aspiration requires further study.
KW - Aspiration
KW - Dementia
KW - Parkinson's disease
KW - Posture
KW - Thickened liquids
UR - http://www.scopus.com/inward/record.url?scp=38849139826&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38849139826&partnerID=8YFLogxK
U2 - 10.1044/1092-4388(2008/013)
DO - 10.1044/1092-4388(2008/013)
M3 - Article
C2 - 18230864
AN - SCOPUS:38849139826
VL - 51
SP - 173
EP - 183
JO - Journal of Speech, Language, and Hearing Research
JF - Journal of Speech, Language, and Hearing Research
SN - 1092-4388
IS - 1
ER -