Clinical Practice Guidelines for Oropharyngeal Dysphagia
Annals of Rehabilitation Medicine
Yang, S., Park, J. W., et al. (2023).
Annals of Rehabilitation Medicine, 47(Suppl 1), S1-S26.
This evidence-based clinical practice guideline provides recommendations regarding assessment and management of swallowing function for patients with dysphagia. The target audience includes physicians and healthcare providers.
Korean Academy of Rehabilitation Medicine; Korean Dysphagia Society
"Early screening is strongly recommended in patients with suspected oropharyngeal dysphagia to reduce the occurrence of pneumonia with high levels of evidence" (p. S5).
"A standardized screening test may be considered to diagnose dysphagia in patients with suspected oropharyngeal dysphagia (expert consensus)" (p. S5).
"VFSS is strongly recommended for diagnosis of dysphagia with moderate levels of evidence" (p. S6).
"Oropharyngeal sensory stimulation therapy is recommended in patients with oropharyngeal dysphagia to improve swallowing function and improve quality of life" (p. S6).
"Tongue and pharyngeal muscle strengthening exercises are recommended to improve swallowing function and reduce the incidence of pneumonia" (p. S7).
"EMSTs are suggested to improve swallowing function and quality of life" (p. S7).
"The compensatory swallowing technique is suggested to improve the swallowing function" (p. S8).
"The combination of surface NMES and swallowing therapy is recommended for improving the swallowing function in patients with non-progressive neuropathic lesions" (p. S8).<br /><br />"It is difficult to recommend the application of PES in patients with oropharyngeal dysphagia caused by non-progressive nerve lesions since the effects of improving the swallowing function and preventing pneumonia are not clear" (p. S9).
"The combination of surface NMES and swallowing therapy is suggested for improving the swallowing function in patients with head and neck cancer" (p. S9).
"Biofeedback training is suggested for improving swallowing function" (p. S10).
"The comprehensive swallowing education program, including self-exercise swallowing training, is suggested for improving swallowing function" (p. S12).
"Texture modification of food and fluids is suggested based on the severity of dysphagia to improve the clinical course (nutrition status or dehydration) of patients with oropharyngeal dysphagia" (p. S14).
"The oral health care program is recommended for improving oral health and food intake in patients with oropharyngeal dysphagia" (p. S15).
"A multidisciplinary team approach (doctors, nurses, therapists, etc.) is suggested for preventing complications (such as mortality, pneumonia, and other respiratory infections) in patients with oropharyngeal dysphagia" (p. S16).
