Kengo Kato1, Ryoukichi Ikeda2, Jun Suzuki1, Ai Hirano-Kawamoto1, Yayoi Kamakura3, Masako Fujiu-Kurachi4, Masamitsu Hyodo5, Shin-Ichi Izumi6, Shigeto Koyama7, Keiichi Sasaki8, Junko Nakajima9, Takahiro Karaho10, Yurika Kimura11, Yoshihiko Kumai12, Yasushi Fujimoto13, Takaharu Nito14, Yoshitaka Oku15, Hajime Kurosawa16, Shinichi Kuriyama17, Yukio Katori1. 1. Department of Otolaryngology and Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. 2. Department of Otolaryngology and Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. Electronic address: ryokichi.ikeda.d5@tohoku.ac.jp. 3. Faculty of Nursing, Japanese Red Cross Toyota College of Nursing, Aichi, Japan. 4. Department of Speech and Hearing Sciences, International University of Health and Welfare, Narita, Japan. 5. Department of Otolaryngology, Kochi Medical School, Kochi, Japan. 6. Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan. 7. Maxillofacial Prosthetics Clinic, Tohoku University Hospital, Japan. 8. Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Tohoku University, Japan. 9. Research on Social and Human Sciences, Tokyo Metropolitan Institute of Gerontology, Japan. 10. Department of Otolaryngology Head and Neck Surgery, Kyorin University, School of Medicine, Japan. 11. Department of Otolaryngology, Ebara Hospital, Tokyo Metropolitan Health and Medical Treatment Corporation, Japan. 12. Department of Otolaryngology-Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, Japan. 13. Department of Otolaryngology, Nagoya University Graduate School of Medicine, Japan. 14. Department of Otolaryngology, Saitama Medical University, Japan. 15. Department of Physiology, Hyogo College of Medicine, Japan. 16. Department of Occupational Health, Tohoku University Graduate School of Medicine, Japan. 17. Department of Disaster-Related Public Health, International Research Institute of Disaster Science, Tohoku University, Japan.
Abstract
OBJECTIVE: Current interventions of dysphagia are not generalizable, and treatments are commonly used in combination. We conducted a questionnaire survey on nurses and speech therapists regarding dysphagia rehabilitation to understand the current situation in Japan. METHODS: The questionnaire was sent to 616 certified nurses in dysphasia nursing and 254 certified speech-language-hearing therapists for dysphagia. Based on "Summaries of training methods in 2014" by JSDR, 24 local indirect exercises, 11 general indirect exercises, and 13 direct exercises were selected. The Likert scale "How do you feel about each method" was used as follows: A; Frequency, B; Ease, C; Adherence, D; Effectiveness (1-5))?". RESULTS: Two hundred fifty (40%) nurses and 145 (57%) speech-language-hearing therapists (ST) responded to the questionnaire. The direct exercise was associated with a significantly high score in every question. In indirect exercises, "Cervical range of motion exercise," "Orofacial myofunctional exercise," "Lip closure exercise." "Ice massage of pharynx" and "Huffing" were used relatively frequently. "Balloon dilatation therapy" and "Tube exercise" was associated with a relatively high discrepancy for two questions. Frequency" and the sum of "Ease," "Adherence," and "Effectiveness." was significantly correlated for local indirect exercises (r2 = 0.928, P < 0.01), general indirect exercises (r2 = 0.987, P < 0.01), and direct exercises (r2 = 0.996, P < 0.01) (Fig. 5). CONCLUSION: This study examined the current situation of dysphagia rehabilitation in Japan. Our results aid to increase understanding and selection of rehabilitative treatments for dysphagia patients in Japan.
OBJECTIVE: Current interventions of dysphagia are not generalizable, and treatments are commonly used in combination. We conducted a questionnaire survey on nurses and speech therapists regarding dysphagia rehabilitation to understand the current situation in Japan. METHODS: The questionnaire was sent to 616 certified nurses in dysphasia nursing and 254 certified speech-language-hearing therapists for dysphagia. Based on "Summaries of training methods in 2014" by JSDR, 24 local indirect exercises, 11 general indirect exercises, and 13 direct exercises were selected. The Likert scale "How do you feel about each method" was used as follows: A; Frequency, B; Ease, C; Adherence, D; Effectiveness (1-5))?". RESULTS: Two hundred fifty (40%) nurses and 145 (57%) speech-language-hearing therapists (ST) responded to the questionnaire. The direct exercise was associated with a significantly high score in every question. In indirect exercises, "Cervical range of motion exercise," "Orofacial myofunctional exercise," "Lip closure exercise." "Ice massage of pharynx" and "Huffing" were used relatively frequently. "Balloon dilatation therapy" and "Tube exercise" was associated with a relatively high discrepancy for two questions. Frequency" and the sum of "Ease," "Adherence," and "Effectiveness." was significantly correlated for local indirect exercises (r2 = 0.928, P < 0.01), general indirect exercises (r2 = 0.987, P < 0.01), and direct exercises (r2 = 0.996, P < 0.01) (Fig. 5). CONCLUSION: This study examined the current situation of dysphagia rehabilitation in Japan. Our results aid to increase understanding and selection of rehabilitative treatments for dysphagia patients in Japan.