Does the right or left hemisphere involvement affect the swallowing in patients with hemiplegia?

NeuroRehabilitation
Cetin SayacaDefne Kaya

Abstract

Stroke is one of the most important causes of swallowing difficulty. It is seen in one of every two patients with stroke. Although swallowing function are controlled by both hemispheres, it is unknown which hemisphere is more dominant than another for controlling of swallowing function. However, the aspiration and pharyngeal phase dysfunction can be seen in right hemisphere involvement while oral phase dysfunction can be seen in left hemisphere involvement. The aim of this study was to investigate whether water swallowing performance, deep cervical flexor muscle endurance, and maximum phonation time were affected in right handed patients with HEMIPLEGIA. The study was designed as a cross-sectional study. The patients with unilateral strokes that damaged the right (Group I: n = 37) and left (Group II: n = 20) hemispheres were included. Swallowing difficulties were evaluated with Turkish version of the Eating Assessment Tool. The water swallowing performance was measured with the 100 ml water swallow test. The muscle endurance (ME) of deep neck flexors was measured in the chin-tuck position. The laryngeal function was measured indirectly with maximum phonation time (MPT). The mean age of patients was 73.54±7.28 years in Group I a...Continue Reading

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Citations

May 1, 2021·International Journal of Environmental Research and Public Health·Rena HidakaShunsuke Minakuchi

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