Latihan Menelan terhadap Kemampuan Menelan Pasien Stroke yang Mengalami Disfagia
Abstract
This study aims to identify and compare the effect of interventional swallowing exercises on swallowing ability in stroke patients who experience dysphagia. The method used is a quantitative method with a one-group pre-test-post-test approach. Respondents in this study were stroke patients who underwent moderate category of dysphagia, totaling 35 respondents. Initial data collection was started using the Nursing Bedside Swallowing Screening dysphagia assessment sheet. Then, the researcher used the Mann Assessment of Swallowing Ability (MASA) to assess the patient's swallowing ability. The results showed a significant difference (p<0.05) in the swallowing capacity of the respondents before and after the swallowing training intervention. The conclusion of this study, swallowing exercises are effective in improving the swallowing ability of stroke patients who experience dysphagia.
Keywords: Dysphagia, Swallowing Ability, Stroke
References
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Balcerak, P., Corbiere, S., Zubal, R., & Kägi, G. (2022). Post-Stroke Dysphagia: Prognosis and Treatment–A Systematic Review of RCT on Interventional Treatments for Dysphagia Following Subacute Stroke. Frontiers in Neurology, 13(4), 1–11. https://doi.org/10.3389/fneur.2022.823189
Bascuñana-Ambrós, H., Renom-Guiteras, M., Nadal-Castells, M. J., Beranuy-RodrÃguez, Perrot-González, M. J. C., Ramirez-Mirabal, E., Trejo-Omeñaca, A., & Monguet-Fierro, J. M. (2021). Swallowing Muscle Training for Oropharyngeal Dysphagia: A Non-Inferiority Study of Online Versus Face-to-Face Therapy. Journal of Telemedicine and Telecare, 6(7), 1–5. https://doi.org/10.1177/1357633X211035033
Carnaby, G. D., LaGorio, L., Silliman, S., & Crary, M. (2020). Exercise-Based Swallowing Intervention (McNeill Dysphagia Therapy) with Adjunctive NMES to Treat Dysphagia Post-Stroke: A Double-Blind Placebo-Controlled Trial. Journal of Oral Rehabilitation, 47(4), 501–510. https://doi.org/10.1111/joor.12928
Choy, J., Pourkazemi, F., Anderson, C., & Bogaardt, H. (2022). Dosages of Swallowing Exercises in Stroke Rehabilitation: A Systematic Review. European Archives of Oto-Rhino-Laryngology, 280(3), 1017–1045. https://doi.org/10.1007/s00405-022-07735-7
Dziewas, R., Michou, E., Trapl-Grundschober, M., Lal, A., Arsava, E. M., Bath, P. M., Clavé, P., Glahn, J., Hamdy, S., Pownall, S., Schindler, A., Walshe, M., Wirth, R., Wright, D., & Verin, E. (2021). European Stroke Organisation and European Society for Swallowing Disorders Guideline for the Diagnosis and Treatment of Post-Stroke Dysphagia. European Stroke Journal, 6(3). https://doi.org/10.1177/23969873211039721
Edwards, A., Froude, E., Sharpe, G., & Carding, P. (2021). Training for Videofluoroscopic Swallowing Analysis: A Systematic Review. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–11. https://doi.org/10.1080/17549507.2020.1861327
Farpour, S., Asadi-Shekaari, M., Haghighi, A. B., & Farpour, H. R. (2023). Improving Swallowing Function and Ability in Post Stroke Dysphagia: A Randomized Clinical Trial. Dysphagia, 38(1), 330–339. https://doi.org/10.1007/s00455-022-10470-0
Hien, N. T. T., Thong, T. H., Tung, L. T., Khoi, V. H., Hoai, D. T. T., Tinh, T. T., Huy, N. Van, & Kien, V. D. (2022). Dysphagia and Associated Factors among Patients with Acute Ischemic Stroke in Vietnam. Annals of Medicine and Surgery, 16(84), 1–6. https://doi.org/10.1016/j.amsu.2022.104887
Hota, S., Inamoto, Y., Oguchi, K., Kondo, T., Otaka, E., Mukaino, M., Gonzalez-Fernandez, M., & Saitoh, E. (2021). Outcomes of Dysphagia Following Stroke: Factors Influencing Oral Intake at 6 Months after Onset. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–9. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105971
Huckabee, M., Flynn, R., & Mills, M. (2022). Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training. Dysphagia, 9(12), 1–12. https://doi.org/10.1007/s00455-022-10516-3
Hwang, J. M., Jung, H., Kim, C. H., Lee, Y. S., Lee, M., Hwang, S. Y., Kim, A. R., & Park, D. (2021). Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study. Healthcare, 9(4), 1–9. https://doi.org/10.3390/healthcare9040407
Jongprasitkul, H., & Kitisomprayoonkul, W. (2020). Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia. Hindawi Rehabilitation Research and Practice, 2020(1), 1–5. https://doi.org/10.1155/2020/2907293
McCarty, E. B., & Chao, T. N. (2021). Dysphagia and Swallowing Disorders. Medical Clinics of North America, 105(5), 939–954. https://doi.org/10.1016/j.mcna.2021.05.013
Nozoe, M., Yamamoto, M., Masuya, R., Inoue, T., Kubo, H., & Shimada, S. (2021). Prevalence of Malnutrition Diagnosed with GLIM Criteria and Association with Activities of Daily Living in Patients with Acute Stroke. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–7. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105989
Oh, J. (2021). Systematic Effortful Swallowing Exercise without External Resistance Does Not Increase Swallowing-Related Muscle Strength in the Elderly. Dysphagia, 36(3), 465–473. https://doi.org/10.1007/s00455-020-10163-6
Ristinawati, I., Tedjo, R. A. A., Mirawati, D. K., Subandi, S., Danuaji, R., Budianto, P., Prabaningtyas, H. R., Hafizhan, M., & Putra, S. E. (2022). Efektivitas Pelatihan Manajemen Disfagia terhadap Pengetahuan Tenaga Kesehatan RSUD Dr. Moewardi. Smart Society Empowerment Journal, 2(3), 86–91. https://doi.org/10.20961/ssej.v2i3.67279
Savcı, C., & Acaroğlu, R. (2021). Effects of Swallowing Training and Follow-Up on the Problems Associated with Dysphagia in Patients with Stroke. Florence Nightingale Journal of Nursing, 29(2), 137–149. https://doi.org/10.5152/FNJN.2021.19007
Seo, Z. W., Min, J. H., Huh, S., Shin, Y., Ko, H., & Ko, S. (2021). Prevalence and Severity of Dysphagia Using Videofluoroscopic Swallowing Study in Patients with Aspiration Pneumonia. Lung, 199(1), 55–61. https://doi.org/10.1007/s00408-020-00413-7
Syahrun, S., Hany, A., & Rahayu, M. (2022). Management Dysphagia in Post-Stroke Patients Recommendations for Indonesian Nursing Intervention Standars: A Literature Review. Malang Neurology Journal, 8(1), 39–48. https://doi.org/10.21776/ub.mnj.2022.008.01.9
Thiyagalingam, S., Kulinski, A. E., Thorsteinsdottir, B., Shindelar, K. L., & Takahashi, P. Y. (2021). Dysphagia in Older Adults. Mayo Clinics Proceedings, 96(2), 488–497. https://doi.org/10.1016/j.mayocp.2020.08.001
Venketasubramanian, N., Yudiarto, F. L., & Tugasworo, D. (2022). Stroke Burden and Stroke Services in Indonesia. Cerebrovascular Diseases Extra, 12(1), 53–57. https://doi.org/10.1159/000524161
Yang, C., & Pan, Y. (2022). Risk Factors of Dysphagia in Patients with Ischemic Stroke: A Meta-Analysis and Systematic Review. PLoS ONE, 17(6), 1–14. https://doi.org/10.1371/journal.pone.0270096
Yuhyen, Y., Agianto, A., & Agustina, R. (2022). Peningkatan Fungsi Menelan dengan Latihan Menelan pada Pasien Stroke yang Mengalami Disfagia. Jurnal Penelitian Kesehatan Suara Forikes, 13(4), 878–885. http://dx.doi.org/10.33846/sf13401
Zainaee, S., Rahmani, S., & Ghaemi, H. (2020). Effective Swallowing Rehabilitation Strategies in Patients with Multiple Sclerosis Suffering from Dysphagia: A Literature Review. Journal of Rehabilitation Sciences and Research, 7(3), 106–113. https://doi.org/10.30476/jrsr.2020.85553.1079
Zeng, H., Chen, J., Guo, Y., & Tan, S. (2021). Prevalence and Risk Factors for Spasticity after Stroke: A Systematic Review and Meta-Analysis. Frontiers in Neurology, 11(1), 1–12. https://doi.org/10.3389/fneur.2020.616097
Zhang, J., Wu, Y., Huang, Y., Shuqing, Z., Xu, L., Huang, X., Wang, X., & Huang, Q. (2021). Effect of the Mendelsohn Maneuver and Swallowing Training in Patients with Senile Vascular Dementia Complicated with Dysphagia. Journal of Nternational Medical Research, 49(5), 1–11. https://doi.org/10.1177/03000605211013198
Balcerak, P., Corbiere, S., Zubal, R., & Kägi, G. (2022). Post-Stroke Dysphagia: Prognosis and Treatment–A Systematic Review of RCT on Interventional Treatments for Dysphagia Following Subacute Stroke. Frontiers in Neurology, 13(4), 1–11. https://doi.org/10.3389/fneur.2022.823189
Bascuñana-Ambrós, H., Renom-Guiteras, M., Nadal-Castells, M. J., Beranuy-RodrÃguez, Perrot-González, M. J. C., Ramirez-Mirabal, E., Trejo-Omeñaca, A., & Monguet-Fierro, J. M. (2021). Swallowing Muscle Training for Oropharyngeal Dysphagia: A Non-Inferiority Study of Online Versus Face-to-Face Therapy. Journal of Telemedicine and Telecare, 6(7), 1–5. https://doi.org/10.1177/1357633X211035033
Carnaby, G. D., LaGorio, L., Silliman, S., & Crary, M. (2020). Exercise-Based Swallowing Intervention (McNeill Dysphagia Therapy) with Adjunctive NMES to Treat Dysphagia Post-Stroke: A Double-Blind Placebo-Controlled Trial. Journal of Oral Rehabilitation, 47(4), 501–510. https://doi.org/10.1111/joor.12928
Choy, J., Pourkazemi, F., Anderson, C., & Bogaardt, H. (2022). Dosages of Swallowing Exercises in Stroke Rehabilitation: A Systematic Review. European Archives of Oto-Rhino-Laryngology, 280(3), 1017–1045. https://doi.org/10.1007/s00405-022-07735-7
Dziewas, R., Michou, E., Trapl-Grundschober, M., Lal, A., Arsava, E. M., Bath, P. M., Clavé, P., Glahn, J., Hamdy, S., Pownall, S., Schindler, A., Walshe, M., Wirth, R., Wright, D., & Verin, E. (2021). European Stroke Organisation and European Society for Swallowing Disorders Guideline for the Diagnosis and Treatment of Post-Stroke Dysphagia. European Stroke Journal, 6(3). https://doi.org/10.1177/23969873211039721
Edwards, A., Froude, E., Sharpe, G., & Carding, P. (2021). Training for Videofluoroscopic Swallowing Analysis: A Systematic Review. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–11. https://doi.org/10.1080/17549507.2020.1861327
Farpour, S., Asadi-Shekaari, M., Haghighi, A. B., & Farpour, H. R. (2023). Improving Swallowing Function and Ability in Post Stroke Dysphagia: A Randomized Clinical Trial. Dysphagia, 38(1), 330–339. https://doi.org/10.1007/s00455-022-10470-0
Hien, N. T. T., Thong, T. H., Tung, L. T., Khoi, V. H., Hoai, D. T. T., Tinh, T. T., Huy, N. Van, & Kien, V. D. (2022). Dysphagia and Associated Factors among Patients with Acute Ischemic Stroke in Vietnam. Annals of Medicine and Surgery, 16(84), 1–6. https://doi.org/10.1016/j.amsu.2022.104887
Hota, S., Inamoto, Y., Oguchi, K., Kondo, T., Otaka, E., Mukaino, M., Gonzalez-Fernandez, M., & Saitoh, E. (2021). Outcomes of Dysphagia Following Stroke: Factors Influencing Oral Intake at 6 Months after Onset. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–9. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105971
Huckabee, M., Flynn, R., & Mills, M. (2022). Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training. Dysphagia, 9(12), 1–12. https://doi.org/10.1007/s00455-022-10516-3
Hwang, J. M., Jung, H., Kim, C. H., Lee, Y. S., Lee, M., Hwang, S. Y., Kim, A. R., & Park, D. (2021). Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study. Healthcare, 9(4), 1–9. https://doi.org/10.3390/healthcare9040407
Jongprasitkul, H., & Kitisomprayoonkul, W. (2020). Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia. Hindawi Rehabilitation Research and Practice, 2020(1), 1–5. https://doi.org/10.1155/2020/2907293
McCarty, E. B., & Chao, T. N. (2021). Dysphagia and Swallowing Disorders. Medical Clinics of North America, 105(5), 939–954. https://doi.org/10.1016/j.mcna.2021.05.013
Nozoe, M., Yamamoto, M., Masuya, R., Inoue, T., Kubo, H., & Shimada, S. (2021). Prevalence of Malnutrition Diagnosed with GLIM Criteria and Association with Activities of Daily Living in Patients with Acute Stroke. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–7. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105989
Oh, J. (2021). Systematic Effortful Swallowing Exercise without External Resistance Does Not Increase Swallowing-Related Muscle Strength in the Elderly. Dysphagia, 36(3), 465–473. https://doi.org/10.1007/s00455-020-10163-6
Ristinawati, I., Tedjo, R. A. A., Mirawati, D. K., Subandi, S., Danuaji, R., Budianto, P., Prabaningtyas, H. R., Hafizhan, M., & Putra, S. E. (2022). Efektivitas Pelatihan Manajemen Disfagia terhadap Pengetahuan Tenaga Kesehatan RSUD Dr. Moewardi. Smart Society Empowerment Journal, 2(3), 86–91. https://doi.org/10.20961/ssej.v2i3.67279
Savcı, C., & Acaroğlu, R. (2021). Effects of Swallowing Training and Follow-Up on the Problems Associated with Dysphagia in Patients with Stroke. Florence Nightingale Journal of Nursing, 29(2), 137–149. https://doi.org/10.5152/FNJN.2021.19007
Seo, Z. W., Min, J. H., Huh, S., Shin, Y., Ko, H., & Ko, S. (2021). Prevalence and Severity of Dysphagia Using Videofluoroscopic Swallowing Study in Patients with Aspiration Pneumonia. Lung, 199(1), 55–61. https://doi.org/10.1007/s00408-020-00413-7
Syahrun, S., Hany, A., & Rahayu, M. (2022). Management Dysphagia in Post-Stroke Patients Recommendations for Indonesian Nursing Intervention Standars: A Literature Review. Malang Neurology Journal, 8(1), 39–48. https://doi.org/10.21776/ub.mnj.2022.008.01.9
Thiyagalingam, S., Kulinski, A. E., Thorsteinsdottir, B., Shindelar, K. L., & Takahashi, P. Y. (2021). Dysphagia in Older Adults. Mayo Clinics Proceedings, 96(2), 488–497. https://doi.org/10.1016/j.mayocp.2020.08.001
Venketasubramanian, N., Yudiarto, F. L., & Tugasworo, D. (2022). Stroke Burden and Stroke Services in Indonesia. Cerebrovascular Diseases Extra, 12(1), 53–57. https://doi.org/10.1159/000524161
Yang, C., & Pan, Y. (2022). Risk Factors of Dysphagia in Patients with Ischemic Stroke: A Meta-Analysis and Systematic Review. PLoS ONE, 17(6), 1–14. https://doi.org/10.1371/journal.pone.0270096
Yuhyen, Y., Agianto, A., & Agustina, R. (2022). Peningkatan Fungsi Menelan dengan Latihan Menelan pada Pasien Stroke yang Mengalami Disfagia. Jurnal Penelitian Kesehatan Suara Forikes, 13(4), 878–885. http://dx.doi.org/10.33846/sf13401
Zainaee, S., Rahmani, S., & Ghaemi, H. (2020). Effective Swallowing Rehabilitation Strategies in Patients with Multiple Sclerosis Suffering from Dysphagia: A Literature Review. Journal of Rehabilitation Sciences and Research, 7(3), 106–113. https://doi.org/10.30476/jrsr.2020.85553.1079
Zeng, H., Chen, J., Guo, Y., & Tan, S. (2021). Prevalence and Risk Factors for Spasticity after Stroke: A Systematic Review and Meta-Analysis. Frontiers in Neurology, 11(1), 1–12. https://doi.org/10.3389/fneur.2020.616097
Zhang, J., Wu, Y., Huang, Y., Shuqing, Z., Xu, L., Huang, X., Wang, X., & Huang, Q. (2021). Effect of the Mendelsohn Maneuver and Swallowing Training in Patients with Senile Vascular Dementia Complicated with Dysphagia. Journal of Nternational Medical Research, 49(5), 1–11. https://doi.org/10.1177/03000605211013198
