Clinical Practice Guidelines for Oropharyngeal Dysphagia

Seoyon Yang¹, Jin-Woo Park², Kyunghoon Min³, Yoon Se Lee⁴, Young-Jin Song⁵, Seong Hee Choi⁶, Doo Young Kim⁷, Seung Hak Lee⁸, Hee Seung Yang⁹, Wonjae Cha¹⁰, Ji Won Kim¹¹, Byung-Mo Oh¹², Han Gil Seo¹², Min-Wook Kim¹³, Hee-Soon Woo¹⁴, Sung-Jong Park¹⁵, Sungju Jee¹⁶, Ju Sun Oh¹⁷, Ki Deok Park¹⁸, Young Ju Jin¹⁹, Sungjun Han²⁰, DooHan Yoo²¹, Bo Hae Kim²², Hyun Haeng Lee²³, Yeo Hyung Kim²⁴, Min-Gu Kang²⁵, Eun-Jae Chung²⁶, Bo Ryun Kim²⁷, Tae-Woo Kim^{28

29}, Eun Jae Ko⁸, Young Min Park³⁰, Hanaro Park³¹, Min-Su Kim³², Jungirl Seok³³, Sun Im³⁴, Sung-Hwa Ko³⁵, Seong Hoon Lim³⁶, Kee Wook Jung³⁷, Tae Hee Lee³⁸, Bo Young Hong³⁶, Woojeong Kim³⁹, Weon-Sun Shin⁴⁰, Young Chan Lee⁴¹, Sung Joon Park⁴², Jeonghyun Lim⁴³, Youngkook Kim⁴⁴, Jung Hwan Lee⁴⁵, Kang-Min Ahn⁴⁶, Jun-Young Paeng⁴⁷, JeongYun Park⁴⁸, Young Ae Song⁴⁹, Kyung Cheon Seo⁵⁰, Chang Hwan Ryu⁵¹, Jae-Keun Cho⁵², Jee-Ho Lee⁵³, Kyoung Hyo Choi⁸

Affiliations

¹ Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
² Department of Physical Medicine and Rehabilitation, Dongguk University Ilsan Hospital, Goyang, Korea.
³ Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
⁴ Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁵ Department of Occupational Therapy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁶ Department Audiology and Speech-Language Pathology, Daegu Catholic University, Gyoungsan, Korea.
⁷ Department of Rehabilitation Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.
⁸ Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁹ Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul, Korea.
¹⁰ Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
¹¹ Department of Otolaryngology, Inha University College of Medicine, Incheon, Korea.
¹² Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
¹³ Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
¹⁴ Department of Occupational Therapy, School of Medicine, Wonkwang University, Iksan, Korea.
¹⁵ Department of Speech Therapy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
¹⁶ Department of Rehabilitation Medicine, Chungnam National University Hospital, College of Medicine, Chungnam National University, Daejeon, Korea.
¹⁷ Department of Rehabilitation Medicine, Seoul Medical Center, Seoul, Korea.
¹⁸ Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
¹⁹ Department of Otorhinolaryngology-Head and Neck Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea.
²⁰ Department of Otolaryngology-Head and Neck Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²¹ Department of Occupational Therapy, Konyang University, Daejeon, Korea.
²² Department of Otorhinolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.
²³ Deptartment of Rehabilitation Medicine, Konkuk University Medical Center, Seoul, Korea.
²⁴ Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²⁵ Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea.
²⁶ Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
²⁷ Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
²⁸ Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Korea.
²⁹ Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
³⁰ Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
³¹ Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
³² Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
³³ Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea.
³⁴ Department of Rehabilitation Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
³⁵ Department of Rehabilitation Medicine, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Korea.
³⁶ Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
³⁷ Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
³⁸ Department of Gastroenterology, Konyang University College of Medicine, Daejeon, Korea.
³⁹ Deptartment of Nutrition & Food Control, Gangnam Severance Hospital, Seoul, Korea.
⁴⁰ Deptartment of Food & Nutrition, College of Human Ecology, Hanyang University, Seoul, Korea.
⁴¹ Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
⁴² Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Korea.
⁴³ Department of Food Service & Nutrition Care, Seoul National University Hospital, Seoul, Korea.
⁴⁴ Department of Rehabilitation Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁴⁵ Namdarun Rehabilitation Clinic, Yongin, Korea.
⁴⁶ Department of Oral and Maxillofacial Surgery, University of Ulsan College of Medicine, Seoul, Korea.
⁴⁷ Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
⁴⁸ Department of Clinical Nursing, University of Ulsan, Seoul, Korea.
⁴⁹ Department of Nursing, Seoul National University Bundang Hospital, Seongnam, Korea.
⁵⁰ Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea.
⁵¹ Department of Otolaryngology-Head and Neck Surgery, Center for Thyroid Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
⁵² Department of Otorhinolaryngology-Head and Neck Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
⁵³ Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

PMID: 37501570
PMCID: PMC10405672
DOI: 10.5535/arm.23069

Clinical Practice Guidelines for Oropharyngeal Dysphagia

Seoyon Yang et al. Ann Rehabil Med. 2023 Jul.

. 2023 Jul;47(Suppl 1):S1-S26.

doi: 10.5535/arm.23069. Epub 2023 Jul 30.

Authors

Affiliations

¹ Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
² Department of Physical Medicine and Rehabilitation, Dongguk University Ilsan Hospital, Goyang, Korea.
³ Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
⁴ Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁵ Department of Occupational Therapy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁶ Department Audiology and Speech-Language Pathology, Daegu Catholic University, Gyoungsan, Korea.
⁷ Department of Rehabilitation Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.
⁸ Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁹ Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul, Korea.
¹⁰ Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
¹¹ Department of Otolaryngology, Inha University College of Medicine, Incheon, Korea.
¹² Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
¹³ Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
¹⁴ Department of Occupational Therapy, School of Medicine, Wonkwang University, Iksan, Korea.
¹⁵ Department of Speech Therapy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
¹⁶ Department of Rehabilitation Medicine, Chungnam National University Hospital, College of Medicine, Chungnam National University, Daejeon, Korea.
¹⁷ Department of Rehabilitation Medicine, Seoul Medical Center, Seoul, Korea.
¹⁸ Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
¹⁹ Department of Otorhinolaryngology-Head and Neck Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea.
²⁰ Department of Otolaryngology-Head and Neck Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²¹ Department of Occupational Therapy, Konyang University, Daejeon, Korea.
²² Department of Otorhinolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.
²³ Deptartment of Rehabilitation Medicine, Konkuk University Medical Center, Seoul, Korea.
²⁴ Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²⁵ Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea.
²⁶ Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
²⁷ Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
²⁸ Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Korea.
²⁹ Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
³⁰ Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
³¹ Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
³² Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
³³ Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea.
³⁴ Department of Rehabilitation Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
³⁵ Department of Rehabilitation Medicine, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Korea.
³⁶ Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
³⁷ Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
³⁸ Department of Gastroenterology, Konyang University College of Medicine, Daejeon, Korea.
³⁹ Deptartment of Nutrition & Food Control, Gangnam Severance Hospital, Seoul, Korea.
⁴⁰ Deptartment of Food & Nutrition, College of Human Ecology, Hanyang University, Seoul, Korea.
⁴¹ Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
⁴² Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Korea.
⁴³ Department of Food Service & Nutrition Care, Seoul National University Hospital, Seoul, Korea.
⁴⁴ Department of Rehabilitation Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁴⁵ Namdarun Rehabilitation Clinic, Yongin, Korea.
⁴⁶ Department of Oral and Maxillofacial Surgery, University of Ulsan College of Medicine, Seoul, Korea.
⁴⁷ Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
⁴⁸ Department of Clinical Nursing, University of Ulsan, Seoul, Korea.
⁴⁹ Department of Nursing, Seoul National University Bundang Hospital, Seongnam, Korea.
⁵⁰ Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea.
⁵¹ Department of Otolaryngology-Head and Neck Surgery, Center for Thyroid Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
⁵² Department of Otorhinolaryngology-Head and Neck Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
⁵³ Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

PMID: 37501570
PMCID: PMC10405672
DOI: 10.5535/arm.23069

Abstract

Objective: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one's physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia.

Methods: Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.

Results: Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended.

Conclusion: This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.

Keywords: Deglutition disorders; Diagnosis; Rehabilitation; Therapeutics; Treatment.

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Conflict of interest statement

The members who were involved in this guideline had no other conflicts of interest (COI). The COI was required to determine whether or not these persons should be involved in the development of similar guidelines, employment, financial interests, and other potential interests. No potential conflicts of interest relevant to this article were reported.

References

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Clinical Practice Guidelines for Oropharyngeal Dysphagia

Affiliations

Clinical Practice Guidelines for Oropharyngeal Dysphagia

Authors

Affiliations

Abstract

Conflict of interest statement

References

Grants and funding

LinkOut - more resources

Full Text Sources

Miscellaneous