Oral muscles are progressively affected in Duchenne muscular dystrophy: implications for dysphagia treatment
van den Engel-Hoek L, Erasmus CE, Hendriks JC, Geurts AC, Klein WM, Pillen S, Sie LT, de Swart BJ, de Groot IJ.
J Neurol. 2013. 260(5):1295-303.
Dysphagia is reported in advanced stages of Duchenne muscular dystrophy (DMD). Authors aimed to describe the dysphagia in consecutive stages and to assess the underlying mechanisms of dysphagia in DMD, in order to develop mechanism based recommendations for safe swallowing. In this cross-sectional study, participants were divided into: early and late ambulatory stage (n = 6), early non-ambulatory stage (n = 7), and late non-ambulatory stage (n = 11). MFM was used to describe the patient population at inclusion.
Conclusion of authors are, in case of swallowing problems in DMD, based on the disturbed mechanisms of swallowing, it is suggested to (1) adjust meals in terms of less solid food, and (2) drink water after meals to clear the oropharyngeal area.
Keywords: Duchenne muscular dystrophy, Dysphagia, Oral muscles, Ultrasound , Video fluoroscopic swallow study, Surface electromyography
Articles dans les revues scientifiques
Predictive factors for masticatory performance in Duchenne Muscular Dystrophy
Van Bruggen HW, van de Engel-Hoek L, Steenks MH, Bronkhorst E, Creugers NHJ, de Groot IJM, Kalaykova SI. Neuromuscul Disord. 2014. 24(8):684-92. Patients with Duchenne Muscular Dystrophy (DMD) report masticatory and swallowing problems. Authors investigated whether...
What Can We Learn From Assisted Bicycle Training in a Girl With Dystrophinopathy? A Case Study
Huijben J, Jansen M, Ginjaar IN, Lammens M, van Putten M, van Alfen N, de Groot I. J Child Neurol. 2015. 30(5),659-63. Case study of a 9-year-old ambulatory girl with dystrophinopathy due to a mosaic translocation mutation participated in dynamic training. The girl...
Molecular therapeutic strategies for spinal muscular atrophies: current and future clinical trials
Zanetta C, Nizzardo M, Simone C, Monguzzi E, Bresolin N, Comi GP, Corti S. Clin Ther. 2014. 1;36(1):128-40. This article provides a general overview of the main aspects that need to be taken into account to design a more efficient clinical trial and to summarize the...
Relationship between muscle strength and motor function in Duchenne muscular dystrophy
Nunes MF, Hukuda ME, Favero FM, Oliveira AB, Voos MC, Caromano FA. Arq Neuropsiquiatr. 2016. 74(7):530-5. This study investigates the relationship between muscle strength as measured by Medical Research Council (MRC) scale and MFM and between these variables and age...
Influence of a two-year steroid treatment on body composition as measured by Dual X-Ray Absorptiometry in boys with Duchenne Muscular Dystrophy
Vuillerot C, Braillon P, Fontaine-Carbonnel S, Rippert P, André E, Iwaz J, Poirot I, Bérard C. Neuromuscul Disord. 2014. 24:467-473. Assessment of effects of long term steroid treatments on body composition, assessed by Dual X-Ray absorptiometry, in 21 patients with...
The applicability of four clinical methods to evaluate arm and hand function in all stages of spinal muscular atrophy type II.
Werlauff U, Fynbo Steffensen B. Disabil Rehabil. 2014. 36(25):2120-6. Assessment of ability of 4 clinical methods to reflect arm and hand function at impairment and activity level and to determine their ability to discriminate among SMA II patients of all ages and in...