AI Article Synopsis
- Tetanus poses a serious health challenge in developing countries, with high mortality rates, and this study focuses on the feeding difficulties in patients diagnosed with the disease.
- Thirteen patients in an ICU were assessed using a dysphagia screening tool, revealing severe impairments in oral sensorimotor functions for feeding, though some abilities like palate elevation and saliva swallowing were preserved.
- The findings suggest that evaluating tongue movement is crucial for predicting cough and voice changes during swallowing, highlighting the need for speech pathologist interventions to potentially reduce ICU stay and complications.
Article Abstract
Tetanus still remains a significant health problem in developing countries; it is a serious disease with a high mortality rate. The purpose of this study was to characterize the oral sensorimotor function for feeding in patients with tetanus. Thirteen patients clinically diagnosed with tetanus and admitted to an intensive care unit between December of 2005 and May of 2007 underwent a screening tool for dysphagia, involving the assessment of clinical features and 2 swallowing tests. Results indicate that the oral sensorimotor function for feeding in these patients is severely compromised, with the exception for the clinical feature of palate elevation and performance in the saliva swallowing test. The factor analysis indicated that the evaluation of tongue movement change in the oromotor examination is important in predicting alterations of cough/voice in the water swallowing test, thus suggesting that oral feeding might be unsafe. When looking at developing countries, the prolonged intensive medical and nursing care required by many patients with tetanus places extra demands on an already stretched healthcare budget. Intervention by a speech pathologist could mean that time in the ICU would be reduced as well as the number of re-admissions due to complications.
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| http://dx.doi.org/10.1016/j.actatropica.2009.05.015 | DOI Listing |
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Article Synopsis
- The sensorimotor adaptation process is essential for effective oral communication, particularly when speaking in noisy environments.
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- The study employed the SimpleDIVA model to analyze differences in adaptation dynamics between participants with typical voices and those with NPVH, revealing that the latter group had lower learning rates and somatosensory feedback, which implies they rely less on body feedback during speech in noise.
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