Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer

Swallowing difficulties are a common complaint among patients with a variety of diseases. To address these concerns, a singing-enhanced swallowing protocol was constructed, and its differential benefits for two patient populations were investigated. Two patients with Parkinson’s disease (PD) and two...

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Main Authors: Myung Sun Yeo, Ga Eul Yoo, Sung-Rae Cho, Soo Ji Kim
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/8/997
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author Myung Sun Yeo
Ga Eul Yoo
Sung-Rae Cho
Soo Ji Kim
author_facet Myung Sun Yeo
Ga Eul Yoo
Sung-Rae Cho
Soo Ji Kim
author_sort Myung Sun Yeo
collection DOAJ
description Swallowing difficulties are a common complaint among patients with a variety of diseases. To address these concerns, a singing-enhanced swallowing protocol was constructed, and its differential benefits for two patient populations were investigated. Two patients with Parkinson’s disease (PD) and two patients with head and neck cancer (HNC) participated in this study. Each patient participated in 30-min individual sessions of a singing-enhanced swallowing protocol two times per week for 12 weeks. Following the intervention, laryngeal diadochokinesis and quality-of-life measurements were found to be higher in all four patients. However, the Videofluoroscopic Dysphagia Scale showed this improvement was associated with different swallowing tasks for each patient group. In addition, the maximum phonation time decreased for patients with HNC, while it increased for patients with PD. The findings support the use of a singing-enhanced swallowing protocol for patients whose swallowing difficulties are due to neurological or structural impairment. In addition, the study results suggest that different intervention components should be considered depending on the etiology of the patient’s swallowing difficulties.
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spelling doaj.art-4becd2cb5d164bb1ad0358e6ed51fb332023-11-22T06:58:31ZengMDPI AGBrain Sciences2076-34252021-07-0111899710.3390/brainsci11080997Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck CancerMyung Sun Yeo0Ga Eul Yoo1Sung-Rae Cho2Soo Ji Kim3Department of Music Therapy, Graduate School, Ewha Womans University, Ewhayeodae-gil 52, Seodaemun-gu, Seoul 03760, KoreaDepartment of Music Therapy, Graduate School, Ewha Womans University, Ewhayeodae-gil 52, Seodaemun-gu, Seoul 03760, KoreaDepartment and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Yosei-ro 50-1, Seodaemun-gu, Seoul 03722, KoreaMusic Therapy Education, Graduate School of Education, Ewha Womans University, Ewhayeodae-gil 52, Seodaemun-gu, Seoul 03760, KoreaSwallowing difficulties are a common complaint among patients with a variety of diseases. To address these concerns, a singing-enhanced swallowing protocol was constructed, and its differential benefits for two patient populations were investigated. Two patients with Parkinson’s disease (PD) and two patients with head and neck cancer (HNC) participated in this study. Each patient participated in 30-min individual sessions of a singing-enhanced swallowing protocol two times per week for 12 weeks. Following the intervention, laryngeal diadochokinesis and quality-of-life measurements were found to be higher in all four patients. However, the Videofluoroscopic Dysphagia Scale showed this improvement was associated with different swallowing tasks for each patient group. In addition, the maximum phonation time decreased for patients with HNC, while it increased for patients with PD. The findings support the use of a singing-enhanced swallowing protocol for patients whose swallowing difficulties are due to neurological or structural impairment. In addition, the study results suggest that different intervention components should be considered depending on the etiology of the patient’s swallowing difficulties.https://www.mdpi.com/2076-3425/11/8/997dysphagiasinginglaryngeal elevationhead and neck cancerParkinson’s disease
spellingShingle Myung Sun Yeo
Ga Eul Yoo
Sung-Rae Cho
Soo Ji Kim
Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
Brain Sciences
dysphagia
singing
laryngeal elevation
head and neck cancer
Parkinson’s disease
title Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
title_full Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
title_fullStr Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
title_full_unstemmed Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
title_short Does Etiology Matter? Comparative Analysis of a Singing-Enhanced Swallowing Protocol for Patients with Neurological Impairment versus Head and Neck Cancer
title_sort does etiology matter comparative analysis of a singing enhanced swallowing protocol for patients with neurological impairment versus head and neck cancer
topic dysphagia
singing
laryngeal elevation
head and neck cancer
Parkinson’s disease
url https://www.mdpi.com/2076-3425/11/8/997
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