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Comparing Treatment Intensities of Tactile-Thermal Application |
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| Authors: | John C. Rosenbek JoAnne Robbins William O. Willford Gail Kirk Amy Schiltz Thomas W. Sowell Steven E. Deutsch Franklin J. Milanti John Ashford Gary D. Gramigna Ann Fogarty Katherine Dong Marie T. Rau Thomas E. Prescott Anna M. Lloyd Marie T. Sterkel Julie E. Hansen |
| Affiliation: | (1) William S. Middleton Memorial Veterans Hospital, Departments of Neurology and Medicine, University of Wisconsin School of Medicine, Madison, Wisconsin, US;(2) Cooperative Studies Program Coordinating Center, VA Medical Center, Perry Point, Maryland, US;(3) Aurora Regional Medical Center, Aurora, Colorado, US;(4) VA Medical Center, Little Rock, Arkansas, US;(5) VA Medical Center, Long Beach, California, US;(6) Hines VA Hospital, Hines, Illinois, US;(7) VA Medical Center, Nashville, Tennessee, US;(8) VA Medical Center, Brockton/West Roxbury, Massachusetts, US;(9) VA Medical Center, North Chicago, Illinois, US;(10) VA Medical Center, Portland, Oregon, US;(11) VA Medical Center, Denver, Colorado, US;(12) Richard L. Roudebush Veterans Medical Center, Indianapolis, Indiana, US;(13) VA Medical Center, Reno, Nevada, US;(14) VA Puget Sound Health Care System, Seattle, Washington, USA, US |
| Abstract: | The purpose of this study was to investigate the relationships of four intensities of tactile-thermal application (TTA) to changes in duration of stage transition (DST) and performance on a newly designed scale of penetration and aspiration by groups of patients made dysphagic by stroke. Patients were randomly assigned to receive 150, 300, 450, or 600 trials of TTA during each of 2 weeks. Data on the time required to provide such treatment, the actual number of trials clinicians were able to provide, and on the influence of the four intensities are provided. No single intensity emerged as the most therapeutic. It is suggested that subsequent studies with larger groups include intensities between 300 and 550. |
| Keywords: | : Dysphagia treatment — Thermal stimulation — Stroke rehabilitation — Dysphagia — Deglutition — Deglutition disorders. |
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