Document Detail


The challenges of dysphagia management and rehabilitation after extensive thermal burn injury: a complex case.
MedLine Citation:
PMID:  19692928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The role of the speech pathologist in the burns population is still emerging, with detailed discussion of the assessment and management of dysphagia limited to date. This report describes the case of a 60-year-old man who developed severe contractures of the head and neck and oropharyngeal dysphagia after sustaining 53.5% deep partial- and full-thickness burns. Although some aspects of rehabilitation were confounded by a preexisting mild intellectual disability, the patient was able to participate in an intensive regimen of active and passive exercise to rehabilitate his oropharyngeal dysphagia. Significant oral contractures remained; however, the patient was discharged without tracheostomy and consuming a texture-modified diet with no signs of aspiration. To our knowledge, this is one of a small handful of reports that document speech pathology management of the burns population, and a first that identifies and outlines specific characteristics of, and rehabilitation strategies for, dysphagia in a burned individual.
Authors:
Anna F Rumbach; Elizabeth C Ward; Petrea L Cornwell; Lynell V Bassett; Michael J Muller
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  30     ISSN:  1559-0488     ISO Abbreviation:  J Burn Care Res     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-09-15     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  901-5     Citation Subset:  IM    
Affiliation:
Division of Speech Pathology, School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, Brisbane 4072, Australia.
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MeSH Terms
Descriptor/Qualifier:
Burns / complications*,  therapy
Contracture / etiology,  rehabilitation
Deglutition Disorders / etiology*,  rehabilitation*
Humans
Male
Middle Aged
Tracheostomy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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