A phase II study on the therapeutic effect of acupuncture for neurogenic dysphagia.

• Other Authors: Chan, Sze Ling.
• Format: Others
• Language: English; Chinese; Chinese
• Published: 2010
• Subjects: Deglutition disorders; Acupuncture; Deglutition Disorders > therapy; Acupuncture Therapy
• Online Access: http://library.cuhk.edu.hk/record=b5894359; http://repository.lib.cuhk.edu.hk/en/item/cuhk-327112

Chan, Sze Ling. === Thesis (M.Phil.)--Chinese University of Hong Kong, 2010. === Includes bibliographical references (leaves 145-156). === Abstracts in English and Chinese; some appendixes in Chinese. === Declaration of Originality --- p.i === Acknowledgements --- p.ii === Abstract --- p.iv === 摘要(Abstract in Traditional Chinese) --- p.vii === Table of Contents --- p.ix === Abbreviations --- p.xvi === List of Figures --- p.xviii === List of Tables --- p.xix === Chapter Chapter 1 --- Literature Review --- p.1 === Chapter 1.1 --- What is neurogenic dysphagia? --- p.2 === Chapter 1.2 --- Prevalence of neurogenic dysphagia --- p.3 === Chapter 1.2.1 --- The prevalence of dysphagia in stroke --- p.3 === Chapter 1.2.2 --- The prevalence of dysphagia in dementias --- p.4 === Chapter 1.2.3 --- The prevalence of dysphagia in PD --- p.5 === Chapter 1.2.4 --- The prevalence of dysphagia in progressive supranuclear palsy (PSP) --- p.5 === Chapter 1.2.5 --- The prevalence of dysphagia in age-related changes --- p.5 === Chapter 1.3 --- Characteristics of neurogenic dysphagia --- p.6 === Chapter 1.3.1 --- Characteristics of dysphagia in stroke --- p.7 === Chapter 1.3.2 --- Characteristics of dysphagia in PD --- p.8 === Chapter 1.3.3 --- Characteristics of dysphagia in dementias --- p.9 === Chapter 1.3.4 --- Characteristics of dysphagia in age-related changes --- p.9 === Chapter 1. 4 --- Complications and prognosis of neurogenic dysphagia --- p.10 === Chapter 1.4.1 --- Complications --- p.10 === Chapter 1.4.2 --- Prognosis --- p.11 === Chapter 1.5 --- Managements of dysphagia --- p.13 === Chapter 1.5.1 --- Treating the underlying diseases --- p.13 === Chapter 1.5.2 --- Non-oral feeding --- p.13 === Chapter 1.5.3 --- Swallowing therapies --- p.14 === Chapter 1.5.3.1. --- Compensatory strategies --- p.14 === Chapter 1.5.3.2 --- Direct strategies --- p.16 === Chapter 1.5.3.3 --- Indirect strategies --- p.17 === Chapter 1.5.4 --- Medications --- p.19 === Chapter 1.5.5 --- Surgical interventions --- p.19 === Chapter 1.6 --- Management of dysphagia in Chinese medicine --- p.20 === Chapter 1.6.1 --- "Diagnosis, mechanisms and locations of dysphagia in Traditional Chinese medicine (TCM)" --- p.20 === Chapter 1.6.2 --- Use of acupoints in treating dysphagia in ancient Chinese medicine liteatures --- p.21 === Chapter 1.6.3 --- Use of acupuncture in treating dysphagia in recent Chinese medicine liteatures --- p.22 === Chapter 1.6.4 --- Reviews on the use of acupuncture in treating dysphagia --- p.25 === Chapter 1.7 --- Conslusion --- p.30 === Chapter Chapter 2 --- Methodology --- p.31 === Chapter 2.1 --- Study design --- p.32 === Chapter 2.2 --- Hypotheses of this study --- p.32 === Chapter 2.3 --- Objectives of this study --- p.32 === Chapter 2.4 --- Ethics approval --- p.32 === Chapter 2.5 --- Qualification & experience of the acupuncturists --- p.33 === Chapter 2.6 --- Subjects --- p.33 === Chapter 2.6.1 --- Setting --- p.33 === Chapter 2.6.2 --- Inclusion criteria --- p.33 === Chapter 2.6.3 --- Exclusion criteria --- p.34 === Chapter 2.7 --- Method of randomization and blinding --- p.35 === Chapter 2.7.1 --- Experimental group and control group1 --- p.35 === Chapter 2.7.2 --- Control group2 --- p.36 === Chapter 2.8 --- Sample size --- p.36 === Chapter 2.9 --- Procedures --- p.37 === Chapter 2.9.1 --- Screening and recruitment of subjects --- p.37 === Chapter 2.9.2 --- Baseline --- p.37 === Chapter 2.9.2.1 --- Chinese medicine diagnoses --- p.37 === Chapter 2.9.2.2 --- Western medicine diagnoses --- p.40 === Chapter 2.9.2.3 --- Clinical bedside assessment --- p.40 === Chapter 2.9.2.4 --- Procedure of fiberoptic endoscopic evaluation of swallowing --- p.41 === Chapter 2.9.3 --- Interventions --- p.43 === Chapter 2.9.3.1 --- Experimental group --- p.44 === Chapter 2.9.3.2 --- Control group1 --- p.53 === Chapter 2.9.3.3 --- Control group2 --- p.53 === Chapter 2.9.4 --- On completion of acupuncture treatments --- p.54 === Chapter 2.9.5 --- Follow-up assessment --- p.54 === Chapter 2.10 --- Adverse effects --- p.55 === Chapter 2.11 --- Outcome measures --- p.56 === Chapter 2.11.1 --- Primary outcome --- p.56 === Chapter 2.11.2 --- Secondary outcome --- p.58 === Chapter 2.11.3 --- Data collection --- p.59 === Chapter 2.12 --- Treatment compliance --- p.60 === Chapter 2.13 --- Statistical analysis --- p.60 === Chapter Chapter 3 --- Results --- p.62 === Chapter 3.1 --- Baseline data --- p.63 === Chapter 3.2 --- Diagnoses --- p.67 === Chapter 3.2.1 --- Western medicine diagnoses --- p.67 === Chapter 3.2.2 --- Chinese medicine diagnoses --- p.71 === Chapter 3.3 --- Data of acupuncture treatments --- p.72 === Chapter 3.3.1 --- Days of onset to the day of acupuncture treatment --- p.72 === Chapter 3.3.2 --- Sessions of acupuncture completed by experimental group and control group1 --- p.73 === Chapter 3.3.3 --- Follow-up compliance --- p.75 === Chapter 3.4 --- Primary outcome measures --- p.75 === Chapter 3.4.1 --- The Royal Brisbane Hospital Outcome Measure for Swallowing (RBHOMS) --- p.75 === Chapter 3.4.1.1 --- Correlations of diagnoses and RBHOMS --- p.80 === Chapter 3.4.2 --- The Penetration-Aspiration Scale (PAS) --- p.81 === Chapter 3.5 --- Secondary outcome measures --- p.83 === Chapter 3.5.1 --- The food and fluid consistencies --- p.83 === Chapter 3.5.2 --- The body mass index (BMI) --- p.90 === Chapter 3.5.3 --- Aspiration pneumonia --- p.92 === Chapter 3.5.4 --- Mortality rate --- p.93 === Chapter 3.6 --- Other outcomes --- p.94 === Chapter 3.6.1 --- Nasogastric tube feeding --- p.94 === Chapter 3.7 --- Adverse effects --- p.95 === Chapter Chapter 4 --- Discussion --- p.99 === Chapter 4.1 --- The therapeutic effect and appropriate course of treatment of acupuncture on neurogenic dysphagia --- p.101 === Chapter 4.1.1 --- The therapeutic effect and long-term efficacy of acupuncture on neurogenic dysphagia --- p.101 === Chapter 4.1.2 --- The suggested course of acupuncture treatment --- p.117 === Chapter 4.2 --- The implications of the study --- p.119 === Chapter 4.3 --- The limitations of the study --- p.123 === Chapter 4.4 --- Conclusion and prospective for further study --- p.127 === Appendices --- p.128 === References --- p.145