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Effect of IQoro(R) training in hiatal hernia patients with misdirected swallowing and esophageal retention symptoms
Hudiksvall Hospital, Sweden; Uppsala University, Sweden.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Norrköping.
2015 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 135, no 7, 635-639 p.Article, review/survey (Refereed) Published
Abstract [en]

Conclusion: Misdirected swallowing can be triggered by esophageal retention and hiatal incompetence. The results show that oral IQoro(R) screen (IQS) training improves misdirected swallowing, hoarseness, cough, esophageal retention, and globus symptoms in patients with hiatal hernia. Objectives: The present study investigated whether muscle training with an IQS influences symptoms of misdirected swallowing and esophageal retention in patients with hiatal hernia. Methods: A total of 28 adult patients with hiatal hernia suffering from misdirected swallowing and esophageal retention symptoms for more than 1 year before entry to the study were evaluated before and after training with an IQS. The patients had to fill out a questionnaire regarding symptoms of misdirected swallowing, hoarseness, cough, esophageal retention, and suprasternal globus, which were scored from 0-3, and a VAS on the ability to swallow food. The effect of IQS traction on diaphragmatic hiatus (DH) pressure was recorded in 12 patients with hiatal hernia using high resolution manometry (HRM). Results: Upon entry into the study, misdirected swallowing, globus sensation, and esophageal retention symptoms were present in all 28 patients, hoarseness in 79%, and cough in 86%. Significant improvement was found for all symptoms after oral IQS training (p less than 0.001). Traction with an IQS resulted in a 65 mmHg increase in the mean HRM pressure of the DH.

Place, publisher, year, edition, pages
Informa Healthcare , 2015. Vol. 135, no 7, 635-639 p.
Keyword [en]
Cough; dysphagia; esophagus; globus; hoarseness; hiatal incompetence; manometry; muscle training; lip force; swallowing capacity test
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-120134DOI: 10.3109/00016489.2015.1016185ISI: 000356672600001PubMedID: 25963055OAI: oai:DiVA.org:liu-120134DiVA: diva2:841658
Note

Funding Agencies|Centre for Research and Development, Uppsala University/County Council of Gavleborg, Gavle, Sweden; Council for Regional Research in Uppsala and Orebro region, Sweden

Available from: 2015-07-14 Created: 2015-07-13 Last updated: 2016-04-12

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Franzen, Thomas
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Department of Clinical and Experimental MedicineFaculty of Medicine and Health SciencesDepartment of Surgery in LinköpingDivision of Clinical SciencesFaculty of Health SciencesDepartment of Surgery in Norrköping
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Acta Oto-Laryngologica
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