The challenges of dysphagia management and rehabilitation after extensive thermal burn injury: A complex case

Rumbach, A., Ward, E. C., Cornwell, P. L., Bassett, L. V. and Muller, M. (2009) The challenges of dysphagia management and rehabilitation after extensive thermal burn injury: A complex case. Journal of Burn Care & Research, 30 5: 901-905. doi:10.1097/BCR.0b013e3181b487e0


Author Rumbach, A.
Ward, E. C.
Cornwell, P. L.
Bassett, L. V.
Muller, M.
Title The challenges of dysphagia management and rehabilitation after extensive thermal burn injury: A complex case
Journal name Journal of Burn Care & Research   Check publisher's open access policy
ISSN 1559-047X
Publication date 2009-01-01
Sub-type Article (original research)
DOI 10.1097/BCR.0b013e3181b487e0
Volume 30
Issue 5
Start page 901
End page 905
Total pages 5
Editor Gamelli, R. L.
Place of publication United States
Publisher Lippincott Williams & Wilkins
Language eng
Subject 920107 Hearing, Vision, Speech and Their Disorders
110321 Rehabilitation and Therapy (excl. Physiotherapy)
CX
Abstract 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.
Q-Index Code CX
Q-Index Status Provisional Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 09 Dec 2009, 01:02:28 EST by Kathleen Reinhardt on behalf of Anaesthesiology and Critical Care - RBWH