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Rehabilitation Practice and Science

Translated Title

新冠肺炎後的吞嚥障礙：文獻綜述

Abstract

Coronavirus disease 2019 (COVID-19), named by the World Health Organization in 2020, is a novel infectious disease, causing by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Most symptoms, such as cough and fever, will be resolved following supportive management. However, a small number of patients will progress to respiratory distress or suffer other neurological problems that affect their swallowing function. Potential dysphagia mechanisms associated with COVID-19 include neurological complications, muscular disorder, and intensive care unit-acquired swallowing dysfunctions. As dysphagia results in a declined quality of life and increased risk of respiratory complications, early swallowing interventions are imperative after the acute phase of infection. These interventions include clinical assessments through bedside swallowing examination or questionnaire, imaging studies with videofluoroscopic swallowing study, and fiberoptic endoscopic evaluation of swallowing. In swallowing rehabilitation, aside from the conventional face-to-face treatment, telerehabilitation service in response to the COVID-19 pandemic enables patients in isolated status to receive swallowing rehabilitation. Conversely, during the COVID-19 pandemic, clinicians and therapists should appropriately wear personal protective equipment to reduce the infection risk. Therefore, being aware of the risk of aerosol-generating procedures and understanding relevant levels of personal protective equipment becomes an important subject. In the current literature reviewarticle, we presented the prevalence of dysphagia following the COVID-19 infection; pertinent etiologies, classifications, and indications of the personal protective equipment; dysphagia evaluation and rehabilitative strategies aiming to provide the clinical guidance of dysphagia, following the COVID-19 infection with recent research advances.

Language

Traditional Chinese

First Page

1

Last Page

9

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