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Published on: March 1, 2015
Dysphagia Rehabilitation in Disaster-A Mechanistic Review
Syoichi Tashiro1,2, Liang Zhang1, Michiyuki Kawakami2
1Department of Rehabilitation Medicine, School of Medicine, https://ror.org/0188yz413Kyorin University, Mitaka, Japan.
Disaster recovery efforts should prioritize dysphagia rehabilitation to prevent aspiration pneumonia (AP). Environmental factors and lifestyle changes post-disaster increase AP risk, necessitating targeted interventions and multidisciplinary care.
Area of Science:
- Public Health
- Rehabilitation Medicine
- Disaster Management
Background:
- Aspiration pneumonia (AP) incidence rises after disasters due to direct impact and environmental changes.
- These factors necessitate specific dysphagia rehabilitation targets in disaster scenarios.
Purpose of the Study:
- To delineate the current status of dysphagia rehabilitation in disaster settings.
- To identify mechanisms of emergency lifestyle-related AP and propose prevention strategies.
Main Methods:
- Comprehensive literature search across scientific databases, journals, trial registries, and gray literature.
- Full-text review of 242 articles, with 31 included in the final analysis.
- Categorization of reported issues using International Classification of Functioning, Disability, and Health (ICF) codes.
Main Results:
- Earthquakes were the most common disaster type (19/31), with most reports from Japan (19/31).
- Frequently reported ICF codes included Swallowing, Caring for teeth, and Food.
- Nutrition, oral hygiene, and denture care emerged as critical, though not formally coded, areas.
Conclusions:
- Mechanisms for emergency lifestyle-related AP were identified, with proposed prevention strategies.
- Promoting dysphagia rehabilitation in disasters requires multidisciplinary coordination.
- Increased involvement of rehabilitation specialists is crucial for effective disaster response.
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