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Features and impact of dysphagia, dysphonia and laryngeal hypersensitivity in whiplash associated disorder – a qualitative study.

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Title: Features and impact of dysphagia, dysphonia and laryngeal hypersensitivity in whiplash associated disorder – a qualitative study.
Authors: Stone, Danielle B., Rebbeck, Trudy, Ward, Elizabeth C., Elliott, James E.
Source: Disability & Rehabilitation. Jul2023, Vol. 45 Issue 15, p2446-2457. 12p.
Subjects: Pharynx, Computer software, Senses, Whiplash injuries, Pain, Speech therapy, Patient participation, Confidence, Health services accessibility, Self-evaluation, Sensory disorders, Application software, Research methodology, Human voice, Food consumption, Self-perception, Deglutition disorders, Videoconferencing, Interviewing, Qualitative research, Fluoroscopy, Experience, Head, Health literacy, Laryngeal diseases, Questionnaires, Quality of life, Health, Medical referrals, Brief Pain Inventory, Cough, Posture, Health attitudes, Communication, Research funding, Biomechanics, Thematic analysis, Neck, Statistical sampling, Data analysis software, Neck muscles, Drinking behavior, Emotions, Respiration, Voice disorders, Psychological distress, World Wide Web, Psychological stress, Disease risk factors, Symptoms, Disease complications
Abstract: Investigation into dysphagia, dysphonia and laryngeal hypersensitivity after whiplash is limited, offering minimal insight into specific features and impact. This study aimed to explore these symptoms. A qualitative interpretive description design was used. Eleven participants with chronic Whiplash Associated Disorder and self-reported swallowing, voice and/or throat-related problems completed baseline symptom questionnaires and were offered a videofluroscopic swallow study to investigate baseline swallowing biomechanics. Semi-structured interviews were conducted to explore features of swallowing, voice and laryngeal sensory complaints and analysed using thematic analysis. There were high baseline levels of self-reported neck, pain- and throat-related disability and psychological distress. There was no evidence of baseline deficits in swallow biomechanics. Thematic analysis revealed 5 themes: (1) A range of features of dysphagia and dysphonia exist after whiplash with varied clinical course; (2) Activity and participation in swallow and voice activities have changed; (3) There are psychological and emotional impacts; (4) Features of laryngeal hypersensitivity co-exist and (5) There are barriers to management. Swallow, voice and laryngeal sensory problems after whiplash were described, with impacts on quality of life and barriers to management. These insights broaden understanding of post-whiplash sequalae, indicating the need for better detection. Dysphagia, dysphonia and laryngeal hypersensitivity are under-recognised consequences of whiplash. Individuals presenting with dysphagia, dysphonia and laryngeal sensory symptoms after whiplash experience significant implications to wellbeing, activity and participation. Improved understanding of these symptoms may facilitate better detection and subsequent referral to speech-language pathology. Greater understanding into the functional and psychosocial implications of these symptoms may guide more effective post-whiplash assessments and informed rehabilitation. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Features and impact of dysphagia, dysphonia and laryngeal hypersensitivity in whiplash associated disorder – a qualitative study.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Investigation into dysphagia, dysphonia and laryngeal hypersensitivity after whiplash is limited, offering minimal insight into specific features and impact. This study aimed to explore these symptoms. A qualitative interpretive description design was used. Eleven participants with chronic Whiplash Associated Disorder and self-reported swallowing, voice and/or throat-related problems completed baseline symptom questionnaires and were offered a videofluroscopic swallow study to investigate baseline swallowing biomechanics. Semi-structured interviews were conducted to explore features of swallowing, voice and laryngeal sensory complaints and analysed using thematic analysis. There were high baseline levels of self-reported neck, pain- and throat-related disability and psychological distress. There was no evidence of baseline deficits in swallow biomechanics. Thematic analysis revealed 5 themes: (1) A range of features of dysphagia and dysphonia exist after whiplash with varied clinical course; (2) Activity and participation in swallow and voice activities have changed; (3) There are psychological and emotional impacts; (4) Features of laryngeal hypersensitivity co-exist and (5) There are barriers to management. Swallow, voice and laryngeal sensory problems after whiplash were described, with impacts on quality of life and barriers to management. These insights broaden understanding of post-whiplash sequalae, indicating the need for better detection. Dysphagia, dysphonia and laryngeal hypersensitivity are under-recognised consequences of whiplash. Individuals presenting with dysphagia, dysphonia and laryngeal sensory symptoms after whiplash experience significant implications to wellbeing, activity and participation. Improved understanding of these symptoms may facilitate better detection and subsequent referral to speech-language pathology. Greater understanding into the functional and psychosocial implications of these symptoms may guide more effective post-whiplash assessments and informed rehabilitation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164942557
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  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2022.2098395
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      – Code: eng
        Text: English
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      – SubjectFull: Pharynx
        Type: general
      – SubjectFull: Computer software
        Type: general
      – SubjectFull: Senses
        Type: general
      – SubjectFull: Whiplash injuries
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Speech therapy
        Type: general
      – SubjectFull: Patient participation
        Type: general
      – SubjectFull: Confidence
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Sensory disorders
        Type: general
      – SubjectFull: Application software
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Human voice
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      – SubjectFull: Food consumption
        Type: general
      – SubjectFull: Self-perception
        Type: general
      – SubjectFull: Deglutition disorders
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      – SubjectFull: Experience
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        Type: general
      – SubjectFull: Laryngeal diseases
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      – SubjectFull: Quality of life
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      – SubjectFull: Medical referrals
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      – SubjectFull: Brief Pain Inventory
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      – SubjectFull: Cough
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      – SubjectFull: Posture
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      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Biomechanics
        Type: general
      – SubjectFull: Thematic analysis
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      – SubjectFull: Neck
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      – SubjectFull: Disease risk factors
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      – SubjectFull: Disease complications
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      – TitleFull: Features and impact of dysphagia, dysphonia and laryngeal hypersensitivity in whiplash associated disorder – a qualitative study.
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              Text: Jul2023
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