Chan, Sze Ling. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 145-156). / Abstracts in English and Chinese; some appendixes in Chinese. / Declaration of Originality --- p.i / Acknowledgements --- p.ii / Abstract --- p.iv / 摘要(Abstract in Traditional Chinese) --- p.vii / Table of Contents --- p.ix / Abbreviations --- p.xvi / List of Figures --- p.xviii / List of Tables --- p.xix / Chapter Chapter 1 --- Literature Review --- p.1 / Chapter 1.1 --- What is neurogenic dysphagia? --- p.2 / Chapter 1.2 --- Prevalence of neurogenic dysphagia --- p.3 / Chapter 1.2.1 --- The prevalence of dysphagia in stroke --- p.3 / Chapter 1.2.2 --- The prevalence of dysphagia in dementias --- p.4 / Chapter 1.2.3 --- The prevalence of dysphagia in PD --- p.5 / Chapter 1.2.4 --- The prevalence of dysphagia in progressive supranuclear palsy (PSP) --- p.5 / Chapter 1.2.5 --- The prevalence of dysphagia in age-related changes --- p.5 / Chapter 1.3 --- Characteristics of neurogenic dysphagia --- p.6 / Chapter 1.3.1 --- Characteristics of dysphagia in stroke --- p.7 / Chapter 1.3.2 --- Characteristics of dysphagia in PD --- p.8 / Chapter 1.3.3 --- Characteristics of dysphagia in dementias --- p.9 / Chapter 1.3.4 --- Characteristics of dysphagia in age-related changes --- p.9 / Chapter 1. 4 --- Complications and prognosis of neurogenic dysphagia --- p.10 / Chapter 1.4.1 --- Complications --- p.10 / Chapter 1.4.2 --- Prognosis --- p.11 / Chapter 1.5 --- Managements of dysphagia --- p.13 / Chapter 1.5.1 --- Treating the underlying diseases --- p.13 / Chapter 1.5.2 --- Non-oral feeding --- p.13 / Chapter 1.5.3 --- Swallowing therapies --- p.14 / Chapter 1.5.3.1. --- Compensatory strategies --- p.14 / Chapter 1.5.3.2 --- Direct strategies --- p.16 / Chapter 1.5.3.3 --- Indirect strategies --- p.17 / Chapter 1.5.4 --- Medications --- p.19 / Chapter 1.5.5 --- Surgical interventions --- p.19 / Chapter 1.6 --- Management of dysphagia in Chinese medicine --- p.20 / Chapter 1.6.1 --- "Diagnosis, mechanisms and locations of dysphagia in Traditional Chinese medicine (TCM)" --- p.20 / Chapter 1.6.2 --- Use of acupoints in treating dysphagia in ancient Chinese medicine liteatures --- p.21 / Chapter 1.6.3 --- Use of acupuncture in treating dysphagia in recent Chinese medicine liteatures --- p.22 / Chapter 1.6.4 --- Reviews on the use of acupuncture in treating dysphagia --- p.25 / Chapter 1.7 --- Conslusion --- p.30 / Chapter Chapter 2 --- Methodology --- p.31 / Chapter 2.1 --- Study design --- p.32 / Chapter 2.2 --- Hypotheses of this study --- p.32 / Chapter 2.3 --- Objectives of this study --- p.32 / Chapter 2.4 --- Ethics approval --- p.32 / Chapter 2.5 --- Qualification & experience of the acupuncturists --- p.33 / Chapter 2.6 --- Subjects --- p.33 / Chapter 2.6.1 --- Setting --- p.33 / Chapter 2.6.2 --- Inclusion criteria --- p.33 / Chapter 2.6.3 --- Exclusion criteria --- p.34 / Chapter 2.7 --- Method of randomization and blinding --- p.35 / Chapter 2.7.1 --- Experimental group and control group1 --- p.35 / Chapter 2.7.2 --- Control group2 --- p.36 / Chapter 2.8 --- Sample size --- p.36 / Chapter 2.9 --- Procedures --- p.37 / Chapter 2.9.1 --- Screening and recruitment of subjects --- p.37 / Chapter 2.9.2 --- Baseline --- p.37 / Chapter 2.9.2.1 --- Chinese medicine diagnoses --- p.37 / Chapter 2.9.2.2 --- Western medicine diagnoses --- p.40 / Chapter 2.9.2.3 --- Clinical bedside assessment --- p.40 / Chapter 2.9.2.4 --- Procedure of fiberoptic endoscopic evaluation of swallowing --- p.41 / Chapter 2.9.3 --- Interventions --- p.43 / Chapter 2.9.3.1 --- Experimental group --- p.44 / Chapter 2.9.3.2 --- Control group1 --- p.53 / Chapter 2.9.3.3 --- Control group2 --- p.53 / Chapter 2.9.4 --- On completion of acupuncture treatments --- p.54 / Chapter 2.9.5 --- Follow-up assessment --- p.54 / Chapter 2.10 --- Adverse effects --- p.55 / Chapter 2.11 --- Outcome measures --- p.56 / Chapter 2.11.1 --- Primary outcome --- p.56 / Chapter 2.11.2 --- Secondary outcome --- p.58 / Chapter 2.11.3 --- Data collection --- p.59 / Chapter 2.12 --- Treatment compliance --- p.60 / Chapter 2.13 --- Statistical analysis --- p.60 / Chapter Chapter 3 --- Results --- p.62 / Chapter 3.1 --- Baseline data --- p.63 / Chapter 3.2 --- Diagnoses --- p.67 / Chapter 3.2.1 --- Western medicine diagnoses --- p.67 / Chapter 3.2.2 --- Chinese medicine diagnoses --- p.71 / Chapter 3.3 --- Data of acupuncture treatments --- p.72 / Chapter 3.3.1 --- Days of onset to the day of acupuncture treatment --- p.72 / Chapter 3.3.2 --- Sessions of acupuncture completed by experimental group and control group1 --- p.73 / Chapter 3.3.3 --- Follow-up compliance --- p.75 / Chapter 3.4 --- Primary outcome measures --- p.75 / Chapter 3.4.1 --- The Royal Brisbane Hospital Outcome Measure for Swallowing (RBHOMS) --- p.75 / Chapter 3.4.1.1 --- Correlations of diagnoses and RBHOMS --- p.80 / Chapter 3.4.2 --- The Penetration-Aspiration Scale (PAS) --- p.81 / Chapter 3.5 --- Secondary outcome measures --- p.83 / Chapter 3.5.1 --- The food and fluid consistencies --- p.83 / Chapter 3.5.2 --- The body mass index (BMI) --- p.90 / Chapter 3.5.3 --- Aspiration pneumonia --- p.92 / Chapter 3.5.4 --- Mortality rate --- p.93 / Chapter 3.6 --- Other outcomes --- p.94 / Chapter 3.6.1 --- Nasogastric tube feeding --- p.94 / Chapter 3.7 --- Adverse effects --- p.95 / Chapter Chapter 4 --- Discussion --- p.99 / Chapter 4.1 --- The therapeutic effect and appropriate course of treatment of acupuncture on neurogenic dysphagia --- p.101 / Chapter 4.1.1 --- The therapeutic effect and long-term efficacy of acupuncture on neurogenic dysphagia --- p.101 / Chapter 4.1.2 --- The suggested course of acupuncture treatment --- p.117 / Chapter 4.2 --- The implications of the study --- p.119 / Chapter 4.3 --- The limitations of the study --- p.123 / Chapter 4.4 --- Conclusion and prospective for further study --- p.127 / Appendices --- p.128 / References --- p.145
| Identifer | oai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_327112 |
| Date | January 2010 |
| Contributors | Chan, Sze Ling., Chinese University of Hong Kong Graduate School. Division of Chinese Medicine. |
| Source Sets | The Chinese University of Hong Kong |
| Language | English, Chinese, Chinese |
| Detected Language | English |
| Type | Text, bibliography |
| Format | print, xx, 156 leaves : ill. ; 30 cm. |
| Rights | Use of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
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