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A phase II study on the therapeutic effect of acupuncture for neurogenic dysphagia. / 針灸對神經性吞嚥困難療效之II期研究 / Phase two study on the therapeutic effect of acupuncture for neurogenic dysphagia / Zhen jiu dui shen jing xing tun yan kun nan liao xiao zhi II qi yan jiu

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

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_327112
Date January 2010
ContributorsChan, Sze Ling., Chinese University of Hong Kong Graduate School. Division of Chinese Medicine.
Source SetsThe Chinese University of Hong Kong
LanguageEnglish, Chinese, Chinese
Detected LanguageEnglish
TypeText, bibliography
Formatprint, xx, 156 leaves : ill. ; 30 cm.
RightsUse 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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