Abstract
Swallowing function evaluation, swallowing guidance, swallowing training, and dietary guidance were continuously provided to two elderly patients with swallowing function decline through regular outpatient visits. Swallowing function was evaluated by measuring the Hyodo score through swallowing endoscopy. Swallowing guidance included postural adjustment and pacing during swallowing. For swallowing training, the subjects were instructed to perform laryngeal elevation training and respiratory function training before each meal. The training consisted of swallowing and forehead exercises, chin lifting exercises, and blowback exercises, 10 times each before each meal, 3 sets per day. Case 1 is a 79-year-old male. The patient’s Hyodo score at the initial examination was 8 points, and diffuse aspiration bronchitis was suspected. After 6 years of swallowing guidance and training, the Hyodo score improved to 5 points. Case 2 is a man in his late 70s. The patient’s Hyodo score at the initial examination was 6 points, and diffuse aspiration bronchitis was suspected. After 6 years of swallowing guidance and training, the Hyodo score improved to 5 points. Case 2 is a man in his late 70s. The patient’s Hyodo score at the initial examination was 6 points, and diffuse aspiration bronchitis was suspected. After 2 years of swallowing guidance and training, the Hyodo score improved to 4 points. Both cases underwent regular outpatient visits for swallowing function evaluation, swallowing guidance, and reconfirmation of home swallowing self-training. As a result, swallowing function improved in both cases, and hospitalization for aspiration pneumonia was avoided..
