Location
LSU Health Science Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
Introduction: Muscle tension dysphagia (MTDg) is a diagnostic term used to describe patients who present with idiopathic dysphagia complaints, despite having healthy videofluoroscopic swallow study (VFSS) findings. MTDg is a relatively new phenomenon with little evidence existing in the extant literature to guide speech-language pathologists (SLPs) in treating patients who present with idiopathic dysphagia symptoms. Because of this knowledge gap, SLPs have utilized components of treatment protocols for muscle tension dysphonia, a similar but different vocal pathology, to support the therapeutic needs of patients with MTDg.
Purpose: The purpose of this case report is to demonstrate successful treatment and monitoring of an adult with MTDg. The information presented in this unique case may inform SLPs and other members of the healthcare team about the symptoms, course, treatment, and monitoring of MTDg, and add to the knowledge base in the field.
Methods: A Modified Barium Swallow Study (MBSS) and Esophagogastroduodenoscopy (EGD) were performed to receive exclusion diagnosis of Muscle Tension Dysphagia (MTDg). Four treatment sessions across four weeks with a home program of daily practice were prescribed to the patient. The Eating Assessment Tool (EAT-10) was utilized to compare dysphagia symptoms and their impact on the patient's quality of life from baseline to post-treatment.
Results: After treatment, the patient's EAT-10 score decreased by 34.5%. The patient's dysphagia severity rating also decreased from a self-report "severe" rating to a "mild-moderate" rating. Decreases in throat clearing, laryngeal strain, and adverse reactions were also noted.
Discussion: The case outlined in this report exemplifies a successful treatment course of MTDg. This case may inform other SLPs and members of the healthcare team on a treatment course for patients presenting with MTDg.
Recommended Citation
Callerame, Chloe; Lopez, Leslie C.; LeBoutillier, Jamie; Fiore, Rachel; and Brouilette, Molly, "Understanding and Managing Muscle Tension Dysphagia: A Case Report" (2024). School of Allied Health Professions Research Day. 42.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/42
Included in
Understanding and Managing Muscle Tension Dysphagia: A Case Report
LSU Health Science Center - New Orleans
Introduction: Muscle tension dysphagia (MTDg) is a diagnostic term used to describe patients who present with idiopathic dysphagia complaints, despite having healthy videofluoroscopic swallow study (VFSS) findings. MTDg is a relatively new phenomenon with little evidence existing in the extant literature to guide speech-language pathologists (SLPs) in treating patients who present with idiopathic dysphagia symptoms. Because of this knowledge gap, SLPs have utilized components of treatment protocols for muscle tension dysphonia, a similar but different vocal pathology, to support the therapeutic needs of patients with MTDg.
Purpose: The purpose of this case report is to demonstrate successful treatment and monitoring of an adult with MTDg. The information presented in this unique case may inform SLPs and other members of the healthcare team about the symptoms, course, treatment, and monitoring of MTDg, and add to the knowledge base in the field.
Methods: A Modified Barium Swallow Study (MBSS) and Esophagogastroduodenoscopy (EGD) were performed to receive exclusion diagnosis of Muscle Tension Dysphagia (MTDg). Four treatment sessions across four weeks with a home program of daily practice were prescribed to the patient. The Eating Assessment Tool (EAT-10) was utilized to compare dysphagia symptoms and their impact on the patient's quality of life from baseline to post-treatment.
Results: After treatment, the patient's EAT-10 score decreased by 34.5%. The patient's dysphagia severity rating also decreased from a self-report "severe" rating to a "mild-moderate" rating. Decreases in throat clearing, laryngeal strain, and adverse reactions were also noted.
Discussion: The case outlined in this report exemplifies a successful treatment course of MTDg. This case may inform other SLPs and members of the healthcare team on a treatment course for patients presenting with MTDg.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/42