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Physical Therapy: Does Physical Therapy Have Therapeutic Roles in Aspiration Pneumonia?

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Abstract

Aspiration pneumonia is a common disease that frequently occurs in older patients. Most patients with aspiration pneumonia have swallowing disability and develop hospital-acquired disability. Frequently, patients have difficulty returning home, and they often require long-term hospitalization. Recently, the effect of rehabilitative management including physical and pulmonary rehabilitation for aspiration pneumonia was reported. Several studies showed that early rehabilitation was associated with reduced mortality and early hospital discharge after aspiration pneumonia. Physical therapy is recommended to improve clinical outcomes, including physical and swallowing function in older patients with aspiration pneumonia.

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References

  1. Teramoto S, Yoshida K, Hizawa N. Update on the pathogenesis and management of pneumonia in the elderly-roles of aspiration pneumonia. Respir Investig. 2015;53:178–84. https://doi.org/10.1016/j.resinv.2015.01.003.

    Article  PubMed  Google Scholar 

  2. Kohno S, Imamura Y, Shindo Y, Seki M, Ishida T, Teramoto S, et al. Clinical practice guidelines for nursing- and healthcare-associated pneumonia (NHCAP). Respir Investig. 2013;51:103–26. https://doi.org/10.1016/j.resinv.2012.11.001.

    Article  PubMed  Google Scholar 

  3. Komiya K, Ishii H, Kadota J. Healthcare-associated pneumonia and aspiration pneumonia. Aging Dis. 2014;6:27–37. https://doi.org/10.14336/AD.2014.0127.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Covinsky KE, Pierluissi E, Johnston CB. Hospitalization-associated disability: “she was probably able to ambulate, but I’m not sure”. JAMA. 2011;306:1782–93. https://doi.org/10.1001/jama.2011.1556.

    Article  CAS  PubMed  Google Scholar 

  5. Manabe T, Teramoto S, Tamiya N, Okochi J, Hizawa N. Risk factors for aspiration pneumonia in older adults. PLoS One. 2015;10:e0140060. https://doi.org/10.1371/journal.pone.0140060.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sura L, Madhavan A, Carnaby G, Crary MA. Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging. 2012;7:287–98. https://doi.org/10.2147/CIA.S23404.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Chigira Y, Takai T, Igusa H, Dobashi K. Effects of early physiotherapy with respect to severity of pneumonia of elderly patients admitted to an intensive care unit: a single center study in Japan. J Phys Ther Sci. 2015;96:2053–6. https://doi.org/10.1589/jpts.27.2053.

    Article  Google Scholar 

  8. Yagi M, Yasunaga H, Matsui H, Fushimi K, Fujimoto M, Koyama T, et al. Effect of early rehabilitation on activities of daily living in patients with aspiration pneumonia. Geriatr Gerontol Int. 2016;16:1181–7. https://doi.org/10.1111/ggi.12610.

    Article  PubMed  Google Scholar 

  9. Miyauchi N, Nakamura M, Nakamura I, Momosaki R. Effect of early versus delayed mobilization by physical therapists on oral intake in patients with sarcopenic dysphagia after pneumonia. Eur Geriatr Med. 2019;10:603–7. https://doi.org/10.1007/s41999-019-00169-1.

    Article  Google Scholar 

  10. Kim SJ, Lee JH, Han B, Lam J, Bukowy E, Rao A, et al. Effects of hospital-based physical therapy on hospital discharge outcomes among hospitalized older adults with community-acquired pneumonia and declining physical function. Aging Dis. 2015;6:174–9. https://doi.org/10.14336/AD.2014.0801.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Momosaki R, Yasunaga H, Matsui H, Horiguchi H, Fushimi K, Abo M. Effect of early rehabilitation by physical therapists on in-hospital mortality after aspiration pneumonia in the elderly. Arch Phys Med Rehabil. 2015;96:205–9. https://doi.org/10.1016/j.apmr.2014.09.014.

    Article  PubMed  Google Scholar 

  12. Komatsu R, Okazaki T, Ebihara S, Kobayashi M, Tsukita Y, Nihei M, et al. Aspiration pneumonia induces muscle atrophy in the respiratory, skeletal, and swallowing systems. J Cachexia Sarcopenia Muscle. 2018;9:643–53. https://doi.org/10.1002/jcsm.12297.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Goto R, Watanabe H, Tanaka N, Kanamori T, Yanagi H. Factors associated with recovery of activities of daily living in elderly pneumonia patients. Gen Med. 2015;16:68–75. https://doi.org/10.1589/jpts.28.2763.

    Article  Google Scholar 

  14. Brummel NE, Girard TD. Preventing delirium in the intensive care unit. Crit Care Clin. 2013;29:51–65. https://doi.org/10.1016/j.ccc.2012.10.007.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Min L, Wang Z, Wei-Jia H, Lu S-Y, Ya-Zhen F. Effect of feeding management on aspiration pneumonia in elderly patients with dysphagia. Chin Nurs Res. 2015;2:40–4. https://doi.org/10.1016/j.cnre.2015.09.004.

    Article  Google Scholar 

  16. Nakamura M, Miyauchi N, Momosaki R. Impact of oral health status on oral intake ability prognosis after pneumonia in older patients: a retrospective cohort study. Eur Geriatr Med. 2019;10:899–903. https://doi.org/10.1007/s41999-019-00237-6.

    Article  Google Scholar 

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Momosaki, R. (2020). Physical Therapy: Does Physical Therapy Have Therapeutic Roles in Aspiration Pneumonia?. In: Teramoto, S., Komiya, K. (eds) Aspiration Pneumonia. Respiratory Disease Series: Diagnostic Tools and Disease Managements. Springer, Singapore. https://doi.org/10.1007/978-981-15-4506-1_18

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  • DOI: https://doi.org/10.1007/978-981-15-4506-1_18

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-4505-4

  • Online ISBN: 978-981-15-4506-1

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