Tobias Warnecke
University of Münster
SwallowingInternal medicineRadiologySurgeryPsychologyNeurologyNeuroscienceIntensive care medicinePhysical therapyPediatricsOropharyngeal dysphagiaMovement disordersDiseaseParkinson's diseaseDysphagiaAspiration pneumoniaIn patientAnesthesiaStrokeMedicinePhysical medicine and rehabilitation
159Publications
30H-index
2,729Citations
Publications 157
Newest
#1Paul MuhleH-Index: 10
Last. Rainer DziewasH-Index: 11
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Background Removal of a tracheostomy tube in critically ill neurologic patients is a critical issue during intensive care treatment, particularly due to severe dysphagia and insufficient airway protection. The "Standardized Endoscopic Evaluation for Tracheostomy Decannulation in Critically Ill Neurologic Patients" (SESETD) is an objective measure of readiness for decannulation. This protocol includes the stepwise evaluation of secretion management, spontaneous swallowing, and laryngeal sensitivi...
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#1Rainer DziewasH-Index: 42
#1Rainer DziewasH-Index: 11
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Introduction Neurogenic dysphagia defines swallowing disorders caused by diseases of the central and peripheral nervous system, neuromuscular transmission, or muscles. Neurogenic dysphagia is one of the most common and at the same time most dangerous symptoms of many neurological diseases. Its most important sequelae include aspiration pneumonia, malnutrition and dehydration, and affected patients more often require long-term care and are exposed to an increased mortality. Based on a systematic ...
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#1Julian Varghese (WWU: University of Münster)H-Index: 8
#2Catharina Marie van Alen (WWU: University of Münster)
Last. Christine Thomas (WWU: University of Münster)H-Index: 22
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Smartwatches provide technology-based assessments in Parkinson’s Disease (PD). It is necessary to evaluate their reliability and accuracy in order to include those devices in an assessment. We present unique results for sensor validation and disease classification via machine learning (ML). A comparison setup was designed with two different series of Apple smartwatches, one Nanometrics seismometer and a high-precision shaker to measure tremor-like amplitudes and frequencies. Clinical smartwatch ...
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Background Optimizing therapy regimens through collaboration and combination of available resources is a promising approach to improve quality of life for patients with Parkinson's disease (PD). Aim The aim of this project was to enhance patient-oriented therapy and interprofessional collaboration by establishing a regional PD network. Setting The network is located in a rural area in Germany. It covers primary, secondary and tertiary care facilities across professional boundaries. Development R...
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#1J Rückert (WWU: University of Münster)
#2Philipp Lenz (WWU: University of Münster)H-Index: 18
Last. Dirk Domagk (WWU: University of Münster)H-Index: 29
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Background and study aims Due to demographic transition, neurogenic dysphagia has become an increasingly recognized problem. Patients suffering from dysphagia often get caught between different clinical disciplines. In this study, we implemented a defined examination protocol for evaluating the whole swallowing process by functional endoscopy. Special focus was put on the esophageal phase of swallowing. Patients and methods This prospective observational multidisciplinary study evaluated 31 cons...
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#1Julian VargheseH-Index: 8
Last. Christine ThomasH-Index: 22
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#1Bendix Labeit (WWU: University of Münster)H-Index: 5
#2Ksenia Perlova (WWU: University of Münster)
Last. Tobias Warnecke (WWU: University of Münster)H-Index: 30
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INTRODUCTION Oropharyngeal dysphagia is a clinical hallmark of idiopathic inflammatory myopathy (IIM). This study investigated predictors, outcome, and characteristics of oropharyngeal dysphagia in patients with different types of IIM. METHODS Flexible endoscopic evaluation of swallowing (FEES) videos of 71 IIM patients were retrospectively analysed for bolus spillage, penetration, aspiration, and pharyngeal residue. Based on these findings, dysphagia severity was rated. Regression analyses were...
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#1Inga ClausH-Index: 6
#2Paul MuhleH-Index: 10
Last. Tobias WarneckeH-Index: 30
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BACKGROUND Pharyngeal dysphagia in Parkinson's disease (PD) is a common and clinically relevant symptom associated with poor nutrition intake, reduced quality of life, and aspiration pneumonia. Despite this, effective behavioral treatment approaches are rare. OBJECTIVE The objective of this study was to verify if 4 week of expiratory muscle strength training can improve pharyngeal dysphagia in the short and long term and is able to induce neuroplastic changes in cortical swallowing processing. M...
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#1Bendix Labeit (WWU: University of Münster)H-Index: 5
#2Inga Claus (WWU: University of Münster)H-Index: 6
Last. Tobias Warnecke (WWU: University of Münster)H-Index: 30
view all 7 authors...
BACKGROUND Dysphagia frequently occurs in patients with Parkinson's disease (PD) and is associated with severe complications. However, the underlying pathology is poorly understood at present. This study investigated the effect of cognitive and motor dual-task interference on oropharyngeal swallowing in PD. METHODS Thirty PD patients (23 men, mean age 65.90 ± 9.32 years, mean Hoehn and Yahr stage 2.62 ± 0.81, mean UPDRS 18.00 ± 7.18) were examined using flexible endoscopic evaluation of swallowi...
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#1Paul MuhleH-Index: 10
#2Bendix LabeitH-Index: 5
Last. Sonja Suntrup-KruegerH-Index: 9
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Pharyngolaryngeal hypesthesia is a major reason for dysphagia in various neurological diseases. Emerging neuromodulation devices have shown potential to foster dysphagia rehabilitation, but the optimal treatment strategy is unknown. Because functional imaging studies are difficult to conduct in severely ill patients, we induced a virtual sensory lesion in healthy volunteers and evaluated the effects of central and peripheral neurostimulation techniques. In a sham-controlled intervention study wi...
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