Multidimensional Evaluation and Multimodal Interventions for Dysphagia, Oral Health, and Nutritional Management in Neurological Diseases - Volume II

Dysphagia constitutes a significant and multifaceted challenge within the realm of neurological disease, frequently emerging alongside oral dysfunction and malnutrition to markedly worsen patient outcomes. This triad not only increases the likelihood of aspiration pneumonia, frailty, and extended hospitalization, but also contributes to increased mortality rates. Growing evidence from recent research underscores the pivotal roles that oral health, oral microbiome dynamics, and nutritional status play in both the onset and progression of dysphagia. While modern clinical practice is rapidly adapting by adopting comprehensive management strategies that encompass the interconnected domains of swallowing, oral care, and diet, important questions remain concerning the optimization and real-world applicability of these interventions.At the same time, the landscape of dysphagia assessment and management has been transformed by cutting-edge digital health technologies such as artificial intelligence, wearable biosensors, remote monitoring platforms, and telemedicine. Traditional diagnostic tools like videofluoroscopy and videoendoscopy are now complemented by emerging physiological and digital biomarkers, making personalized monitoring increasingly feasible. Furthermore, novel neuromodulation and rehabilitation approaches—such as transcranial magnetic stimulation and technology-assisted telerehabilitation—are demonstrating promise in facilitating neural recovery and improving swallowing function. Despite these advances, major gaps persist. The effectiveness and scalability of digital interventions remain underexplored, and the underlying interactions between neural circuits, oral environments, and metabolic states require deeper investigation.This Research Topic aims to foster interdisciplinary research that brings together neurophysiology, advanced neuroimaging, oral health sciences, nutrition, artificial intelligence, and rehabilitation science to generate novel insights and practical solutions for the comprehensive evaluation and management of dysphagia in neurological diseases. The primary objective is to build a knowledge base that clarifies mechanistic relationships across neural, oral, and nutritional factors, while also appraising the clinical impact and feasibility of state-of-the-art monitoring and therapeutic tools. By soliciting original human-based research as well as critical reviews, we aim to accelerate the translation of scientific advances into improved clinical pathways, outcomes, and patient-centered care.This Research Topic encompasses innovative approaches for the assessment and treatment of dysphagia across a spectrum of neurological conditions, with an emphasis on mechanism-informed and tailored therapeutic strategies. The scope is limited to studies involving human participants and strives to support research that advances both scientific understanding and clinical implementation. To gather further insights in this domain, we welcome articles addressing, but not limited to, the following themes:- Neural mechanisms underlying dysphagia- Development and validation of innovative dysphagia evaluation protocols or tools- Novel applications of neuromodulation techniques in dysphagia care- Insights into conventional and cutting-edge intervention and rehabilitation methods- Neuroimaging, brain stimulation, or electrophysiological techniques for evaluating rehabilitation impacts- Approaches for disease-stage–specific evaluation and nutritional managementVolume I: https://www.frontiersin.org/research-topics/54232/new-approaches-to-evaluation-and-management-of-dysphagia-in-neurological-disease/magazine Topic editors: Masahiro Nakamori, Tatsuyuki Fukuoka, Omar Ortega, Mitsuyoshi Yoshida Source: https://www.frontiersin.org/research-topics/77304/multidimensional-evaluation-and-multimodal-interventions-for-dysphagia-oral-health-and-nutritional-management-in-neurological-diseases---volume-ii