Defining and Measuring Dysphagia Following Stroke

Autor/inn/en	Daniels, Stephanie K.; Schroeder, Mae Fern; DeGeorge, Pamela C.; Corey, David M.; Foundas, Anne L.; Rosenbek, John C.
Titel	Defining and Measuring Dysphagia Following Stroke
Quelle	In: American Journal of Speech-Language Pathology, 18 (2009) 1, S.74-81 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1058-0360
DOI	10.1044/1058-0360(2008/07-0040)
Schlagwörter	Control Groups; Test Use; Neurological Impairments; Evaluation Methods; Measures (Individuals); Classification; Adventitious Impairments; Medical Evaluation; Statistical Analysis; Reliability + Suchen Sie Ihr Suchwort? Testanwendung; Neurodegenerative Erkrankung; Messdaten; Classification system; Klassifikation; Klassifikationssystem; Statistische Analyse; Reliabilität
Abstract	Purpose: To continue the development of a quantified, standard method to differentiate individuals with stroke and dysphagia from individuals without dysphagia. Method: Videofluoroscopic swallowing studies (VFSS) were completed on a group of participants with acute stroke (n = 42) and healthy age-matched individuals (n = 25). Calibrated liquid volumes of 3, 5, 10, and 20ml were administered during the VFSS. Six measures in 3 domains of bolus flow (timing, direction, and clearance) were measured. Values of these measures obtained from the control group were used to classify dysphagia within the participants. Results: The use of a single measure or single liquid volumes to classify dysphagia did not distinguish between healthy adults and individuals following stroke with and without dysphagia. Abnormality on more than 1 measure across multiple volumes appears to be a more robust method in defining dysphagia for liquids. Conclusions: Our findings indicate that the definition of dysphagia is critical in determining whether persons are classified with disordered swallowing. The definition is dependent on materials and measures evaluated. Each measure provides independent aspects to the evaluation. Determining the level of importance of each depends on the purpose of the evaluation. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10