Initial Psychometric Assessment of a Functional Oral Intake Scale for Dysphagia in Stroke Patients

Crary, Michael A.; Mann, Giselle; Groher, Michael E.

doi:10.1016/j.apmr.2004.11.049

Cited by 1,364 publications

(1,094 citation statements)

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“…The association analysis between the scales DOSS (7) and FOIS (9) of the different evaluators is described on Tables 2 and 3. It was verified significant association between the scores of the two scales (p < 0.001), in other words, the higher the score in DOSS (7) scale, higher the score at FOIS (9) scale; according to both evaluators' analysis, the higher the dysphagia severity, lower the level of food oral intake.…”

Section: Resultsmentioning

confidence: 99%

“…To analyze the matching between the evaluations of the two evaluators of FOIS (9) To numerically analyze the relation between the scores of the two scales it was calculated the Spearman correlation coefficient, due to the lack of regular distribution of the variables.…”

Section: Discussionmentioning

confidence: 99%

“…Through the independent analysis of the deglutition dynamics, the evaluators established the levels of deglutition functionality, by using the FOIS (9) , scale classification, which is also formed by seven levels of classification.…”

Section: Methodsmentioning

confidence: 99%

“…Due to its high reliability, this tool can be valuable at the objective measurement of the natural history for the dysphagia prognosis among the population and to measure the treatment efficacy (7) . Regarding the functionality level at feeding, it is used at the clinical practice, the Functional Oral Intake Scale -FOIS (9) , which describes seven distinct levels of oral intake, as well as it suggests the feeding via for patients with VCA and dysphagia or, yet, the need of deglutition compensating measures.…”

Section: Introductionmentioning

confidence: 99%

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Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Passos

Cardoso

Scheeren

2017

CoDAS

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Purpose: The aim of this study was to investigate the association between the results of functionality scales and dysphagia severity determined from videofluoroscopy swallowing study (VSS) in post-stroke patients. Methods: A retrospective study of 109 VSS analysis of post-stroke patients. From the exams was collected information on the diagnosis of dysphagia severity and evaluated regarding the swallowing functionality in an independent way by two evaluators. Results: A high number of discrete dysphagia was observed. In one third of dysphagic patients it was noticed the presence of tracheal aspiration. There was a significant association between the scores of Functional Oral Intake Scale and Dysphagia Outcome and Severity Scale in post-stroke patients which means when the swallowing is highly compromised, the level of intake by mouth will be smaller according to the evaluators' analysis (p < 0.001). Conclusion: There is an association between the scales and it can be used as evaluative benchmarks and in the management of clinical Speech Pathology intervention. RESUMOObjetivo: O objetivo deste estudo foi verificar a associação entre os resultados das escalas de funcionalidade e severidade da disfagia determinadas a partir de exames de videofluoroscopia em pacientes pós-AVC. Método: Estudo observacional, retrospectivo e descritivo, com análise de 109 exames de Videofluoroscopia da Deglutição de pacientes pós-AVC. Dos exames da amostra foram coletadas informações quanto ao diagnóstico da severidade da disfagia e avaliados quanto à funcionalidade da deglutição de maneira independente por dois avaliadores. Resultados: Foi constatada uma alta prevalência de disfagia classificada como discreta. Nos pacientes com disfagia foi observada a presença de aspiração laringotraqueal em um terço da amostra. Verificou-se associação significativa entre os escores das escalas Functional Oral Intake Scale e Dysphagia Outcome and Severity Scale em pacientes pós-AVC, ou seja, quanto maior o comprometimento da deglutição, menor o nível de ingestão por via oral na análise dos avaliadores (p < 0,001). Conclusão: Há associação entre as escalas, podendo elas serem utilizadas como balizadores avaliativos e no gerenciamento da intervenção clínica fonoaudiológica.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Passos

Cardoso

Scheeren

2017

CoDAS

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“…The aim of this study was to perform HRIM with PFA in a heterogeneous group of children with clinically recognised signs of OPD to investigate potential correlations with established clinical assessment scales, namely the Dysphagia Disorders Survey (DDS) (21), and the Functional Oral Intake Scale (FOIS) (22). We hypothesised that PFA metrics would differentiate OPD patients from non-OPD controls, and correlate with DDS and FOIS scores.…”

Section: Introductionmentioning

confidence: 99%