Predictive Roles of the Repetitive Saliva Swallowing Test (RSST) in Aspiration Pneumonia and Other Respiratory Diseases: Does the RSST Have a Predictive Role in Aspiration Pneumonia and Other Respiratory Diseases?

Yoshimatsu, Yuki

doi:10.1007/978-981-15-4506-1_13

Cited by 8 publications

(11 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…DSS had high interrater (90%) and intrarater (93%) agreements, established by four clinicians on 135 patients in a teaching hospital [31]. RSST examines the ability to voluntarily swallow repeatedly by asking the participant to swallow saliva as many times as possible in 30 s [32]. Three or more dry swallows within 30 s is considered normal.…”

Section: Swallowing Function Evaluation: Questionnaires and Swallowin...mentioning

confidence: 99%

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Chen

Jeng

et al. 2021

Nutrients

View full text Add to dashboard Cite

Sarcopenia, defined as a decline in muscle mass and function related to aging, affects both limb and swallowing-related muscles. Sarcopenic dysphagia is characterized by decreased swallowing function; therefore, early detection of subclinical dysphagia and subsequent intervention appear to be crucial in the elderly. Numerous tools have been employed to measure the function, strength, and mass of swallowing-related muscles in sarcopenic elderly. The swallowing function can be evaluated by questionnaires like Eating Assessment Tool, Functional Oral Intake Scale, and Food Intake Level Scale, and tests such as the modified water swallowing test and videofluoroscopic swallowing study. Surface electromyography and high-resolution manometry can be applied for quantifying swallowing-related muscle strength. Modalities such as ultrasonography and magnetic resonance imaging are capable of estimating the swallowing muscle mass. In patients with sarcopenic dysphagia, a thorough assessment should be given followed by an integrated intervention combining swallowing muscle strengthening, nutrition support, food texture modification, physical, and occupational therapies. This article aimed to comprehensively summarize the diagnostic criteria/tools as well as their associations/performance in sarcopenic dysphagia. The intervention strategy will also be narrated in this review.

show abstract

Section: Swallowing Function Evaluation: Questionnaires and Swallowin...mentioning

confidence: 99%

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Chen

Jeng

et al. 2021

Nutrients

View full text Add to dashboard Cite

show abstract

“…The swallowing times were recorded as 0 (cannot swallow), one or two times, or three times or more. Less than three swallowing times was indicated as difficulty swallowing 20,21 …”

Section: Methodsmentioning

confidence: 99%

“…Less than three swallowing times was indicated as difficulty swallowing. 20,21 Part 5: Salivary flow rate…”

Section: Part 4: Repetitive Saliva Swallowing Testmentioning

confidence: 99%

Effects of the salivary gland massage program in older type 2 diabetes patients on the salivary flow rate, xerostomia, swallowing and oral hygiene: A randomized controlled trial

Jeamanukulkit

Vichayanrat

Samnieng

2023

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim To evaluate the effect of a salivary gland massage program to improve salivary flow, swallowing, and oral hygiene in older type 2 diabetes patients. Methods This randomized control trial consisted of 73 older diabetes patients with a low salivary flow; 39 and 34 in intervention and control groups, respectively. The intervention group received a salivary gland massage from a trained dental nurse, whereas the control group received a dental education. The salivary flow rates were collected using spit methods at baseline, 1‐month and 3‐month follow up. All participants were examined for the objective and subjective symptoms of xerostomia, the Simplified Debris Index and the Repetitive Saliva Swallowing Test. Results After 3 months, the resting (0.32 vs 0.14 mL/min, P < 0.001) and stimulating salivary flow (3.66 vs 2.83 mL/min, P = 0.025) in the intervention group was significantly higher than the control group. The objective symptoms in the intervention group were significantly lower than the control group after 3 months (1.41 vs 2.26, P = 0.001). The participants who were able to swallow least three times in the Repetitive Saliva Swallowing Test in the intervention group increased by 35.89% after 3 months, whereas the control group increased by 8.82%. Oral hygiene was improved in both groups, but the changes in the intervention were significantly greater than in the control group. Conclusions The 3‐month salivary glands massage program increases the salivary flow rate, and affects swallowing, objective dry mouth symptoms and oral hygiene in older patients with type 2 diabetes. Geriatr Gerontol Int 2023; 23: 549–557.

show abstract

“…The number of swallows completed successfully was counted by palpating the patient's laryngeal movements. Although many factors, such as pharyngeal movement, oral function, salivation, and cognition, are believed to influence the ability to perform the RSST [20], the muscular function associated with swallowing (swallowing exercise) may be the most important factor. In the current study, we examined the association between the modified Mallampati classification and the RSST scores; no significant association was observed.…”

Section: Plos Onementioning

confidence: 99%

Screening of aspiration pneumonia using the modified Mallampati classification tool in older adults

Liu,

Fukuda,

Kondo

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Pneumonia is a major cause of morbidity and mortality in older adults. In the aging society, screening methods for predicting aspiration pneumonia are crucial for its prevention. Changes in the oropharyngeal morphology and hyoid bone position may increase the risk of aspiration pneumonia. This multicenter study aimed to investigate a simple and effective screening method for predicting dysphagia and aspiration pneumonia. Overall, 191 older adults (aged 65 years or older) were randomly sampled using the simple random sampling technique. Oropharyngeal morphology was assessed using the modified Mallampati classification, which reflects the size of the tongue in the oropharyngeal cavity. The hyoid position was measured as the distance between the menton and laryngeal prominence to evaluate aging-related changes in the muscles of the laryngopharynx. Dysphagia was assessed using the repetitive saliva swallowing test (RSST), which measures the number of swallowing movements in 30 seconds; dysphasia is defined as less than 3 swallowing movements in 30 seconds. The aspiration signs were assessed based on history of choking or coughing reflex during eating or drinking and medical history of pneumonia. The study findings revealed that the modified Mallampati classification was significantly correlated with a medical history of pneumonia. A higher incidence of pneumonia was evident in the lower Mallampati classification, which shows the smaller size of the tongue base in the oropharyngeal cavity. The results of this study suggest that the modified Mallampati classification may be a possible screening method to predict the occurrence of pneumonia.

show abstract

Predictive Roles of the Repetitive Saliva Swallowing Test (RSST) in Aspiration Pneumonia and Other Respiratory Diseases: Does the RSST Have a Predictive Role in Aspiration Pneumonia and Other Respiratory Diseases?

Cited by 8 publications

References 25 publications

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Effects of the salivary gland massage program in older type 2 diabetes patients on the salivary flow rate, xerostomia, swallowing and oral hygiene: A randomized controlled trial

Screening of aspiration pneumonia using the modified Mallampati classification tool in older adults

Contact Info

Product

Resources

About