Swallowing in neurological outpatients: Use of a timed test

Nathadwarawala, K M; McGroary, A.; Wiles, C. M.

doi:10.1007/bf00714599

Cited by 83 publications

(69 citation statements)

References 10 publications

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“…However, only 54.6% of the patients noticed swallowing difficulties themselves, which suggests that a significant percentage of patients had no awareness of their swallowing difficulty when they were referred for videofluorographic studies. Previous studies have reported an incidence of swallowing complaints ranging from 16% in neurological outpatients [12] to 76% in nasopharyngeal cancer patients [13] . The high percentage of patients in our study who reported swallowing complaints probably reflected the fact that these patients had shown some symptoms of dysphagia, which was the reason they were referred for videofluorographic studies.…”

Section: Discussionmentioning

confidence: 99%

Patient Self-Perceptions of Swallowing Difficulties as Compared to Expert Ratings of Videofluorographic Studies

Ding

Logemann

2008

Folia Phoniatr Logop

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Background/Aims: Research investigating the relationship between subjective and objective assessment of dysphagia in patients with various diagnoses has yielded conflicting results.The goal of this study is to investigate the reliability of patient self-perceptions of swallowing difficulties compared to expert ratings of videofluorographic studies considering three medical diagnostic categories: neurological disorders, structural deficits and general medical diagnoses. Methods: One hundred and three patients who were referred for videofluorographic swallow evaluation were included in the study. Face-to-face interviews with patients were conducted before their videofluorographic studies. The correlation between patient self-perceptions and expert ratings of the videofluorographic studies was established by comparing the results of patients’ self-reports with the results of the videofluorographic studies. Results: The correlation between patient self-perceptions of swallowing difficulties and expert ratings of the videofluorographic studies varied greatly depending on the patients’ medical diagnoses. The correlation was mild in patients with neurological disorders, moderate in patients with structural deficits and high in patients with general medical diagnoses. Conclusion: The results of this study demonstrated that patient self-perceptions of swallowing difficulties should be used as one of the criteria, but not the only one, in making referrals for further swallowing evaluation, especially in patients with neurological disorders.

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Section: Discussionmentioning

confidence: 99%

Patient Self-Perceptions of Swallowing Difficulties as Compared to Expert Ratings of Videofluorographic Studies

Ding

Logemann

2008

Folia Phoniatr Logop

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“…The water swallowing test has been used in several investigations (2,3,4,5,9,12,14,15,22,23) . It is easy to perform, although its needs some training, and is inexpensive and reproducible (3) .…”

Section: Menmentioning

confidence: 99%

Possible interaction of gender and age on human swallowing behavior

Dantas

Alves²,

Santos³

et al. 2011

Arq. Gastroenterol.

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-Context -The swallowing behavior is affected by age and possibly by gender. However, the interaction of the effects of age and gender on swallowing is not completely known. Objective -To evaluate the possibility of interaction of gender and age on human swallowing behavior. Method -Swallowing was evaluated in 89 healthy subjects by the water swallowing test, 43 men and 46 women aged 20-40 years (younger, n = 38), 41-60 years (middle-aged, n = 31) and 61-80 years (older, n = 20). Each subject ingested in triplicate 50 mL of water while precisely timed and the number of swallows needed to ingest all the volume was counted. Results -The interval between swallows was shorter and the volume in each swallow was smaller in women compared to men. In older subjects the time to ingest the 50 mL of water was longer, the interval between swallows was longer, and swallowing flow and volume in each swallow were smaller than in younger and middle-aged subjects. The swallowing flow was lower in women compared to men in younger subjects. The volume of each swallow was smaller in women than in men in younger and middle-aged subjects. There was no difference in swallowing flow and volume between older men and older women. Conclusion -Age and gender influence swallowing behavior, with the effect of gender being more evident in younger subjects and the effect of age being more evident in men. HEADINGS -Age effect. Gender identity. Deglutition.

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“…30 Using a timed swallowing test in neurologic populations, researchers found that swallowing speed was significantly slower in patients who perceived a swallowing problem. 31,32 Studies of patients with Sjo Ègren's syndrome indicate that those with greater subjective ratings of dysphagia had more abnormalities in the pharynx and esophagus during the swallow as measured with videofluoroscopy or manometry. 33,34 The few studies that have investigated subjective complaints of dysphagia and objective measurement of swallow function in patients with head and neck cancer also offer conflicting results.…”

mentioning

confidence: 98%