The DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis

Bergamaschi, Roberto; Crivelli, Paola; Rezzani, C.; Patti, Francesco; Solaro, Claudio; Rossi, Paolo; Restivo, Domenico A.; Maimone, Davide; Romani, Alfredo; Bastianello, Stefano; Tavazzi, Eleonora; D’Amico, Emanuele; Montomoli, Cristina; Cosi, V.

doi:10.1016/j.jns.2007.12.021

Cited by 98 publications

(136 citation statements)

References 11 publications

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“…By reading and analyzing the articles on screening devices, we observed the procedures used in each of them. Some studies (23)(24)(25)27,31,(33)(34)(35)(36)(37)(38) used questionnaires that contained items that should be answered by the subjects themselves in affirmative or negative, or marking on intensity scales; others (21,28,29) used instruments with items in which the examiner observed the patient's clinical signs and symptoms and/or asked the patient to perform some movements, and then marked the response on the instrument. Generally, a failure in one of the issues analyzed indicates a risk for swallowing disorders.…”

Section: Resultsmentioning

confidence: 99%

“…Schrock et al (29) ; Weinhardt et al (39) Multiple sclerosis Bergamaschi et al (23) Duchenne muscular dystrophy Hanayama et al (25) Inclusion body myositis Cox et al (31) Head and neck cancer Govender et al (35) ; Dwivedi et al (37) Parkinson's disease Manor et al (33) Heterogeneous etiologies (neurological disorders, head and neck cancer, esophageal abnormalities, respiratory and heart problems, among others)…”

Section: Underlying Pathologies Articlesmentioning

confidence: 99%

“…In general, a survey instrument is considered satisfactory if it obtains a ≥0.70 (47) . Of the articles analyzed, six (23,24,34,35,37,38) used Cronbach's a coefficient, with the lowest value being 0.80 (38) and the highest value being 0.96 (24,35) . Despite the variation between values, all instruments can be considered satisfactory for the purpose of identifying patients with dysphagia.…”

Section: Underlying Pathologies Articlesmentioning

confidence: 99%

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Screening tools for dysphagia: a systematic review

Etges

Scheeren

Gomes

et al. 2014

CoDAS

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Purpose: To perform a systematic review of screening instruments for dysphagia available in the literature. Methods:For the selection of studies, the following descriptors were used: "questionários", "questionnaires", "transtornos de deglutição", "deglutition disorders", "programas de rastreamento", and "mass screening".The online databases used for the research were Virtual Health Library (LILACS, IBECS, MEDLINE, Cochrane Library, SciELO) and PubMed. The research was performed from April to June 2013. Selection criteria articles in English, Portuguese, and Spanish, regardless of the year of publication, whose title, abstract, or text had any relation to the purpose of the research. After reading the articles in their entirety, identification data and method of the articles were extracted for later analysis. Results: The research carried out from the proposed descriptors produced 1,012 articles. After reviewing the titles, summaries, and fully reading the articles, 20 studies were chosen. The publications on instruments for the identification of dysphagic patients started in 1999, and 50% of the analyzed studies were carried out in the USA. The methods used on the instruments were questionnaires, observation of patient's clinical signals and symptoms, the request for execution of some orofacial movements, and swallowing test with water or food. Conclusion: Screening instruments in dysphagia are fairly heterogeneous and have been developed for different audiences with the main objective of identifying patients with swallowing disorders. RESUMOObjetivo: Realizar a revisão sistemática dos instrumentos de rastreio em disfagia disponíveis na literatura. Estratégia de pesquisa:Para a seleção dos estudos, foram utilizados os seguintes descritores: "questionários", "questionnaires", "transtornos de deglutição", "deglutition disorders", "programas de rastreamento" e "mass screening" e foram utilizadas as bases de dados: Biblioteca Virtual em Saúde (LILACS, IBECS, MEDLINE, Biblioteca Cochrane, SciELO) e PubMed. A busca foi realizada no período entre abril e junho de 2013. Critérios de seleção:Foram selecionados artigos em Inglês, Português e Espanhol, independentemente do ano de publicação, que possuíam no título, resumo ou corpo do artigo relação com o objetivo da pesquisa. Análise dos dados: Após a leitura dos artigos na íntegra, foram extraídos dados de identificação e métodos dos artigos para posterior análise. Resultados: A pesquisa realizada a partir dos descritores propostos, nas bases de dados utilizadas, gerou o total de 1.012 artigos. Após a análise dos títulos, resumos e leitura dos artigos na íntegra, foram selecionados 20 estudos. As publicações sobre instrumentos para identificação de pacientes disfágicos iniciaram em 1999 e 50% dos artigos analisados foram desenvolvidos nos Estados Unidos. Os métodos empregados nos instrumentos foram: questionários, a observação de sinais e sintomas clínicos do paciente, a solicitação da execução de alguns movimentos orofaciais, teste de deglutição com água ou alime...

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Section: Resultsmentioning

confidence: 99%

Section: Underlying Pathologies Articlesmentioning

confidence: 99%

Section: Underlying Pathologies Articlesmentioning

confidence: 99%

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Screening tools for dysphagia: a systematic review

Etges

Scheeren

Gomes

et al. 2014

CoDAS

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“…[41][42][43][44][45][46][47] Reported side effects include flu-like symptoms (35-65 %), leucopenia (8-27 %), thrombocytopenia (16 %), anemia (12 %), and transient elevation in transaminases (21-33 %) [41,42,44,48]. Injection site reactions (>2/3), abscesses (6 %), and injection site necrosis (6 %) may occur more often in children taking the subcutaneous formulation [44].…”

Section: Beta Interferonsmentioning

confidence: 99%

Disease-Modifying Therapy of Pediatric Multiple Sclerosis

Chitnis

2013

Neurotherapeutics

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Multiple sclerosis (MS) is increasingly recognized in children and adolescents. Improved awareness, access to care, and subspecialty training in pediatric MS has allowed for better access to treatment. Children with MS present with an overwhelmingly relapsing form of the disease and have more frequent relapses than their adult counterparts during the early phases of disease. Cognitive deficits are prominent in pediatric MS, as opposed to locomotor disability. Beta interferons and glatiramer acetate are frequently used off-label drugs. Additional second-line therapies have occasionally been used in treatment failures. No randomized clinical trials have been performed to date in pediatric MS; however, recent legislation necessitates pediatric studies for new agents, which will allow for better defined pharmacokinetic, dosing, and efficacy data to guide the treating neurologist.

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“…Sixteen questionnaires were obtained using these keywords. The following inventories were excluded:  Toronto Bedside Swallowing Screening Test [12]  Burk dysphagia screening test [13]  DYMUS [14]  CMDQ [15]  MASA [16]  Dysphagia screening tool in acute stroke patients [17]  Assessment of swallowing and referral to speech and language in acute stroke [18] The following questionnaires were selected:  Clinical swallowing exam [7]  Clinical screening for dysphagia [4]  Italian reflux symptom index [10]  Self-report symptom inventory [8]  EAT-10 questionnaire [5]  SWAL-QOL questionnaire [6]  Anderson dysphagia inventory [9]  Functional oral intake scale [2] All items in these questionnaires were collected in one inventory and one item from among those measuring the same function was selected in the item reduction phase. This procedure decreased the number of items to 85.Two more items were added after clinical testing by a dysphagia expert.…”

Section: Item Generationmentioning

confidence: 99%

Development, Validity and Reliability of Dysphagia Assessment Test in Iranian Adults after Stroke

Dehaghani

Khosropoor

Yousefzadeh

et al. 2016

ijtmgh

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Introduction: Many patients who have had strokes suffer from dysphagia which can lead to aspiration pneumonia in 20% to 25% of cases. Early assessment of dysphagia has can reduce the risk of death and the cost of medical care. The present study developed a questionnaire to assess dysphagia in adult patients who have suffered strokes and determined the validity and reliability of the content. Methods: The phases of the study consisted of item generation, analysis of content validity and determination of reliability. To assess the content validity, the primary questionnaire was rated by five experts on swallowing disorders. Items with low scores were removed from the questionnaire. Next, 30 stroke patients were assessed using the final questionnaire and the reliability was assessed by Cronbach's alpha. Results:The average scores of the items ranged from 0.4 to 1. Only two items were omitted because of insufficient content validity. The Cronbach's alpha was 0.71 and the standard error of deviation was 4.96, signifying that the reliability was acceptable. Conclusion: This questionnaire has good content validity and reliability. Although it can be used for clinical assessment of stroke patients who suffer from dysphagia, the concurrent validity should be determined by comparison with to a gold standard such as videofluoroscopy.

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The DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis

Cited by 98 publications

References 11 publications

Screening tools for dysphagia: a systematic review

Screening tools for dysphagia: a systematic review

Disease-Modifying Therapy of Pediatric Multiple Sclerosis

Development, Validity and Reliability of Dysphagia Assessment Test in Iranian Adults after Stroke

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