Validity and Reliability of the Swedish Version of the Gugging Swallowing Screen for use in Acute Stroke Care
AbstractThe purpose of this study was to cross-culturally validate the Swedish version of the Gugging Swallowing Screen (GUSS-S) for use in the acute phase of stroke. Further, to evaluate the inter-rater reliability between different healthcare professionals. GUSS was translated into Swedish using a forward-backward method followed by expert rating to obtain content validity. For criterion validity, the GUSS-S score was compared with Flexible Endoscopic Evaluation of Swallowing (FEES) assessed with the Penetration-Aspiration Scale (PAS) in acute stroke patients ( ≤ 96 h after stroke onset). Convergent validity was cal...
Source: Dysphagia - May 16, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia in Head and Neck Radiotherapy: The Influence of Pharyngeal Constrictor Anatomy and Dosimetry
AbstractThe goal of this study was to identify which anatomical and dosimetric changes correlated with late patient-reported dysphagia throughout the course of head and neck chemo-radiotherapy treatment. The patient cohort (n = 64) considered oropharyngeal and nasopharyngeal patients treated with curative intent, exhibiting no baseline dysphagia with a follow-up time greater than one year. Patients completed the MD Anderson Dysphagia Inventory during a follow-up visit. A composite score was measured ranging from 20 to 100, with a low score indicating a high symptom burden; a score ≤60 indicated patient-reported dysph...
Source: Dysphagia - May 16, 2024 Category: Speech-Language Pathology Source Type: research
Correction to: Dysphagia After Total Laryngectomy: An Exploratory Study and Clinical Phase II Rehabilitation Trial with the Novel Swallowing Exercise Aid (SEA 2.0)
(Source: Dysphagia)
Source: Dysphagia - May 8, 2024 Category: Speech-Language Pathology Source Type: research
Swallowing Characteristics and Water Swallow Capacity in Patients with Parkinsonism
AbstractPrevalence and characteristics of dysphagia (including aspiration) in patients with parkinsonism is variable, depending on type of assessment, diagnosis, disease stage and duration. The aim of this study was to further evaluate dysphagia characteristics in patients with different types of parkinsonism with both instrumental (Flexible Endoscopic Evaluation of Swallowing,FEES) and non-instrumental (Timed Water Swallow Test,TWST) assessments. Swallowing characteristics in 74 patients with parkinsonism were prospectively assessed using FEES and TWST. Statistics employed were (a) Spearman rank correlation to measure cor...
Source: Dysphagia - May 4, 2024 Category: Speech-Language Pathology Source Type: research
A Tool for the Assessment of Swallowing Safety and Efficiency in Adults: Turkish Adaptation of Boston Residue and Clearance Scale
The objective of this study was to create a Turkish language adaptation of the Boston Residue and Clearance Scale (BRACS), a validated and reliable tool. The BRACS scale was first translated into Turkish and a Turkish version was subsequently developed. Fiberoptic endoscopic examination of swallowing (FEES) was administered to collect data from 25 dysphagic patients who were hospitalized after a stroke. The recorded films were subjected to editing procedures to ensure their appropriateness for the assessment of swallowing disorders and were then dispatched to a panel of five speech and language therapists for evaluation us...
Source: Dysphagia - May 4, 2024 Category: Speech-Language Pathology Source Type: research
The Impact of Videofluoroscopic Pulse Rate on Duration and Kinematic Measures in Infants and Adults with Feeding and Swallowing Disorders
AbstractThis investigation assessed the impact of temporal resolution during a videofluoroscopic evaluation of swallowing (VFSS) on measures of duration and kinematics. Thirty adult and ten infant swallow studies, all acquired at 30 frames and 30 pulses per second, were obtained from a New Mexico hospital. All swallow studies were altered to simulate 15 and 5 pulses per second. Duration measures included pharyngeal response time, duration of upper esophageal sphincter (UES) opening, velopharyngeal closure duration and total swallow duration. Kinematic measures were assessed in adults only and included peak hyoid position a...
Source: Dysphagia - April 29, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia Is an Underrecognized Risk Factor for Viral Pneumonia Severity
This study showed that a pre-existing diagnosis of dysphagia was independently associated with COVID-19 severity in adults ≥50 years of age. (Source: Dysphagia)
Source: Dysphagia - April 27, 2024 Category: Speech-Language Pathology Source Type: research
Reliability and Validity Analyses of the Practical Assessment of Dysphagia Test in Stroke
In this study, PAD test data from 109 patients with stroke were used. The internal consistency of the PAD was analyzed using Cronbach ’s α value. Inter- and intra-rater reliabilities of the PAD were analyzed using Kappa coefficient. Concurrent validity was evaluated based on the correlation between PAD and the videofluoroscopic swallowing study (VFSS). The diagnostic accuracy of the PAD test in patients with stroke was measured using the area under the receiver operating characteristic (ROC) curve. Intra- and inter-rater reliabilities (Intra-class Correlation Coefficient (ICC) = 0.98 and 0.99, respectively) were sig...
Source: Dysphagia - April 25, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia Rehabilitation in Dysphagic Patients with Acute or Critical Illness: A Systematic Review and Meta-Analysis
AbstractDysphagia or swallowing dysfunction is common in patients with acute or critical illness, and diverse methods of dysphagia rehabilitation are provided worldwide. We aimed to examine the efficacy of rehabilitation to treat dysphagia in patients with acute or critical illness. We searched PubMed, ICHUSHI, and Cochrane Central Register of Controlled Trials databases from inception to November 22, 2023 for relevant randomized controlled trials. We focused on dysphagic patients with acute or critical illness who were not orotracheally intubated. Our target intervention included conventional rehabilitation and nerve stim...
Source: Dysphagia - April 25, 2024 Category: Speech-Language Pathology Source Type: research
Prevalence of Self-Reported Swallowing Difficulties and Swallowing-Related Quality of Life Among Community-Dwelling Older Adults in India
AbstractSelf-reported swallowing difficulties are highly prevalent but underreported among older adults. The aging population in India is increasing, yet there is a lack of empirical data on self-reported swallowing difficulties in older adults. In the present study, we aimed to estimate the prevalence of self-reported swallowing difficulties and assess the swallowing-related quality of life (QOL) among community-dwelling older adults in India. We recruited 361 older adults (60 –91 years) from the community. Participants completed the Eating Assessment Tool-10 (EAT-10) to assess self-reported swallowing difficulties and...
Source: Dysphagia - April 18, 2024 Category: Speech-Language Pathology Source Type: research
The Psychological Impacts of Pill Dysphagia: A Mixed Methods Study
This study aimed to address this gap in the literature by investigating the effects of pill dysphagia on the wellbeing of older adults. A community sample of 132 Australians aged 65 –97 years completed a survey about their wellbeing and difficulty swallowing pills. Thirty-one participants who met the criteria for pill dysphagia completed further open-ended questions detailing the effects of pill dysphagia and how they manage it. Analyses of the quantitative data indicated tha t difficulty swallowing pills was unrelated to negative affect but negatively related to positive affect, life satisfaction, and eudemonic wellbein...
Source: Dysphagia - April 18, 2024 Category: Speech-Language Pathology Source Type: research
A Letter to the Editor on “Effect of Visual Biofeedback Obtained Using the Iowa Oral Performance Instrument on the Suprahyoid Muscle Activation Level During Effortful Swallowing Maneuver”
AbstractThe author has provided an alternative biofeedback method to help maintain the effortful swallowing (ES) maneuver target effort to utilize a constantly high swallowing pressure. The author has identified ES with visual feedback (i.e. the Iowa Oral Performance Instrument (IOPI)) produced higher EMG activation levels than without. However, the author accepted higher activation levels as higher muscle force production, attributed the lower EMG activation levels in 4th set to fatigue, and did not consider other possibilities. As the author stated in the discussion “his/her method caused participants to focus more eff...
Source: Dysphagia - April 6, 2024 Category: Speech-Language Pathology Source Type: research
Dysphagia in COVID-19 Patients on Extracorporeal Membrane Oxygenation
This study aimed to describe the swallow function and ability to maintain oral feeding in patients with COVID-19 while on ECMO. A retrospective study of patients with COVID-19 who started veno-venous ECMO at the beginning of the COVID-19 pandemic (March 2020 and August 2020) was conducted at a tertiary care hospital. Clinical swallow evaluations and videofluoroscopic swallow studies (VFSS) were analyzed using standardized measurement scales. Pearson ’s correlation coefficient (r) identified relationships between ECMO and swallowing function at different time points. 19 patients were included; all underwent clinical swall...
Source: Dysphagia - April 3, 2024 Category: Speech-Language Pathology Source Type: research
Sliced Jelly Whole Swallowing Reduces Deglutition Risk: A Novel Feeding Method for Patients with Dysphagia
This study aimed to examine the usefulness of SJWS. We analyzed the images of videofluoroscopic swallowing studies performed using the normalized residue ratio scale (NRRSv: vallecula, NRRSp: pyriform sinus), the penetration –aspiration scale (PAS), and pharyngeal transit time (PTT) in 50 patients with dysphagia and compared the results in a prospective study. SJWS had significantly less residue in both NRRSv and NRRSp than in moderately thickened liquid swallowing. No significant differences in PAS scores were found between SGJ and moderately thickened liquid. Additionally, no significant differences in PTT scores were ...
Source: Dysphagia - April 3, 2024 Category: Speech-Language Pathology Source Type: research
Interventions for Postextubation Dysphagia in Critically Ill Patients: A Systematic Review and Meta-analysis
Conclusion: The current evidence for the effectiveness of dysphagia intervent ions in critically ill patients with prolonged endotracheal intubation is limited. There is a pressing need for future research, particularly high-quality RCTs employing standardized outcome measures, to substantiate these findings. (Source: Dysphagia)
Source: Dysphagia - April 1, 2024 Category: Speech-Language Pathology Source Type: research
