Objective: To utilize pulmonary function parameters as predictive factors for dysphagia in individuals with cervical spinal cord injuries (CSCIs).
Methods: Medical records of 78 individuals with CSCIs were retrospectively reviewed. The pulmonary function was evaluated using spirometry and peak flow meter, whereas the swallowing function was assessed using a videofluoroscopic swallowing study. Participants were divided into the non-penetration-aspiration group (score 1 on the Penetration-Aspiration Scale [PAS]) and penetration-aspiration group (scores 2-8 on the PAS). Individuals with pharyngeal residue grade scores >1 were included in the pharyngeal residue group.
Results: The mean age was significantly higher in the penetration-aspiration and pharyngeal residue groups. In this study, individuals with clinical features, such as advanced age, history of tracheostomy, anterior surgical approach, and higher neurological level of injury, had significantly more penetration-aspiration or pharyngeal residue. Individuals in the penetration-aspiration group had significantly lower peak cough flow (PCF) levels. Individuals in the pharyngeal residue group had a significantly lower forced expiratory volume in 1 second (FEV1). According to the receiver operating characteristic curve analysis of PCF and FEV1 on the PAS, the cutoff value was 140 L/min and 37.5% of the predicted value, respectively.
Conclusion: Low PCF and FEV1 values may predict the risk of dysphagia in individuals with CSCIs. In these individuals, active evaluation of swallowing is recommended to confirm dysphagia.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743844 | PMC |
| http://dx.doi.org/10.5535/arm.21161 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The effect of unilateral endoscopic arytenoid abduction lateropexy on swallowing in cases of bilateral vocal fold palsy.
Laryngoscope Investig Otolaryngol
February 2025
Objective: Endoscopic arytenoid abduction lateropexy (EAAL) is a minimally invasive surgical technique for the immediate management of bilateral vocal fold palsy (BVFP). Specifically, it achieves a stable and adequate airway by lateralizing the arytenoid cartilage without resecting laryngeal structures. Thus, this study evaluated the effect of EAAL on swallowing in cases of BVFP.
View Article and Find Full Text PDFCranial Nerve Deficits Predict Pharyngeal Phase Swallowing Impairment in Patients with Neurogenic Dysphagia: A Cross-Sectional Study.
Dysphagia
December 2024
Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Via Della Commenda, 10, 20122, Milan, Italy.
Article Synopsis
- The study investigates how the examination of cranial nerves (CN) can help analyze swallowing efficiency by assessing facial-oral integrity in patients with neurogenic dysphagia.
- A total of 96 dysphagic patients were evaluated through the Yale Pharyngeal Residue Severity Rating Scale and the Penetration-Aspiration Scale during a Fiberoptic Endoscopic Evaluation of Swallowing.
- Results showed that specific CN impairments could predict different types of pharyngeal residue, aiding clinicians in understanding swallowing issues and planning targeted interventions effectively.
Deglutition preservation after swallowing (SWOARs)-sparing IMRT in head and neck cancers: definitive results of a multicenter prospective study of the Italian Association of Radiotherapy and Clinical Oncology (AIRO).
Radiother Oncol
November 2024
Radiation Oncology Unit, Department of Translational Research and New Technologies in Medicine and Surgery, Pisa, Italy.
Background: To investigate changes of objective instrumental measures and correlate with patient reported outcomes (PROs) of radiation-induced dysphagia (RID) after swallowing organs at risk (SWOARs)-sparing IMRT.
Methods: Patients (pts) underwent Fiberoptic Endoscopic Evaluation of Swallowing (FEES), Videofluoroscopy (VFS) and M.D.
Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults.
Folia Phoniatr Logop
November 2024
Sean Parker Institute for the Voice, Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medical Center, New York, New York, USA.
Introduction: Flexible endoscopic evaluations of swallowing (FEES) involve the administration of a variety of foods and liquids to assess outcomes related to pharyngeal residue, penetration, and aspiration. While the type and color of thin liquids used during FEES have been found to significantly affect FEES ratings, it is unknown if similar effects are observed with pureed foods. Therefore, the aims of this study were to assess the effects of puree type (applesauce vs.
View Article and Find Full Text PDFInvestigation of Pharyngeal Swallow Function of Healthy Older Adults Using Visual Analysis of Swallowing Efficiency and Safety Scale.
Indian J Otolaryngol Head Neck Surg
December 2024
Department of ENT, All India Institute of Speech and Hearing, Manasagangothri, Mysuru, Karnataka 570006 India.
Article Synopsis
- - This study aimed to evaluate the swallowing function of older adults (60-80 years) using the VASES scale, focusing on safety and efficiency.
- - Twenty healthy individuals were assessed through various evaluations including the EAT-10 K, VVST, and FEES, measuring residue in different throat areas during swallowing.
- - Results showed that a significant percentage of participants had residue in the oropharynx (95%) and hypopharynx (85%), indicating compromised swallow safety and efficiency among older adults.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!