scholarly journals Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patients

2021 ◽  
Vol 45 (6) ◽  
pp. 440-449
Author(s):  
Hyunchul Cho ◽  
Jeong Se Noh ◽  
Junwon Park ◽  
Changwook Park ◽  
No Dam Park ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Oral Intake ◽  
Stroke Patients ◽  
Tongue Protrusion ◽  
Swallowing Function ◽  
Transparent Plastic ◽  
Post Stroke ◽  
Tongue Length ◽  
Functional Oral Intake Scale ◽  
The Relationship

Objective To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients.Methods Free tongue length (FTL) was measured using the quick tongue-tie assessment tool and MTPL was measured using a transparent plastic ruler in 47 post-stroke patients. The MTPL-to-FTL (RMF) ratio was calculated. Swallowing function in all patients was evaluated via videofluoroscopic swallowing study (VFSS), PenetrationAspiration Scale (PAS), Functional Oral Intake Scale (FOIS), and Videofluoroscopic Dysphagia Scale (VDS).Results The MTPL and RMF values were significantly higher in the non-aspirator group than in the aspirator group (MTPL, p=0.0049; RMF, p<0.001). MTPL and RMF showed significant correlations with PAS, FOIS and VDS scores. The cut-off value in RMF for the prediction of aspiration was 1.56, with a sensitivity of 84% and a specificity of 86%.Conclusion There is a relationship between MTPL and dysphagia in post-stroke patients. MTPL and RMF can be useful for detecting aspiration in post-stroke patients.

Is EAT-10 Useful to Assess Swallowing during the Chemo-Radiotherapy Phase in Patients with Head and Neck Cancer? A Pilot Study

2020 ◽  
pp. 000348942096662
Author(s):  
Neus Bofill-Soler ◽  
Anna Guillen-Sola ◽  
Ester Marco ◽  
Sonia Nieto-Cadalso ◽  
Mª Camèlia Barrera ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Characteristic Curve ◽  
Oral Intake ◽  
Objective Evaluation ◽  
Poor Correlation ◽  
Evaluation Instrument ◽  
Functional Oral Intake Scale ◽  
Sensitivity Specificity ◽  
The Relationship

Objective/Hypothesis: The 10-item Eating-Assessment Tool (EAT-10) is a dysphagia screening test. In HNC patients, screening and diagnosis of dysphagia are not well-established. To determine the metrological properties of the EAT-10 compared with videofluoroscopy in non-surgical HNC-patients and to assess the relationship between EAT-10 scores and patients’ self-reported symptoms. Study Design: Prospective cohort study. Methods: Forty-six HNC-patients recently diagnosed and referred to chemoradiotherapy (CRT). Main outcome was evidence of dysphagia according to EAT-10 score, self-perception on a Visual Analog Scale (VAS) of impaired swallowing, severity on the Penetration-Aspiration Scale (PAS), and the Functional Oral Intake Scale (FOIS). Patients were assessed at baseline, before-CRT, after-CRT, and at 3-month follow-up. Results: A strong baseline correlation between EAT-10, VAS, and FOIS was observed. All 3 values decreased in weeks 6 to 9 after CRT initiation; a poor correlation of EAT-10 with VAS was observed at 3-month follow-up. A receiver operating characteristic curve determined new cut-off points (sensitivity/specificity) for safe swallowing: baseline 3 (86%, 77%); post-CRT, 15 (62.5%, 80%); and 3-month follow-up, 4 (83%, 75%). Conclusions: New safe-swallow EAT-10-points are suggested for this population during screening and the oncological follow-up. A poor correlation between EAT10-score and patient self-reported symptoms was observed at the end-RT and at 3-month follow-up, highlighting the need for an objective evaluation instrument.

scholarly journals Prevalence of oropharyngeal dysphagia in hereditary spastic paraplegias

2019 ◽  
Vol 77 (12) ◽  
pp. 843-847 ◽  
Author(s):  
Laís Alves Jacinto-Scudeiro ◽  
Gustavo Dariva Machado ◽  
Annelise Ayres ◽  
Daniela Burguêz ◽  
Marcia Polese-Bonatto ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Genetic Diseases ◽  
Oropharyngeal Dysphagia ◽  
Oral Intake ◽  
Swallowing Function ◽  
Cross Sectional ◽  
Hereditary Spastic Paraplegias ◽  
Swallowing Dysfunction ◽  
Clinically Significant ◽  
Functional Oral Intake Scale

ABSTRACT Hereditary spastic paraplegias (HSP) are a group of genetic diseases characterized by lower limb spasticity with or without additional neurological features. Swallowing dysfunction is poorly studied in HSP and its presence can lead to significant respiratory and nutritional complications. Objectives: The aim of this study was to evaluate the frequency and clinical characteristics of dysphagia in different types of HSP. Methods: A two-center cross-sectional prevalence study was performed. Genetically confirmed HSP patients were evaluated using the Northwestern Dysphagia Patient Check Sheet and the Functional Oral Intake Scale. In addition, self-perception of dysphagia was assessed by the Eat Assessment Tool-10 and the Swallowing Disturbance Questionnaire. Results: Thirty-six patients with spastic paraplegia type 4 (SPG4), five with SPG11, four with SPG5, four with cerebrotendinous xanthomatosis (CTX), three with SPG7, and two with SPG3A were evaluated. Mild to moderate oropharyngeal dysphagia was present in 3/5 (60%) of SPG11 and 2/4 (50%) of CTX patients. A single SPG4 (2%) and a single SPG7 (33%) patient had mild oropharyngeal dysphagia. All other evaluated patients presented with normal or functional swallowing. Conclusions: Clinically significant oropharyngeal dysphagia was only present in complicated forms of HSP Patients with SPG11 and CTX had the highest risks for dysphagia, suggesting that surveillance of swallowing function should be part of the management of patients with these disorders.

Change in Spontaneous Swallowing Frequency in HNC Patients Undergoing C/RT

2021 ◽  
pp. 019459982110207
Author(s):  
Giselle D. Carnaby ◽  
Aarthi Madhavan ◽  
Ali Barikroo ◽  
Michael Crary
Keyword(s):  
Repeated Measures ◽  
Prospective Cohort ◽  
Area Under The Curve ◽  
Objective Measure ◽  
Oral Intake ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Swallowing Function ◽  
Function Change ◽  
Functional Oral Intake Scale

Objective This study sought to evaluate the role and trajectory of spontaneous swallowing frequency (SFA) in patients with head and neck cancer (HNC) undergoing chemoradiotherapy (C/RT). Study Design. Prospective cohort. Setting University comprehensive cancer center. Methods A prospective cohort of 80 patients with HNC was followed from baseline to 3 months post-C/RT. Subjects were evaluated for performance on swallowing function, functional diet consumed, weight, swallowing frequency rate, perceived xerostomia, perceived pain, and mucositis. Relationships were evaluated using univariate correlations, t tests, and repeated-measures analysis of variance. The diagnostic accuracy of SFA to express dysphagia was calculated by area under the curve (AUROC) and displayed using receiver operator characteristic curves. Results In general, patients with HNC demonstrated a parabolic decline in most measures over the C/RT trajectory. SFA and perceived xerostomia did not show improved recovery by 3 months. SFA was related to swallow function, xerostomia, and functional diet consumed posttreatment and pain at 3 months. The ability of SFA to correctly identify clinical dysphagia (Mann Assessment of Swallowing–Cancer version [MASA-C]) and reduced oral intake (Functional Oral Intake Scale [FOIS]) at posttreatment was strong (AUROC MASA-C: 0.824 [95% CI, 0.63-1.00], P < .0018; AUROC FOIS: 0.96 [95% CI, 0.87-0.96], P < .0001). Conclusion This exploratory study suggests SFA may provide a useful method to identify dysphagia after HNC treatment. Furthermore, SFA may offer a simple, objective measure of swallowing function change in HNC over the C/RT trajectory.

Abstract 90: Socioeconomic Status Is Associated With Disability Following Acute Ischemic Stroke: Findings From The Adherence eValuation After Ischemic stroke-Longitudinal (AVAIL) Registry

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Janet Prvu Bettger ◽  
Xin Zhao ◽  
Cheryl Bushnell ◽  
Louise Zimmer ◽  
Ying Xian ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Ischemic Stroke ◽  
Household Income ◽  
Work Status ◽  
Stroke Patients ◽  
Level Of Education ◽  
Post Stroke ◽  
Relationship Of ◽  
The Relationship ◽  
Education Work

Background: Socioeconomic status (SES) is widely recognized as an area of inequity that affects health outcomes. However, social determinants of health are less frequently measured in longitudinal studies of acute stroke patients. The relationship of SES on disability 3-months post-stroke is unknown. Methods: We analyzed ischemic stroke patients in the AVAIL registry who were enrolled at 98 hospitals participating in Get With The Guidelines-Stroke. Patients who died (n=64) or did not complete a modified Rankin Scale (mRS) at 3-months (n=154) were excluded. Multivariable logistic regression was used to examine the relationship of SES (defined by level of education, work status, and perceived adequacy of household income to meet needs) and disability (mRS scores 3-5). Results: Among the 2092 stroke patients who met eligibility criteria, the mean age was 65.5 ± 13.7, 44.2% were female, and 82.7% were White. Fifty seven percent had a high school or less education, 11.4% were not working post-stroke and were home not by choice, and 25.7% were without an adequate household income. A third of the sample had some level of disability at 3-months (34.6% mRS 3-5). Those with disability were more likely to be older, non-White, female, single, less educated, have inadequate income, and were home not by choice. In the multivariable analysis, lower education, inadequate income, and being home but not by choice (compared with those who returned to work) were independently associated with disability (p<0.01; Table ). Conclusion: In this national cohort of stroke survivors, socioeconomic status as measured by level of education, work status, and income were independently associated with post-stroke disability.

scholarly journals Association among depression, cognitive impairment and executive dysfunction after stroke

2012 ◽  
Vol 6 (3) ◽  
pp. 152-157 ◽  
Author(s):  
Luisa Terroni ◽  
Matildes F.M. Sobreiro ◽  
Adriana B. Conforto ◽  
Carla C. Adda ◽  
Valeri D. Guajardo ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Neuropsychological Tests ◽  
Executive Dysfunction ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Adequate Treatment ◽  
Post Stroke ◽  
Quantitative Studies ◽  
Post Stroke Depression ◽  
The Relationship

ABSTRACT The relationship between depression and cognitive impairment, frequent after stroke, is complex and has not been sufficiently elucidated. Objective: To review the relationship between post-stroke depression and cognitive impairment. Methods: We performed a PubMed database search spanning the last ten years, using the terms post-stroke depression, cognitive dysfunction, cognitive impairment and neuropsychological tests. Our target studies were original quantitative studies that investigated the relationship between post-stroke depression (PSD) and cognitive impairment in stroke patients. Articles published in English, Spanish, Italian and Portuguese were considered. Selection criteria were the use of neuropsychological tests to assess cognitive function, and of either instruments to diagnose major depression, or scales to assess depressive symptoms, within the first three months after stroke. Results: Six original quantitative studies fulfilled the criteria. The prevalence of PSD within the first three months after stroke ranged from 22% to 31%. Incidence ranged from 25% to 27% and was evaluated in only two studies. PSD was associated with increased cognitive impairment. Cognitive impairment was reported in 35.2% to 87% of the patients. Post-stroke cognitive deficits were reported mostly in executive function, memory, language, and speed of processing. Conclusion: Executive dysfunction and depression occur in stroke survivors, are frequently coexistent, and also associated with worse stroke prognosis. Healthcare professionals need to address and provide adequate treatment for depression and executive dysfunctions in stroke patients early in the first three months after stroke. Future studies should evaluate the efficacy of programs evaluating the early detection and treatment of PSD and executive dysfunction in stroke survivors.

Adult Attachment, Social Support, and Depression Level of Poststroke Patients

2008 ◽  
Vol 36 (10) ◽  
pp. 1341-1351 ◽  
Author(s):  
Tonggui Li ◽  
Jia Li ◽  
Qiyan Dai
Keyword(s):  
Social Support ◽  
Attachment Style ◽  
Adult Attachment ◽  
Attachment Styles ◽  
Attachment Anxiety ◽  
Stroke Patients ◽  
Post Stroke ◽  
Depression Level ◽  
Positive Correlations ◽  
The Relationship

This study investigated the relationship between adult attachment, social support, and depression of post-stroke patients. A total of 100 post-stroke patients were recruited to complete 4 questionnaires, which include 2 widely used measurements of adult attachment – the Relationship Questionnaire (Bartholomew & Horowitz, 1991) and the Experiences of Close Relationships Inventory (Brennan, Clark, & Shaver, 1998) – to measure patients' attachment style, the Social Support Inventory (Xiao, 1994) measuring four aspects of social support, and the Beck Depression Inventory (Beck, 1967) measuring their depression level. The results suggested that patients differ in adult attachment styles and varied significantly in all indices of social support and depression. Secure subjects got higher scores in social support and lower scores of depression. Their depression level had significant positive correlations with attachment avoidance and attachment anxiety, and was negatively correlated to all indices of social support. Furthermore, both attachment-anxiety and subjective social support can predicate the depression level of poststroke patients.

scholarly journals HUBUNGAN ANTARA DUKUNGAN KELUARGA DENGAN KEMAMPUAN PERAWATAN DIRI (SELF CARE) PADA PASIEN PASCA STROKE DI RSUD PIRNGADI KOTA MEDAN

2019 ◽  
Vol 2 (2) ◽  
pp. 70
Author(s):  
Patimah Sari Siregar ◽  
Elis Anggeria
Keyword(s):  
Family Support ◽  
Self Care ◽  
Rank Correlation ◽  
Sampling Technique ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke ◽  
Need Support ◽  
The Family ◽  
The Relationship

Stroke is a condition of brain experiencing neurodegenerative disorders such as local or global, occuring in sudden emergence, progressive, and fast. Impaired nerve function in stroke caused by circulatory disorders of the brain non-traumatic. Post-stroke patients need support and help the family in the treatment himself. This study aims to determine the relationship between family support with self-care skills  in patients with post-stroke. The study design is analytic survey with cross sectional approach. The study populations were 40 people and samples of this study were all post-stroke patients who were undergoing rehabilitation of physiotherapy with drawn by saturated sampling technique. The results showed that 47.5% of respondents got enough family support, and 55% of respondents have the ability of self-care with some aid. Based on the test results from Spearman Rank correlation, family support with self-care skills  has a correlation coefficient of 0.38 and Sig. (2-tailed) 0.01, meaning there is a relationship between family support and self-care skills on post-stroke patients in the Royal Prima Hospital Medan. In conclusion, this study shows that family support and self-care skills strongly influence at the level of the patient's recovery. It is hoped that families to be more attentive to the needs and provide optimal support either support of awards/emotional, facilities and support information.

scholarly journals Relationship between Swallowing Function, Diet Level and Pulmonary Function in Post-Stroke Patients

2021 ◽  
Vol 11 (1) ◽  
pp. 25-34
Author(s):  
Myungeun Yoo ◽  
Hyo Jeong Lee ◽  
Eu Jeong Ko ◽  
Jinyoung Park ◽  
Yoon Ghil Park
Keyword(s):  
Pulmonary Function ◽  
Stroke Patients ◽  
Swallowing Function ◽  
Post Stroke ◽  
Diet Level
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