Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
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Clinical Validity of the Functional Dysphagia Scale Based on Videofluoroscopic Swallowing Study

비디오 투시 연하 검사에 기초한 기능적 연하곤란 척도의 임상적 타당도

Paik, Nam-Jong;Kim, Il-Soo;Kim, Jung-Hwan;Oh, Byung-Mo;Han , Tai-Ryoon
백남종;김일수;김정환;오병모;한태륜

  • Published : 2005.02.28
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Abstract

Objective: The functional dysphagia scale based on videofluoroscopic swallowing study (VFS scale) is a numeric scale that is directly convened from physiologic parameters of videofluoroscopic swallowing study. We intended to show the clinical validity of the VFS scale by comparing the scale with the American Speech-Language Hearing Association National Outcomes Measurements System Swallowing Scale (ASHA scale) which is a clinical outcome scale based on patient's feeding ability and independence level. Method: Total 101 patients underwent the videofluorosco pic swallowing studies and the VFS scale and ASHA scale were measured. We compared the two scales by means of Spearman correlation. Results: In 101 patients, the correlation between the two scales was statistically significant (Spearman's correlation coefficient=-0.536, p=0.00000l). Conclusion: There was close relationship between the physiologic parameters observed during videofluoroscopy and the level of feeding ability and independence. So the VFS scale which is based on the physiologic parameters is clinically valid.

Keywords

References

  1. American Speech-Language Hearing Association National Outcomes Measurements System (NOMS): Adult speech-language pathology training manual. Rockville: ASHA, 1998: cited by Wesling M, Brady S, Jensen M, Nickell M, Statkus D, Escobar N: Dysphagia outcomes in patients with brain tumors undergoing inpatient rehabilitation. Dysphagia 2003; 18: 203-210 https://doi.org/10.1007/s00455-002-0098-8
  2. Bisch EM, Logemann JA: Pharyngeal effects of bolus volume, viscosity and temperature in patients with dysphagia resulting from neurologic Impairment and in normal subjects. J Speech Hear Res 1994; 37: 1041-1049
  3. Cherney LR, Cantieri CA, Pannell JJ: Clinical evaluation of dysphagia (Rehabilitation Institute of Chicago procedure manual), Rockville: An Aspen Publication, 1986, pp39-90
  4. Daniels SK, Brailey K, Priestly DH, Herrington LR, Weisberg LA, Foundas AL: Aspiration in patients with acute stroke. Arch Phys Med Rehabil 1998; 79: 14-19 https://doi.org/10.1016/S0003-9993(98)90200-3
  5. DePippo KL, Holas MA, Reding MJ, Mandel FS, Lesser ML: Dysphagia therapy following stroke: a controlled trial. Neurology 1994; 44: 1655-1660 https://doi.org/10.1212/WNL.44.9.1655
  6. Han TR, Paik NJ, Park JW: Quantifying swallowing function after stroke: A functional dysphagia scale based on videofluoroscopic studies. Arch Phys Med Rehabil 2001; 82: 677-682 https://doi.org/10.1053/apmr.2001.21939
  7. Holas MA, DePippo KL, Reding MJ: Aspiration and relative risk of medical complications following stoke. Arch Neurol 1994; 51: 1051-1053 https://doi.org/10.1001/archneur.1994.00540220099020
  8. Homer J, Massey EW: Silent aspiration following stroke. Neurology 1988; 38: 317-319 https://doi.org/10.1212/WNL.38.2.317
  9. Logeman JA: Manual for the videofluorographic study of swallowing, 2nd ed, Austin: Pro-ed, 1993, pp157-162
  10. McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE: The SWAL-QOL and SW ALCARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002; 17: 97-114 https://doi.org/10.1007/s00455-001-0109-1
  11. Morgan A, Ward E, Murdoch B: Clinical characteristics of acute dysphagia in pediatric patients following traumatic brain injury. J Head Trauma Rehabil 2004; 19: 226-240 https://doi.org/10.1097/00001199-200405000-00004
  12. Odderson IR, Keaton JC, McKenna BS: Swallow management in patients on an acute stroke pathway: quality is cost effective. Arch Phys Med Rehabil 1995; 76: 1130-1133 https://doi.org/10.1016/S0003-9993(95)80121-9
  13. O'Neil KH, Purdy M, Falk J, Gallo L: The dysphagia outcome and severity scale. Dysphagia 1999; 14: 139-145 https://doi.org/10.1007/PL00009595
  14. Patterson EJ, Herron DM, Hansen PD, Ramzi N, Standage BA, Swanstrom LL: Effect of an esophageal bougie on the incidence of dysphagia following nissen fundoplication: a prospective, blinded, randomized clinical trial. Arch Surg 2000; 135: 1055-1061 https://doi.org/10.1001/archsurg.135.9.1055
  15. Roth EJ: Medical complications encountered in stoke rehabilitation. Phys Med Rehabil Clin North Am 1991; 2: 563-578
  16. Schmidt J, Holas M, Halvorson K, Reding M: Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia 1994; 9: 7-11
  17. Smithard DG, O'Neill PA, Park C, Morris J, Wyatt R, England R, Martin DF: Complications and outcome after acute stroke. Does dysphagia matter? Stroke 1996; 27: 637-640
  18. Splaingard Ml, Hutchins B, Sulton LD, Chaudhuri G: Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment. Arch Phys Med Rehabil 1988; 69; 35-39
  19. Teasell RW, Bach D, McRae M: Prevalence and recovery of aspiration poststroke: a retrospective analysis. Dysphagia 1994; 9: 35-39
  20. Teasell RW, McRae M, Heitzner J, Bhardwaj A, Finestone H: Frequency of videofluroscopic modified barium swallow studies and pneumonia in stroke rehabilitation patients: a comparative study. Arch Phys Med Rehabil 1999; 80: 294-298 https://doi.org/10.1016/S0003-9993(99)90140-5
  21. Teasell RW, McRae M, Marchuk Y, Finestone H: Pneumonia associated with aspiration following stroke. Arch Phys Med Rehabil 1996; 77: 707-709 https://doi.org/10.1016/S0003-9993(96)90012-X