The Validity of the Pharyngeal Squeeze Maneuver

Autor:	Shervin Aminpour, Peter C. Belafsky, Catherine J. Rees, Scott C. Fuller, Rebecca J. Leonard
Rok vydání:	2008
Předmět:	medicine.diagnostic_test business.industry fungi Dysphagia Swallow Evaluation Bolus (medicine) Otorhinolaryngology Swallowing Clinical validity medicine Diagnostic assessment Fluoroscopy Surgery In patient medicine.symptom Nuclear medicine business
Zdroj:	Otolaryngology–Head and Neck Surgery. 139
ISSN:	1097-6817 0194-5998
DOI:	10.1016/j.otohns.2008.05.164
Popis:	ObjectivePharyngeal strength is essential for safe bolus transit during deglutition. The pharyngeal squeeze maneuver (PSM) is a surrogate measure of pharyngeal strength determined on endoscopic swallow evaluation (FEES). Although several investigations have utilized the PSM, the validity of this diagnostic assessment has never been tested. The purpose of this investigation was to evaluate the clinical validity of the PSM.MethodsSimultaneous FEES and fluoroscopic swallow evaluations were prospectively performed on 30 consecutive patients being evaluated for dysphagia. The PSM was assessed on all patients and compared to a validated measure of pharyngeal strength on fluoroscopy, the pharyngeal constriction ratio (PCR). As pharyngeal strength diminishes, the PCR increases. The PCR in patients with an intact PSM was compared to the PCR in persons with an absent PSM, with the independent samples t-test and confirmed with the non-parametric Mann-Whitney test.Results29 simultaneous FEES-fluoroscpic swallow studi...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::3db66ec410bc90178c16bcd448a8056f https://doi.org/10.1016/j.otohns.2008.05.164 Zobrazit plný text záznamu Plný text