A validation study of the Facial-Oral Tract Therapy Swallowing Assessment of Saliva
| Autor: | Ditte Jensen, Jesper Mortensen, Annette Kjaersgaard |
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| Rok vydání: | 2015 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Saliva Concurrent validity Validity Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine stomatognathic system Swallowing medicine Humans Acquired brain injury Neurorehabilitation Aged business.industry digestive oral and skin physiology Rehabilitation Reproducibility of Results Middle Aged medicine.disease Dysphagia Confidence interval Deglutition Brain Injuries Physical therapy Female medicine.symptom Deglutition Disorders 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Mortensen, J, Jensen, D & Kjaersgaard, A 2015, ' A validation study of the Facial-Oral Tract Therapy Swallowing Assessment of Saliva ', Clinical Rehabilitation . https://doi.org/10.1177/0269215515584381 Aarhus University |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215515584381 |
| Popis: | Objective: To investigate the validity and reliability of the Swallowing Assessment of Saliva in detection of aspiration risk. Design: Validation study. Setting: Inpatient neurorehabilitation centre. Subjects: Adult patients with acquired brain injury. A total of 43 patients for concurrent validity and 33 other patients for inter-rater reliability. Interventions: Concurrent validity was established with blinded Swallowing Assessment of Saliva and endoscopic evaluation within a 24-hour time interval. Inter-rater reliability was established with two blinded Swallowing Assessments of Saliva within a one-hour time interval. Main measures: The Swallowing Assessment of Saliva is a seven-item scale with a combination of swallowing and non-swallowing items. It is based on the Facial-Oral Tract Therapy approach. Results: The Swallowing Assessment of Saliva had a sensitivity of 91%, 95% confidence interval (CI) (59; 100), a specificity of 88% %, 95% CI (71; 97) and a kappa coefficient of 0.87 ±0.17 in detection of aspiration risk. Furthermore, analyses showed that experienced and inexperienced occupational therapists performed equally in detection of aspiration risk. Conclusion: The Swallowing Assessment of Saliva is a simple, sensitive and reliable assessment for detecting aspiration risk in patients with acquired brain injury. |
| Databáze: | OpenAIRE |
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