Utility of Clinical Swallowing Examination Measures for Detecting Aspiration Post-Stroke
| Autor: | Gary H. McCullough, John C. Rosenbek, S. McCoy, Kim McCullough, Giselle Mann, Robert T. Wertz |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Linguistics and Language medicine.medical_specialty Video Recording Physical examination Language and Linguistics Speech and Hearing Swallowing medicine Humans Statistical analysis Aged Aged 80 and over medicine.diagnostic_test business.industry Respiratory Aspiration Reproducibility of Results Medical evaluation Middle Aged medicine.disease Dysphagia Stroke Pulmonary aspiration Fluoroscopy Clinical diagnosis Physical therapy Post stroke Female medicine.symptom Deglutition Disorders business |
| Zdroj: | Journal of Speech, Language, and Hearing Research. 48:1280-1293 |
| ISSN: | 1558-9102 1092-4388 |
| Popis: | The purpose of this investigation was to determine the utility of clinical swallowing examination (CSE) measures for detecting aspiration as defined by videofluoroscopic swallowing examination (VFSE). This study, involving 165 participants, is a follow-up to a previously published investigation of 60 participants. Findings are compared with that investigation as well as with other research on CSEs. The results suggest that clinicians can make an accurate judgment of the occurrence of aspiration in most poststroke patients. However, ruling out aspiration when it is absent appears more problematic. More work needs to be done if data collected from noninstrumented examinations are to be strongly predictive of the presence and absence of aspiration on VFSE. At present, there are no data to suggest that CSEs can be used to quantify aspiration or make adequate recommendations regarding patient care. |
| Databáze: | OpenAIRE |
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