Effects of weakness of orofacial muscles on swallowing and communication in FSHD
| Autor: | Nicholas E. Johnson, Mattie Y. Sills, Ayla McCalley, Baziel G.M. van Engelen, Kiera Berggren, Karlien Mul, Jeffrey Statland |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Weakness Facial Muscles Speech Therapy Speech Disorders Article Young Adult 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Swallowing stomatognathic system Tongue medicine otorhinolaryngologic diseases Humans Speech Facioscapulohumeral muscular dystrophy 030212 general & internal medicine Muscular dystrophy Aged Aged 80 and over Muscle Weakness business.industry Communication Middle Aged Cheek Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3] medicine.disease Dysphagia Muscular Dystrophy Facioscapulohumeral Deglutition Facial muscles medicine.anatomical_structure Case-Control Studies Quality of Life Female Neurology (clinical) medicine.symptom Deglutition Disorders business 030217 neurology & neurosurgery |
| Zdroj: | Neurology, 92, e957-e963 Neurology, 92, 9, pp. e957-e963 |
| ISSN: | 0028-3878 |
| Popis: | Item does not contain fulltext OBJECTIVE: This study explores the use of quantitative data on strength and fatigability of orofacial muscles in patients with facioscapulohumeral muscular dystrophy (FSHD) and assesses the frequency of swallowing and communication difficulties and their relationship to orofacial muscle involvement. METHODS: We included 43 patients with FSHD and 35 healthy controls and used the Iowa Oral Performance Instrument (IOPI) to obtain quantitative measurements of strength and endurance of lip compression, cheek (buccodental) compression, and tongue elevation. For the assessment of swallowing and communication difficulties, we used the dysphagia-specific quality of life (SWAL-QOL) and Communicative Participation Item Bank questionnaires. RESULTS: Cheek compression strength was reduced in patients with FSHD compared to healthy controls. Dysphagia and difficulty with verbal communication were reported by 25% and 35% of patients, respectively, and correlated to cheek compression strength and endurance and to anterior tongue elevation endurance. Prolonged cheek compression or anterior tongue elevation endurance (decreased fatigability) made swallowing or speech problems less likely to occur. CONCLUSION: Cheek compression strength is the most sensitive IOPI measure for orofacial weakness in FSHD. Orofacial weakness contributes to dysphagia and speech difficulties in FSHD, which are both common, though generally mild. Higher endurance of orofacial muscles was associated with a lower chance of dysphagia or speech problems. More research is required for further refinement of the pattern of facial muscle involvement in FSHD and to provide new insights for improvement of speech and language therapy. |
| Databáze: | OpenAIRE |
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