Dysphagia management: Does structured training improve the validity and reliability of cervical auscultation?
| Autor: | Liza Bergström, Julie A. Y. Cichero |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Stethoscope education Validity Language and Linguistics law.invention Speech and Hearing Cohen's kappa Swallowing Flexible endoscopic evaluation of swallowing law otorhinolaryngologic diseases Humans Medicine Cervical auscultation Reliability (statistics) Research and Theory business.industry digestive oral and skin physiology Reproducibility of Results LPN and LVN Dysphagia Deglutition Otorhinolaryngology Auscultation Physical therapy medicine.symptom Deglutition Disorders business |
| Zdroj: | International Journal of Speech-Language Pathology. 24:77-87 |
| ISSN: | 1754-9515 1754-9507 |
| Popis: | Purpose: Cervical auscultation (CA) uses a stethoscope or microphone to complement the clinical swallow examination by interpreting swallowing sounds and swallow-respiratory coordination. This study investigated the effects of structured CA training on CA-rating agreement with Flexible Endoscopic Evaluation of Swallowing (FEES) and CA rater reliability.Method: Thirty-nine speech-language pathologists participated in a structured CA training course at Gothenburg University. They rated nine swallow-respiratory sound recordings which were simultaneously recorded during FEES. Swallow sounds were rated six weeks prior to the CA-workshop using two binary yes/no questions, (1) Safe, (2) Dysphagia, and a third Dysphagia Severity rating. Swallow sounds were rated again (re-randomised) one month post CA-workshop.Result: Agreement with FEES (validity) improved significantly (p 90% and specificities at 76% and 85% respectively. Dysphagia severity rating improved non-significantly. Intra-rater reliability improved significantly with kappa statistics >0.90 post training. Improvements for inter-rater reliability were noted, though non-significant.Conclusion: Results demonstrate that with structured training, the validity of CA (to detect a Safe/Dysphagic swallow) significantly improves, as does intra-rater reliability. This is congruent with literature identifying the positive effects of structured training improving instrumental dysphagia assessment. |
| Databáze: | OpenAIRE |
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