Reduced Tongue Pressure Against the Hard Palate on the Paralyzed Side During Swallowing Predicts Dysphagia in Patients With Acute Stroke
| Autor: | Yoshinobu Maeda, Kenichi Tamine, Hiroaki Naritomi, Saburo Sakoda, Takahiro Ono, Yoko Yoshimuta, Kazuhiro Hori, Nobuko Hirota, Kuni Konaka, Jugo Kondo |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Aspiration pneumonia Central nervous system disease Tongue Swallowing Predictive Value of Tests Pressure medicine Humans Stroke Aged Advanced and Specialized Nursing Palate Esophageal disease business.industry Middle Aged medicine.disease Dysphagia Deglutition Surgery Paresis medicine.anatomical_structure Anesthesia Female Neurology (clinical) Hard palate medicine.symptom Deglutition Disorders Cardiology and Cardiovascular Medicine business |
| Zdroj: | Stroke. 41:2982-2984 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/strokeaha.110.594960 |
| Popis: | Background and Purpose— Dysphagia is important for prognosis in patients with stroke because this condition can cause aspiration pneumonia or nutritional deficits. The present study investigated the relationship between tongue motor deficits and dysphagia in patients with acute stroke. Methods— Maximal tongue pressure on the hard palate when swallowing 5 mL of water was measured using a T-shaped sensor sheet with 5 measuring points in 33 dysphagic and 31 nondysphagic patients with acute stroke. Maximum tongue pressures at each measuring point were compared between dysphagic and nondysphagic groups and between paralyzed and nonparalyzed sides. Results— Tongue pressure at each measuring point was significantly smaller in dysphagic patients than in nondysphagic patients with the largest significant difference on the paralyzed side. The magnitude of tongue pressure to predict dysphagia was calculated as 4.6 kPa on the paralyzed side, offering 71.4% sensitivity and 72.3% specificity. Conclusions— Reduced tongue pressure on the paralyzed side may predict dysphagia in patients with acute stroke. |
| Databáze: | OpenAIRE |
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