Negative correlation was observed between bulbar functionality and laryngeal penetration in MND. The bulbar parameters of the ALSFRS-R/BR are significant for predicting risk of laryngotracheal aspiration for pasty consistency in MND.
Oral phase swallowing impairment in motor neuron disease (MND) is caused by tongue weakness, fasciculation and atrophy, which may compromise oral transit time and total feeding time. Objective: To describe and correlate total oral transit time (TOTT) with functional performance in MND using different food consistencies. Methods: The study was conducted on 20 patients with MND, regardless of type or duration of the disease, of whom nine were excluded due to issues on the videofluoroscopic swallowing images. The remaining 11 patients (nine men and two women) ranged from 31 to 87 years of age (mean: 57 years) with scores on the Penetration Aspiration Scale ranging from ≤ 2 to ≤ 4. The Amyotrophic Lateral Sclerosis Functional Rating Scale - revised questionnaire was applied to classify individuals according to global, bulbar and bulbar/respiratory parameters. Videofluoroscopy of swallowing using 5ml of different consistencies was performed and a quantitative temporal analysis of the TOTT was carried out with the aid of specific software. Results: There was a wide variation in the TOTT within the same food consistency among MND patients. There was a correlation between the TOTT and overall functional performance for the thickened liquid consistency (r = −0.691) and between the TOTT and bulbar performance for the pureed consistency (r = −0.859). Conclusion: Total oral transit time in MND varies within the same food consistency and the longer the TOTT, regardless of food consistency, the lower the functional performance in MND.
RESUMO Objetivo: Correlacionar gravidade do AVC com nível de ingestão oral desta população e comparar os dois fatores mencionados na admissão e após gerenciamento da deglutição. Método: Participaram 137 pacientes internados na Unidade de Acidente Vascular Cerebral (UAVC) de um hospital de ensino. Durante a permanência na UAVC, os pacientes foram submetidos diariamente a avaliação neurológica e aplicação da escala National Institutes of Health Stroke Scale (NIHSS), para avaliação da gravidade do AVC, que varia de zero (sem evidência de déficit neurológico) a 42 (paciente irresponsivo, em coma). Após cada atendimento fonoaudiológico diário, foi aplicada a escala de ingestão oral Functional Oral Intake Scale (FOIS), que consiste em um marcador para evolução da ingestão por via oral e varia do nível um (nada por via oral) a sete (via oral total sem restrições). Os dados das escalas NIHSS e FOIS de admissão e alta foram analisados e comparados, para verificar associação entre melhora da disfagia orofaríngea com melhora funcional dos indivíduos. Resultados: Na admissão, 63 (46,0%) pacientes apresentaram AVC leve e 38 (27,7%), grave e gravíssimo; 46 (33,6%) com ingestão oral e necessidade de preparo especial ou compensações. Na alta, houve aumento de pacientes com AVC leve (76 - 55,5%); ingestão oral sem necessidade de preparo especial ou compensações, porém com restrições alimentares (18 - 13,1%), e ingestão oral sem restrições (44 - 32,1%). Conclusão: O nível de ingestão oral aumentou conforme a gravidade do AVC diminuiu. O atendimento fonoaudiológico contribuiu para diminuição da gravidade do AVC e melhoria da ingestão oral.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.