Association between dysphagia and tongue strength in patients with amyotrophic lateral sclerosis

Borges, Alda Linhares de Freitas; Velasco, Leandro de Castro; Ramos, Hugo Valter Lisboa; Imamura, Rui; Roldão, Paula Martins Alves de Castro; Petrillo, Marcela Vieira Barbosa; Costa, Cleinaldo de Almeida

doi:10.1016/j.bjorl.2020.10.015

Cited by 5 publications

(6 citation statements)

References 21 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They proposed easy measures of maximum tongue strength as a useful tool for the early detection of dysphagia in ALS. A more recent study showed that 90% of PALS with dysphagia had tongue pressure < 34.2 kPa 72 . They validated tongue strength against FEES and determined that the measurement of tongue strength showed a sensitivity of 91.67%, specificity of 38.46%, and accuracy of 64% 72 .…”

Section: Dysphagiamentioning

confidence: 99%

“…A more recent study showed that 90% of PALS with dysphagia had tongue pressure < 34.2 kPa. 72 They validated tongue strength against FEES and determined that the measurement of tongue strength showed a sensitivity of 91.67%, specificity of 38.46%, and accuracy of 64%. 72 Functionally, they reported that tongue strength and resistance had a significant relationship with dysphagia in ALS.…”

Section: Bulbar Functionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of dysarthria and dysphagia in patients with amyotrophic lateral sclerosis: Review of the current evidence

et al. 2021

View full text Add to dashboard Cite

Bulbar dysfunction is a common presentation of amyotrophic lateral sclerosis (ALS) and significantly impacts quality of life of people with ALS (PALS). The current paper reviews measurements of dysarthria and dysphagia specific to ALS to identify efficient and valid assessment measures. Using such assessment measures will lead to improved management of bulbar dysfunction in ALS. Measures reviewed for dysarthria in PALS are organized into three categories: acoustic, kinematic, and strength. A set of criteria are used to evaluate the effectiveness of the measures' identification of speech impairments, measurement of functional verbal communication, and clinical applicability. Assessments reviewed for dysphagia in PALS are organized into six categories: patient reported outcomes, dietary intake, pulmonary function and airway defense capacity, bulbar function, dysphagia/aspiration screens, and instrumental evaluations. Measurements that have good potential for clinical use are highlighted in both topic areas. Additionally, areas of improvement for clinical practice and research are identified and discussed. In general, no single speech measure fulfilled all the criteria, although a few measures were identified as potential diagnostic tools. Similarly, few objective measures that were validated and replicated with large sample sizes were found for diagnosis of dysphagia in PALS. Importantly, clinical applicability was found to be limited; thus, a collaborative team focused on implementation science would be helpful to improve the clinical uptake of assessments. Overall, the review highlights the need for further development of clinically viable and efficient measurements that use a multidisciplinary approach.

show abstract

Section: Dysphagiamentioning

confidence: 99%

Section: Bulbar Functionmentioning

confidence: 99%

Assessment of dysarthria and dysphagia in patients with amyotrophic lateral sclerosis: Review of the current evidence

et al. 2021

View full text Add to dashboard Cite

show abstract

“…While not a direct instrumental assessment of swallowing function, tongue movements during swallowing [19,20] measured by electromagnetic articulography and tongue strength [10,23] measured with the Iowa Oral Performance Instrument (IOPI) have been explored as potential biomarkers for swallowing impairment in this population. These studies suggest that changes in tongue movements during swallowing are present prior to the onset of swallowing impairment [19] and that tongue movements during swallowing had strong correlations with oral stage swallowing impairments as measured using MBSImP, PAS scale, and with patient-reported swallowing function [20].…”

Section: Evaluationsmentioning

confidence: 99%

The Current State and Future Directions of Swallowing Care in Amyotrophic Lateral Sclerosis

Kao

Perry

2023

Curr Phys Med Rehabil Rep

View full text Add to dashboard Cite

Purpose of Review Difficulty swallowing (dysphagia) is of great concern to patients with ALS as its complications can increase mortality and reduce the quality of life. This review aims to provide an overview of the recent developments and the current state of assessment, treatment, and management of dysphagia in ALS. Recent Findings The optimal timing of assessment, treatment, and management of dysphagia may be early in the ALS disease process, even before the dysphagia occurs. There is wide heterogeneity in SLP practice patterns for the management of dysphagia. Summary Dysphagia is common and debilitating; however, for various reasons, there is no clear consensus on how best to manage dysphagia in this population. Future work centered around predicting swallowing decline and improving interventions aimed at prolonging swallowing function in the early stages of the disease process may promote improved dysphagia care.

show abstract

“…The search initially retrieved 1,570 articles, 14 of which [17][18][19][20][21][22][23][24][25][26][27][28][29][30] were selected for analysis after applying the eligibility criteria, as shown in Figure 1.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The findings showed that there was not a standardized protocol on FEES-related aspects in ALS [17][18][19][20][21][22][23][24][25][26][27][28][29][30] . There was a wide variation both in terminology and standardization of food volume and consistency.…”

Section: Penetration and Aspirationmentioning

confidence: 99%

Fiberoptic endoscopic evaluation of swallowing in patients with amyothrophic lateral sclerosis: an integrative literature review

et al. 2021

View full text Add to dashboard Cite

Purpose: to provide an integrative review of the current evidence on the fiberoptic endoscopic evaluation of swallowing performing procedures and analysis parameters in patients with amyotrophic lateral sclerosis. Methods: the study question followed the PECO strategy, and the search was performed in Medline, Cochrane, Scopus, Lilacs, Web of Science, and CINAHL databases, using keywords and specific free terms. Two authors screened eligible articles published from 2013 to October 2021 and extracted data on fiberoptic endoscopic evaluation of swallowing performing procedures and analysis parameters in patients with amyotrophic lateral sclerosis. Literature Review: of the 1,570 articles initially identified, 14 were eligible. There was no consensus on the consistency, volume, and type of food, utensils, sequence, and number of repetitions of each task during the exam. The analysis parameters, when described, were distinct. Although with different classification criteria, the observation of pharyngeal residue, laryngeal penetration, and laryngotracheal aspiration was included in all studies. Conclusion: fiberoptic endoscopic evaluation of swallowing performing procedures and analysis parameters are not standardized in studies with amyotrophic lateral sclerosis patients.

show abstract

Association between dysphagia and tongue strength in patients with amyotrophic lateral sclerosis

Cited by 5 publications

References 21 publications

Assessment of dysarthria and dysphagia in patients with amyotrophic lateral sclerosis: Review of the current evidence

Assessment of dysarthria and dysphagia in patients with amyotrophic lateral sclerosis: Review of the current evidence

The Current State and Future Directions of Swallowing Care in Amyotrophic Lateral Sclerosis

Fiberoptic endoscopic evaluation of swallowing in patients with amyothrophic lateral sclerosis: an integrative literature review

Contact Info

Product

Resources

About