Análise videofluoroscópica bidimensional perceptual da fase faríngea da deglutição em indivíduos acima de 50 anos

Chaves, Rosane de Deus; Mangilli, Laura Davison; Sassi, Fernanda Chiarion; Jayanthi, S.; Zilberstein, Bruno; Andrade, Cláudia Regina Furquim de

doi:10.1590/s0102-67202013000400005

Cited by 6 publications

(6 citation statements)

References 26 publications

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“…The lack or presence of aspiration has been one of the video fluoroscopic signals of higher relevance, being this signal essential for decision making at the management of oral food intake and for the indication of the most adequate consistency in each case (9)(10)(11)(12)(13)(14)(15)(16)(17) . The aspiration incidence in VCA neurogenic dysphagia framework is described in studies between 155 and 50% (18,19) .…”

Section: Discussionmentioning

confidence: 99%

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

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Cardoso

Scheeren

2017

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Purpose: The aim of this study was to investigate the association between the results of functionality scales and dysphagia severity determined from videofluoroscopy swallowing study (VSS) in post-stroke patients. Methods: A retrospective study of 109 VSS analysis of post-stroke patients. From the exams was collected information on the diagnosis of dysphagia severity and evaluated regarding the swallowing functionality in an independent way by two evaluators. Results: A high number of discrete dysphagia was observed. In one third of dysphagic patients it was noticed the presence of tracheal aspiration. There was a significant association between the scores of Functional Oral Intake Scale and Dysphagia Outcome and Severity Scale in post-stroke patients which means when the swallowing is highly compromised, the level of intake by mouth will be smaller according to the evaluators' analysis (p < 0.001). Conclusion: There is an association between the scales and it can be used as evaluative benchmarks and in the management of clinical Speech Pathology intervention. RESUMOObjetivo: O objetivo deste estudo foi verificar a associação entre os resultados das escalas de funcionalidade e severidade da disfagia determinadas a partir de exames de videofluoroscopia em pacientes pós-AVC. Método: Estudo observacional, retrospectivo e descritivo, com análise de 109 exames de Videofluoroscopia da Deglutição de pacientes pós-AVC. Dos exames da amostra foram coletadas informações quanto ao diagnóstico da severidade da disfagia e avaliados quanto à funcionalidade da deglutição de maneira independente por dois avaliadores. Resultados: Foi constatada uma alta prevalência de disfagia classificada como discreta. Nos pacientes com disfagia foi observada a presença de aspiração laringotraqueal em um terço da amostra. Verificou-se associação significativa entre os escores das escalas Functional Oral Intake Scale e Dysphagia Outcome and Severity Scale em pacientes pós-AVC, ou seja, quanto maior o comprometimento da deglutição, menor o nível de ingestão por via oral na análise dos avaliadores (p < 0,001). Conclusão: Há associação entre as escalas, podendo elas serem utilizadas como balizadores avaliativos e no gerenciamento da intervenção clínica fonoaudiológica.

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Section: Discussionmentioning

confidence: 99%

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Passos

Cardoso

Scheeren

2017

CoDAS

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“…In this study, the pharyngeal barium residue was evaluated two-dimensionally using VFSS. Although the residue should be assessed three-dimensionally, since the actual residue is distributed three-dimensionally, a two-dimensional VFSS may thus be useful as a method of evaluating swallowing dysfunction ( 22 ). Therefore, in the present study, we used a two-dimensional VFSS to assess the pharyngeal residue.…”

Section: Discussionmentioning

confidence: 99%

Quantitative Assessment of Swallowing Dysfunction in Patients with Spinal and Bulbar Muscular Atrophy

et al. 2017

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Objective This study aimed to evaluate swallowing dysfunction in patients with spinal and bulbar muscular atrophy and to identify the most appropriate method of assessing swallowing dysfunction using a videofluoroscopic swallowing study. Methods In the videofluoroscopic swallowing study, patients were instructed to swallow 3 mL of 40% weight/volume barium sulfate twice, and the pharyngeal residue was measured. We used three different methods to quantify the pharyngeal barium residue and an eight-point scale to evaluate the laryngeal penetration leading to aspiration pneumoniae. Patients We assessed 111 patients with spinal and bulbar muscular atrophy who weren't undergoing disease-specific treatment. Results Our results showed that the pharyngeal barium residue after initial swallowing correlated better with the bulbar-related functional rating scales than that after multiple deglutition. This correlation was vague when the data from patients whose barium residue was >50% were eliminated. In addition, evaluating the pharyngeal residue after initial swallowing proved to be the most sensitive method with regard to laryngeal penetration. Conclusion This study showed that the pharyngeal barium residue after initial swallowing was the most appropriate parameter for quantitatively assessing the degree of dysphagia using a videofluoroscopic swallowing study and suggests that this method may predict laryngeal penetration and aspiration in patients with spinal and bulbar muscular atrophy.

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“…This conclusion has also been described by several authors as a consequence of the swallowing process being slower due to all the characteristics of presbyphagia 25,26 . In general, a subtle slowing down of the swallowing process is observed with advancing age, in addition to other changes related to the preparation of food in the oral phase, the number of swallows and the presence of residual food along the digestive tract 27 . Several differences in occurrences and how these affect individuals can be found during aging.…”

Section: Discussionmentioning

confidence: 99%

Análise acústica do tempo de deglutição através do Sonar Doppler

et al. 2017

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RESUMO Objetivo: comparar o parâmetro acústico de tempo da deglutição orofaríngea nos adultos e idosos, nas diferentes consistências e volumes, através do Sonar Doppler. Métodos: a pesquisa foi realizada em duas etapas. Na primeira foi aplicado o Protocolo de Triagem de Risco para Deglutição. Na segunda os indivíduos foram submetidos à avaliação da deglutição com o Sonar Doppler. Os indivíduos receberam as seguintes consistências alimentares durante a avaliação - deglutição seca (saliva), líquida, néctar, mel e pudim, nos volumes de 5 ml, 10 ml e deglutição livre. O parâmetro acústico analisado neste estudo foi o Tempo acústico da deglutição (T). Resultados: dados objetivos e mensuráveis foram obtidos; a diferença do tempo de deglutição entre adultos e idosos em relação à consistência e o volume foi, na maioria, significante. Conclusão: verificou-se que há modificação do tempo da deglutição, tanto em relação à consistência quanto a volume do bolo alimentar, quando comparados idosos e adultos.

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Análise videofluoroscópica bidimensional perceptual da fase faríngea da deglutição em indivíduos acima de 50 anos

Cited by 6 publications

References 26 publications

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Quantitative Assessment of Swallowing Dysfunction in Patients with Spinal and Bulbar Muscular Atrophy

Análise acústica do tempo de deglutição através do Sonar Doppler

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