Is the modified Mann Assessment of Swallowing Ability useful for assessing dysphagia in patients with mild to moderate dementia?

Ji, Eun Kyu; Wang, Hae Hyun; Jung, Sung June; Lee, Kyoung Bo; Kim, Joon Sung; Hong, Bo Young; Lim, Seong Hoon

doi:10.1016/j.jocn.2019.08.031

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…In a study, in addition to the evaluation of swallowing skills by the MMASA test and VFS, cognitive status was also evaluated by 4 different scales in individuals with moderate and mild severe dementia. 31 As a result of that study, the MMASA test results were complied with the results of both VFS and other cognitive tests. In a study examining the necessity of the cough item in clinical swallow evaluation tests, it was reported that only a small part of the validated screening tests included a cough item.…”

Section: Discussionsupporting

confidence: 68%

Turkish Adaptation of Modified Mann Swallowing Ability Test in Patients with Acute Stroke: A Validity and Reliability Study

ÇİFTCİ¹,

Topbaş²

2022

Turkiye Klinikleri J Health Sci

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Section: Discussionsupporting

confidence: 68%

Turkish Adaptation of Modified Mann Swallowing Ability Test in Patients with Acute Stroke: A Validity and Reliability Study

ÇİFTCİ¹,

Topbaş²

2022

Turkiye Klinikleri J Health Sci

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“…In a further study, the Mann Assessment of Swallowing Ability had a statistically significant negative correlation with aspiration on videofluoroscopic swallowing studies, but the strength of the association (Spearman's Rho = −0.349) was not strong enough to consider the assessment an indicator (Ji et al., 2019). The strength of this association would be considered moderate (Akoglu, 2018).…”

Section: Resultsmentioning

confidence: 98%

Identification of eating, drinking and swallowing difficulties for people living with early‐stage dementia: A systematic review

O’Neill

Duffy

Henderson

et al. 2023

Intl J Lang & Comm Disor

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BackgroundThe prevalence of dementia is increasing, bringing a range of challenges, such as eating, drinking and swallowing (EDS) difficulties, that are associated with aspiration, which can be fatal. Early identification of EDS difficulty in early‐stage dementia could prevent complications, but reliable indicators are needed to help develop pathways to support the diagnosis. Previous reviews of this area require updating.AimsTo identify reliable and clinically measurable indicators of EDS difficulty used in early‐stage dementia.Methods & ProceduresA systematic search was conducted using common databases (MEDLINE, EMBASE and PsychInfo). Articles reporting indicators of EDS difficulty in early‐stage dementia or mild cognitive impairment were included. The reliability of included studies was critically appraised using the risk of bias tools. Study outcomes were narratively reviewed by considering the reliability, clinical measurability and applicability of EDS indicators to early‐stage dementia.Outcomes & ResultsInitial searches returned 2443 articles. After removing duplicates, limiting to English language and human studies, 1589 articles remained. After reviewing titles, 60 abstracts were reviewed, yielding 18 full‐text articles. A total of 12 articles were excluded that did not report at least one indicator of EDS difficulty in early‐stage dementia, or where the reported association was not strong. Six included studies that reported eight indicators of EDS difficulty in early‐stage dementia (four studies including people with Alzheimer's disease). On the balance of measurability, reliability and applicability, the most promising indicators of EDS difficulty were: delayed oral transit, rinsing ability, sarcopenia and polypharmacy. Additional, less reliable and applicable indicators included: always opened lips and non‐amnestic mild cognitive impairment, especially in men. The delayed pharyngeal response is subjectively measured when instrumental assessment is not available and the ‘candy sucking test’ cannot be recommended because there is an inherent choking risk.Conclusions & ImplicationsEDS difficulty in early‐stage dementia can be highlighted by indicators that could be combined to create enhanced pathways to support the early identification of EDS difficulties for people living with early‐stage dementia with a view to preventing complications and facilitating informed discussions regarding wishes in the event of further deterioration. Exploring the experiences of people living with dementia and their families’ perspectives on potential indicators of EDS difficulty may add to the existing evidence base.WHAT THIS PAPER ADDSWhat is already known on the subject Early identification of EDS difficulty in early‐stage dementia may prevent complications, but more reliable and clinically measurable indicators of EDS difficulty are needed to help develop pathways to support diagnosis.What this paper adds to existing knowledge A comprehensive range of studies related to EDS identification in early‐stage dementia have been selected and reviewed. Across six included studies, the most promising indicators of EDS difficulty in early‐stage dementia included delayed oral transit, poor rinsing ability, presence of sarcopenia and polypharmacy.What are the potential or actual clinical implications of this work? This study could help to develop pathways to support the early identification of EDS difficulties for people living with early‐stage dementia with a view to preventing complications and facilitating informed discussions regarding wishes in the event of further deterioration.

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“…However, as far as we know, the present study is the first one proposing a model for assessing the impact of cognitive dysfunction on dementia. Previous research suggests a relationship between cognitive disorders and dysphagia in patients with dementia (19,20). However, no study has yet indicated the nature of this relationship.…”

Section: Discussionmentioning

confidence: 97%

Evaluating the Role of Cognitive Function in the Occurrence of Dysphagia in Patients with Dementia: A Study Protocol

Dehaghani

Jafari

Lotfi

2021

Middle East J Rehabil Health Stud

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Background: Dysphagia is commonly seen in patients with severe dementia and increases the risk of mortality. The nature of the swallowing disorders caused by cognitive difficulties differs from post-stroke dysphagia. The relationship between dysphagia and cognitive function is vital for determining the best diagnostic and treatment plan for dementia-associated dysphagia. Objectives: In the current research, we suggest a model to identify the role of cognitive function in the occurrence of dysphagia in dementia patients. Methods: Ninety patients with dementia will be recruited in this experimental research. Dysphagia is screened and confirmed using the albertinen dementia dysphagia screening (ADDS) and the video fluoroscopic swallowing exam (VFSE). Also, cognitive function will be assessed by the mini-mental status examination (MMSE). The information related to dysphagic and non-dysphagic patients will be entered into structural equation models. Finally, the direct and indirect (i.e., via cognition) relationships between brain lesions and dysphagia will be evaluated. Results: The present study will provide evidence regarding the role of cognitive function in dysphagia occurrence in individuals with dementia in a structural equation model. Also, differences in performance (presence or absence of movement disorders) will be assessed in different types of dementia using another model. Conclusions: Moreover, the relative sensitivity of various cognitive domains to dysphagia will be determined in a separate model.

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Is the modified Mann Assessment of Swallowing Ability useful for assessing dysphagia in patients with mild to moderate dementia?

Cited by 8 publications

References 23 publications

Turkish Adaptation of Modified Mann Swallowing Ability Test in Patients with Acute Stroke: A Validity and Reliability Study

Turkish Adaptation of Modified Mann Swallowing Ability Test in Patients with Acute Stroke: A Validity and Reliability Study

Identification of eating, drinking and swallowing difficulties for people living with early‐stage dementia: A systematic review

Evaluating the Role of Cognitive Function in the Occurrence of Dysphagia in Patients with Dementia: A Study Protocol

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