Reliability and Construct Validity of the Yale Pharyngeal Residue Severity Rating Scale: Performance on Videos and Effect of Bolus Consistency

Rocca, Sara; Pizzorni, Nicole; Valenza, Nadia; Negri, Luca; Schindler, Antonio

doi:10.3390/diagnostics12081897

Cited by 8 publications

(3 citation statements)

References 28 publications

(44 reference statements)

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“…However, a recent study based on YPRSRS recognised the substantial complexity in rating PR on videos rather than on frames. The study demonstrated a trend of lower psychometric properties for videos, in comparison to an almost perfect agreement for frames 25 . Third, the “best-of-the-best” criterion adopted for the selection of the final images pool denoted a limitation, as it is not representative of common clinical practice.…”

Section: Discussionmentioning

confidence: 76%

“…Fourth, three different consistencies were randomly used in the study, which on one hand represents only a part of boluses available for FEES 21 , and on the other this might have lowered agreement results. In fact, it has been recently demonstrated that bolus consistencies play a role in determining the psychometric properties of the YPRSRS, with thin liquids (IDDSI 0) having the lowest levels of rating agreement than solid food (IDDSI 7) and pureed food (IDDSI 4), respectively 25 . Specific analysis for each consistency rated with the IT-YPRSRS and its clinical correlation is desirable in future research to better target rehabilitative interventions.…”

Section: Discussionmentioning

confidence: 99%

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Studio di validazione e affidabilità della traduzione italiana della Yale Pharyngeal Residue Severity Rating Scale

Nordio

Maistrello

D’Imperio

et al. 2023

Acta Otorhinolaryngol Ital

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SUMMARY Objective In the dysphagic patient, pharyngeal residues (PR) are associated with aspiration and poor quality of life. The assessment of PR using validated scales during flexible endoscopic evaluation of swallowing (FEES) is crucial for rehabilitation. This study aims to validate and test the reliability of the Italian version of the Yale Pharyngeal Residue Severity Rating Scale (IT-YPRSRS). The effects of training and experience in FEES on the scale were also determined. Methods The original YPRSRS was translated into Italian according to standardised guidelines. Thirty FEES images were selected after consensus and proposed to 22 naive raters who were asked to assess the severity of PR in each image. Raters were divided into two subgroups by years of experience at FEES, and randomly by training. Construct validity, inter-rater, and intra-rater reliability were assessed by kappa statistics. Results IT-YPRSRS showed substantial to almost perfect agreement (kappa > 0.75) in validity and reliability for both the overall sample (660 ratings), and valleculae/pyriform sinus sites (330 ratings each). No significant differences emerged between groups considering years of experience, and variable differences were observed by training. Conclusions The IT-YPRSRS demonstrated excellent validity and reliability in identifying location and severity of PR.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Studio di validazione e affidabilità della traduzione italiana della Yale Pharyngeal Residue Severity Rating Scale

Nordio

Maistrello

D’Imperio

et al. 2023

Acta Otorhinolaryngol Ital

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“…Quantitative assessments comprised FEES with two validated scales: PAS (Rosenbek, 1996) (range from 1 normal to 8 severe) and the Yale Pharyngeal Residue Severity Rating Scale (YPRSRC) (Neubauer et al., 2015) (range from 1 none to 5 severe) (Rocca et al 2022) (0–5). FEES assessment involved food trials.…”

Section: Methodsmentioning

confidence: 99%

An intensive neurorehabilitation programme with sEMG biofeedback to improve swallowing in idiopathic Parkinson's disease (IPD): A feasibility study

Battel

Walshe

2022

Intl J Lang & Comm Disor

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Background: Studies suggest swallow intervention programmes that incorporate visual biofeedback and motor programming principles can improve swallowing and quality of life for people with idiopathic Parkinson's disease (IPD) and dysphagia. Few studies have examined outcomes using instrumentation. Aims: Using fibreoptic endoscopic examination of swallowing (FEES), this study examines the effectiveness of a neurorehabilitation intervention involving biofeedback via surface electromyography (sEMG) to improve swallowing in people with IPD, and to explore the feasibility of the intervention approach. Methods & Procedures: We recruited 12 participants with IPD and dysphagia. A total of 10 completed the study. Intervention was delivered for 1 h per day, 5 days per week, for 4 weeks (20 h). Swallowing tasks using sEMG biofeedback incorporated principles of motor learning and neuroplasticity. Instrumental and non-instrumental assessment, including quality-of-life measures carried out at four different time points (two pre-treatment and two post-treatment). The final assessment was at 3 months post-intervention.Outcome & Results: Statistically significant improvement (p < 0.05) in oral intake methods (95% confidence interval (CI) = 4.70-5.50) and in pharyngeal residue from saliva (95% CI = 2.14-3.15) and solids (95% CI = 2.4-3.5) postintervention were confirmed using FEES with improvements at 3 months. The intervention protocol was well tolerated. Participants reported positive change in saliva control and duration of mealtimes as well as unanticipated improvements in voice and cognitive attention. Conclusions & Implications: An intensive neurorehabilitation with biofeedback shows positive effects in improving swallow function in IPD. This protocol is feasible with amendments to inform a larger clinical trial.

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Pharyngeal Residue Scoring in Fiberoptic Endoscopic Evaluation of Swallowing: Reliability Comparison and Applicability Among Different Scales

Messina,

Rocca,

Manca

et al. 2024

Dysphagia

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Several scales to assess pharyngeal residue in Fiberoptic Endoscopic Evaluation of Swallowing (FEES) are currently available. The study aimed to compare the reliability and the applicability in real clinical practice among four rating scales: the Pooling Score (P-SCORE), the Boston Residue and Clearance Scale (BRACS), the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS), and the Residue Ordinal Rating Scale (RORS). Twenty-five FEES videos were evaluated four times, once for each scale, by four speech and language pathologists. To test intra-rater reliability, the same raters re-assessed the videos two weeks apart. To test the applicability, raters recorded the time required to complete each assessment and the perceived difficulty/ease on a visual-analog scale (VAS). The intra-rater and the inter-rater reliability were calculated with Cohen’s weighted Kappa and the Fleiss weighted Kappa, respectively. Time and perceived difficulty/ease scores were compared. The intra-rater reliability analysis showed almost perfect agreement for YPRSRS (k = 0.91) and RORS (k = 0.83) and substantial agreement for P-SCORE (k = 0.76) and BRACS (k = 0.74). Pairwise comparison showed no significant differences among the scales. The inter-rater reliability for the YPRSRS (k = 0.78) was significantly higher than P-SCORE (k = 0.52, p < 0.001), BRACS (k = 0.56, p < 0.001), and RORS (k = 0.65, p = 0.005). The BRACS required the longest time (p < 0.001) and was perceived as the most difficult scale (p < 0.001). The RORS was perceived as the easiest scale (p < 0.05). In conclusion, the YPRSRS showed the highest reliability, while raters perceived the RORS as the easiest to score. These results will allow clinicians to consciously choose which scale to use in clinical practice.

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Reliability and Construct Validity of the Yale Pharyngeal Residue Severity Rating Scale: Performance on Videos and Effect of Bolus Consistency

Cited by 8 publications

References 28 publications

Studio di validazione e affidabilità della traduzione italiana della Yale Pharyngeal Residue Severity Rating Scale

Studio di validazione e affidabilità della traduzione italiana della Yale Pharyngeal Residue Severity Rating Scale

An intensive neurorehabilitation programme with sEMG biofeedback to improve swallowing in idiopathic Parkinson's disease (IPD): A feasibility study

Pharyngeal Residue Scoring in Fiberoptic Endoscopic Evaluation of Swallowing: Reliability Comparison and Applicability Among Different Scales

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