Reliability and validity of cervical auscultation: A controlled comparison using videofluoroscopy

Leslie, Paula; Drinnan, Michael; Finn, Paul; Ford, Gary; Jw, Wilson

doi:10.1007/bf02638588

Cited by 60 publications

(98 citation statements)

References 20 publications

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“…A similar phenomenon has been reported in two studies of the application of cervical auscultation in determining the sounds of swallowing, with certain individuals proving much more consistent in their responses than their peers. 47,48 Leslie and colleagues reported intra-rater k values ranging from 20.12 to 0.71, while Stroud et al described one listener with 'almost perfect' intra-rater reliability. Such findings of superior consistency in listening performance lead one to speculate that close listening for perceptual rating purposes may be susceptible to the effects of training once standards have been established.…”

Section: Discussionmentioning

confidence: 99%

Reliability of perceptions of voice quality: evidence from a problem asthma clinic population

et al. 2009

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Introduction: Methods of perceptual voice evaluation have yet to achieve satisfactory consistency; complete acceptance of a recognised clinical protocol is still some way off.Materials and methods: Three speech and language therapists rated the voices of 43 patients attending the problem asthma clinic of a teaching hospital, according to the grade-roughness-breathinessasthenicity-strain (GRBAS) scale and other perceptual categories.Results and analysis: Use of the GRBAS scale achieved only a 64.7 per cent inter-rater reliability and a 69.6 per cent intra-rater reliability for the grade component. One rater achieved a higher degree of consistency. Improved concordance on the GRBAS scale was observed for subjects with laryngeal abnormalities. Raters failed to reach any useful level of agreement in the other categories employed, except for perceived gender.Discussion: These results should sound a note of caution regarding routine adoption of the GRBAS scale for characterising voice quality for clinical purposes. The importance of training and the use of perceptual anchors for reliable perceptual rating need to be further investigated.

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Section: Discussionmentioning

confidence: 99%

Reliability of perceptions of voice quality: evidence from a problem asthma clinic population

et al. 2009

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“…Some authors also point that the best site for positioning the stethoscope would be the lateral neck, above the cricoid cartilage, in front of the sternocleidomastoid muscle and the large vessels. 13,18,22 . A study investigated the best cervical site to perform auscultation.…”

Section: Cervical Auscultationmentioning

confidence: 99%

Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

et al. 2013

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Grants: CAPES/ CNPq.Conflict of interest: non-existent allows the speech therapist to identify: the difficulties the patient displays in the swallowing process, signs of laryngeal penetration and/or laringo-tracheal aspiration of the food swallowed, security in the maintenance or reintroduction of food orally, the best consistency to be used and the possible causes of the alterations identifiedDuring clinical assessment, it is observed the efficiency of the food bolus capture and preparation, the number of swallows, laryngeal elevation, the presence of coughing, choking or other suggestive signs of laryngeal penetration or laryngo-tracheal aspiration, oral escape of the food and nasal regurgitation, length of feeding, the presence of food residues in the oral cavity and changes in vocal quality after deglutition, as well as the need of using postural and/or facilitator maneuvers. To help in this process, most of speech therapists adopt instrumental resources such as the pulse oximetry and cervical auscultation [1][2][3][4] . ABSTRACTIn order to assist on the functional assessment of swallowing, most speech therapists make use of instrumental resources such as cervical auscultation. Thus, the objective of this study was to search the literature in order to find the contribution of cervical auscultation for assessing dysphagias. To this end, international and national journals were reviewed. These journals were indexed in Springer, Lilacs, Bireme, Medline and Scielo databases, comprising the period between 1992 and 2011. From the analysis of the studies, it was possible to verify that: cervical auscultation has been modernized with the technologic evolution, enabling the realization of quantitative studies of the swallowing sounds; there are still few clear evidence of the connections between the sound components of swallowing and the physiological events of the pharyngeal phase; no differences were observed between the swallowing sounds in children and adults; in some studies, cervical auscultation was positively correlated with the videofluoroscopic assessment of swallowing, and others presented positive correlation between these two assessment procedures. Hence, considering that the swallowing videofluoroscopy examination is still difficult to access, with relatively high cost, it is believed that cervical auscultation constitutes an important resource for the diagnosis and clinical monitoring in cases of oropharyngeal dysphagia.

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“…Leslei (27) verified poor agreement between cervical auscultation and videofluoroscopy, and the standardization and validation were made difficult to few studies and professionals considered trustworthy in the detention and adequate classification of the sounds of the swallowing.…”

Section: Correlation Between Clinical Speech-language Pathology and Vmentioning

confidence: 99%

Deglutição em crianças com alterações neurológicas: avaliação clínica e videofluoroscópica

Marrara

Duca

Dantas

et al. 2008

Pró-Fono R. Atual. Cient.

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Background: swallowing in children with neurologic disorders. Aim: to relate the data obtained in the clinical and in the videofluoroscopic evaluations of swallowing in children with neurologic disorders. Methods: a retrospective analysis of 24 protocols of speech-language evaluation and of medical records of children, of both genders, referred to clinical and videofluoroscopic evaluations of swallowing at the School of Medicine of Ribeirão Preto -University of São Paulo, from January 2001 to June 2005. The following aspects were analyzed in the clinical evaluation: diet consistency, functional aspects of the swallowing mechanism and results of the cervical auscultation. Videofluoroscopic evaluation was performed to determine the dynamic aspects of the oral and pharyngeal phases. Results: during the clinical evaluation of the oral phase, for both liquid and pasty consistencies, a greater occurrence of inadequate bolus control was observed (n = 15 e n = 14, respectively). In the pharyngeal phase, also for both consistencies, an adequate cervical auscultate was more frequntly observed before swallowing (n = 16 e n = 13) followed by the inadequate cervical auscultation during swallowing (n = 15 e n = 12). In the videofluoroscopic evaluation, during the oral phase, for both consistencies, the presence of inadequate food propulsion was the most frequent finding (n = 13 e n = 13) and, in the pharyngeal phase, the most frequent finding was the absence of laryngotracheal aspiration (n = 12 e n = 17). There was a statistically significant correlation between the cervical auscultate and the excursion of the hyoid and the larynx, and between the cervical auscultate and laryngotracheal aspiration of liquid and pasty consistencies. Conclusion: both procedures are important and complementary in the diagnosis of dysphagia. Key Words: Children, Swallowing, Dysphagia. ResumoTema: deglutição em crianças com alterações neurológicas. Objetivo: relacionar os dados obtidos na avaliação clínica fonoaudiológica e avaliação videofluoroscópica da deglutição em crianças com alteração neurológica. Método: análise retrospectiva de 24 protocolos de avaliação fonoaudiológica e prontuários médicos de crianças de ambos os sexos, encaminhadas para avaliação clínica e videofluoroscópica da deglutição no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto -Universidade de São Paulo, no período de janeiro de 2001 a junho de 2005. Na avaliação clínica foram analisados: a consistência da alimentação utilizada, aspectos funcionais do mecanismo de deglutição e os resultados da ausculta cervical. Na avaliação videofluoroscópica foram verificados os aspectos da dinâmica das fases oral e faríngea. Resultados: ao realizar a avaliação clínica na fase oral, com a utilização das consistências líquida e pastosa, verificou-se maior ocorrência do inadequado controle do bolo alimentar (n = 15 e n = 14, respectivamente). Na fase faríngea, para ambas as consistências, observou-se que a ausculta cervical adequada antes da deglutição foi a observ...

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Reliability and validity of cervical auscultation: A controlled comparison using videofluoroscopy

Cited by 60 publications

References 20 publications

Reliability of perceptions of voice quality: evidence from a problem asthma clinic population

Reliability of perceptions of voice quality: evidence from a problem asthma clinic population

Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

Deglutição em crianças com alterações neurológicas: avaliação clínica e videofluoroscópica

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