The Assessment of Oral, Pharyngeal and Esophageal Dysphagia in Elderly Persons

Lambert, Heather C.; Gisel, Erika G.

doi:10.1080/j148v14n04_01

Cited by 9 publications

(4 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our best knowledge, this is the first systematic review to summarize properties of bedside tests in patients with neurological disorders. Other reviews were limited to patients with stroke (Martino et al 2000, Perry & Love 2001, Kalf 2002, Ramsey et al 2003, Westergren 2006, were not systematic (Lambert & Gisel 1996), or did not assess the risk of bias (Lambert & Gisel 1996, Perry & Love 2001, Ramsey et al 2003. In line with our findings, all other reviewers recognized that the variety of tests made comparisons very difficult.…”

Section: Discussionsupporting

confidence: 72%

“…2000, Perry & Love 2001, Kalf 2002, Ramsey et al. 2003, Westergren 2006), were not systematic (Lambert & Gisel 1996), or did not assess the risk of bias (Lambert & Gisel 1996, Perry & Love 2001, Ramsey et al. 2003).…”

Section: Discussionmentioning

confidence: 99%

“…The challenge is to construct a screening tool which can easily be taught, is quickly administered and non‐invasive, causes no distress to patients and produces reliable results. Some reviews have been performed previously, but these were not systematic, disregarded the quality of the studies or were limited to patients with stroke (Ott & Pikna 1993, Lambert & Gisel 1996, Martino et al. 2000, Perry & Love 2001, Kalf 2002, Ramsey et al.…”

Section: Introductionmentioning

confidence: 99%

“…The challenge is to construct a screening tool which can easily be taught, is quickly administered and non-invasive, causes no distress to patients and produces reliable results. Some reviews have been performed previously, but these were not systematic, disregarded the quality of the studies or were limited to patients with stroke (Ott & Pikna 1993, Lambert & Gisel 1996, Martino et al 2000, Perry & Love 2001, Kalf 2002, Ramsey et al 2003, Westergren 2006. Many neurological disorders, ranging from static conditions to progressive disorders, may affect the mechanism of swallowing, and screening of swallowing impairments in such conditions has been suggested to protect patients from adverse events.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review

Bours

Speyer²,

Lemmens

et al. 2009

Journal of Advanced Nursing

238

174

View full text Add to dashboard Cite

A water test combined with pulse oximetry using coughing, choking and voice alteration as endpoints is currently the best method to screen patients with neurological disorders for dysphagia. Further research is needed to establish the most effective standardized administration procedure for such a water test, and to assess the value of pulse oximetry, in addition to a trial swallow to detect silent aspiration.

show abstract

Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review

Bours

Speyer²,

Lemmens

et al. 2009

Journal of Advanced Nursing

238

174

View full text Add to dashboard Cite

show abstract

Functional Oral-Motor Skills: Do They Change with Age?

et al. 1998

View full text Add to dashboard Cite

Dysphagia, a difficulty eating or drinking, appears to increase with age and is a concern for our growing elderly population. Mastication, tongue mobility, and lip closure are skills of the oral phase of ingestion, and have been shown to deteriorate with age. However, it is not clear whether these changes affect functional feeding. It is also unclear whether dysphagia is the result of the aging process itself, or whether it is secondary to disease. Therefore, the purpose of this study was to identify changes during the oral phase of ingestion in a group of healthy seniors. Functional feeding skills and oral praxis abilities were measured in 79 healthy adults aged 60-97 years. The Modified Functional Feeding Assessment (FFAm) subscale of the Multidisciplinary Feeding Profile (MFP) and the Oral Praxis Subtest (OPS) of the Southern California Sensory Integration Test were administered respectively. An interview followed to obtain information on denture wear, use of hearing aids and glasses, and types of foods avoided. Seniors maintained functional feeding skills throughout the four decades studied. These skills were not age-dependent, but depended on whether or not subjects wore full dentures. Even though all of the seniors maintained functional feeding skills, more seniors in the younger group (7th decade 60%, 8th decade 67%) had difficulty with a variety of food textures such as soft, hard, fibrous, and some with tough skins, than the older group (9th decade 40%, 10th decade 44%). Oral praxis abilities were correlated significantly with age, but not with hearing aid use. Overall, healthy seniors maintained their functional feeding and oral praxis skills. Good health and natural dentition appear to be excellent indicators for functional feeding ability.

show abstract

McGill Ingestive Skills Assessment (MISA): Development and First Field Test of an Evaluation of Functional Ingestive Skills of Elderly Persons

et al. 2003

Self Cite

View full text Add to dashboard Cite

There is a lack of reliable and valid clinical assessment tools for individuals with loss of ingestive skills. The McGill Ingestive Skills Assessment (MISA) was developed to facilitate the reliable and valid bedside assessment of elderly persons with feeding difficulties. Items were generated by a literature review and selected with the collaboration of a multidisciplinary team. The first version of the MISA comprised 190 items in 7 scales, covering the domains of medical history, mealtime environment, physical characteristics of the patient, food textures consumed, solid ingestion, liquid ingestion, and behaviors related to self-feeding. The first field test for item selection included 50 individuals, aged 60 years and older, living in the community, supervised housing, and long-term care centers. After field testing, 134 items were eliminated due to poor face validity, redundancy, or poor psychometric performance. The remaining 56 items were provided with 4 response categories and were reorganized into 5 scales. The revised version was field tested to determine its preliminary psychometric properties on 33 individuals, 60 years of age and older, residing in a long-term care center. Six items were eliminated due to redundancy after the second field test. Analyses of the revised version resulted in the elimination of another 6 items that were redundant or that demonstrated poor reliability. Internal consistency of all scales is > or = 0.86 and interrater agreement is > or = 0.92. These analyses suggest that the psychometric properties of the MISA are adequate for diagnosis and treatment planning. This supports its readiness for clinical use following further reliability and validity testing with a larger sample.

show abstract

The Assessment of Oral, Pharyngeal and Esophageal Dysphagia in Elderly Persons

Cited by 9 publications

References 52 publications

Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review

Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review

Functional Oral-Motor Skills: Do They Change with Age?

McGill Ingestive Skills Assessment (MISA): Development and First Field Test of an Evaluation of Functional Ingestive Skills of Elderly Persons

Contact Info

Product

Resources

About