Cargando…

Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia

OBJECTIVE: To investigate the impact of tracheostomy tube capping on swallowing physiology in stroke patients with dysphagia via videofluoroscopic swallowing study (VFSS). METHODS: This study was conducted as a prospective study that involved 30 stroke patients. Then, 4 mL semisolid swallowing was c...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Yong kyun, Lee, Sang-heon, Lee, Jang-won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532348/
https://www.ncbi.nlm.nih.gov/pubmed/28758080
http://dx.doi.org/10.5535/arm.2017.41.3.426
_version_ 1783253439858343936
author Kim, Yong kyun
Lee, Sang-heon
Lee, Jang-won
author_facet Kim, Yong kyun
Lee, Sang-heon
Lee, Jang-won
author_sort Kim, Yong kyun
collection PubMed
description OBJECTIVE: To investigate the impact of tracheostomy tube capping on swallowing physiology in stroke patients with dysphagia via videofluoroscopic swallowing study (VFSS). METHODS: This study was conducted as a prospective study that involved 30 stroke patients. Then, 4 mL semisolid swallowing was conducted with capping of the tracheostomy tube or without capping of the tracheostomy tube. The following five parameters were measured: laryngeal elevation, pharyngeal transit time, post-swallow pharyngeal remnant, upper esophageal sphincter width (UES), and penetration-aspiration scale (PAS) score. RESULTS: On assessment of the differences in swallowing parameters during swallowing between ‘with capping’ and ‘without capping’ statuses, statistically significant differences were found in the post-swallow pharyngeal remnant (without capping, 48.19%±28.70%; with capping, 25.09%±19.23%; p<0.001), normalized residue ratio scale for the valleculae (without capping, 0.17±0.12; with capping, 0.09±0.12; p=0.013), normalized residue ratio scale for the piriform sinus (without capping, 0.16±0.12; with capping, 0.10±0.07; p=0.015), and UES width (without capping, 3.32±1.61 mm; with capping, 4.61±1.95 mm; p=0.003). However, there were no statistically significant differences in laryngeal elevation (x-axis without capping, 2.48±1.45 mm; with capping, 3.26±2.37 mm; y-axis without capping, 11.11±5.24 mm; with capping, 12.64±6.16 mm), pharyngeal transit time (without capping, 9.19± 10.14 s; with capping, 9.09±10.21 s), and PAS score (without capping, 4.94±2.83; with capping, 4.18±2.24). CONCLUSION: Tracheostomy tube capping is a useful way to reduce post-swallow remnants and it can be considered an alternative method for alleviating dysphagia in stroke patients who can tolerate tracheostomy tube capping when post-swallow remnants are observed.
format Online
Article
Text
id pubmed-5532348
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Korean Academy of Rehabilitation Medicine
record_format MEDLINE/PubMed
spelling pubmed-55323482017-07-28 Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia Kim, Yong kyun Lee, Sang-heon Lee, Jang-won Ann Rehabil Med Original Article OBJECTIVE: To investigate the impact of tracheostomy tube capping on swallowing physiology in stroke patients with dysphagia via videofluoroscopic swallowing study (VFSS). METHODS: This study was conducted as a prospective study that involved 30 stroke patients. Then, 4 mL semisolid swallowing was conducted with capping of the tracheostomy tube or without capping of the tracheostomy tube. The following five parameters were measured: laryngeal elevation, pharyngeal transit time, post-swallow pharyngeal remnant, upper esophageal sphincter width (UES), and penetration-aspiration scale (PAS) score. RESULTS: On assessment of the differences in swallowing parameters during swallowing between ‘with capping’ and ‘without capping’ statuses, statistically significant differences were found in the post-swallow pharyngeal remnant (without capping, 48.19%±28.70%; with capping, 25.09%±19.23%; p<0.001), normalized residue ratio scale for the valleculae (without capping, 0.17±0.12; with capping, 0.09±0.12; p=0.013), normalized residue ratio scale for the piriform sinus (without capping, 0.16±0.12; with capping, 0.10±0.07; p=0.015), and UES width (without capping, 3.32±1.61 mm; with capping, 4.61±1.95 mm; p=0.003). However, there were no statistically significant differences in laryngeal elevation (x-axis without capping, 2.48±1.45 mm; with capping, 3.26±2.37 mm; y-axis without capping, 11.11±5.24 mm; with capping, 12.64±6.16 mm), pharyngeal transit time (without capping, 9.19± 10.14 s; with capping, 9.09±10.21 s), and PAS score (without capping, 4.94±2.83; with capping, 4.18±2.24). CONCLUSION: Tracheostomy tube capping is a useful way to reduce post-swallow remnants and it can be considered an alternative method for alleviating dysphagia in stroke patients who can tolerate tracheostomy tube capping when post-swallow remnants are observed. Korean Academy of Rehabilitation Medicine 2017-06 2017-06-29 /pmc/articles/PMC5532348/ /pubmed/28758080 http://dx.doi.org/10.5535/arm.2017.41.3.426 Text en Copyright © 2017 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Yong kyun
Lee, Sang-heon
Lee, Jang-won
Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia
title Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia
title_full Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia
title_fullStr Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia
title_full_unstemmed Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia
title_short Effects of Capping of the Tracheostomy Tube in Stroke Patients With Dysphagia
title_sort effects of capping of the tracheostomy tube in stroke patients with dysphagia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532348/
https://www.ncbi.nlm.nih.gov/pubmed/28758080
http://dx.doi.org/10.5535/arm.2017.41.3.426
work_keys_str_mv AT kimyongkyun effectsofcappingofthetracheostomytubeinstrokepatientswithdysphagia
AT leesangheon effectsofcappingofthetracheostomytubeinstrokepatientswithdysphagia
AT leejangwon effectsofcappingofthetracheostomytubeinstrokepatientswithdysphagia