Cargando…

Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients

OBJECTIVE: To verify the pharyngeal width at rest as a measurement that could be used to assess changes in the degree of dysphagia over time in stroke patients. METHODS: In a cohort of stroke patients, we performed serial measurements of the pharyngeal width at the midpoints of the second (C2) and t...

Descripción completa

Detalles Bibliográficos
Autores principales: Baek, Seungki, Jung, Il Hwan, Lee, Ho Young, Song, Jimin, Cha, Eunsil, Jung, Kwang-Ik, Yoo, Woo-Kyoung, Ohn, Suk Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7349039/
https://www.ncbi.nlm.nih.gov/pubmed/32475096
http://dx.doi.org/10.5535/arm.19140
_version_ 1783556971810521088
author Baek, Seungki
Jung, Il Hwan
Lee, Ho Young
Song, Jimin
Cha, Eunsil
Jung, Kwang-Ik
Yoo, Woo-Kyoung
Ohn, Suk Hoon
author_facet Baek, Seungki
Jung, Il Hwan
Lee, Ho Young
Song, Jimin
Cha, Eunsil
Jung, Kwang-Ik
Yoo, Woo-Kyoung
Ohn, Suk Hoon
author_sort Baek, Seungki
collection PubMed
description OBJECTIVE: To verify the pharyngeal width at rest as a measurement that could be used to assess changes in the degree of dysphagia over time in stroke patients. METHODS: In a cohort of stroke patients, we performed serial measurements of the pharyngeal width at the midpoints of the second (C2) and third (C3) cervical vertebral bodies using lateral neck X-rays while the patients were at rest. The JOSCYL width, a parameter named after the first initial of each developers’ surname and defined as the average value of the upper and lower pharyngeal widths, was used to formulate the JOSCYL scale, which was calculated as the JOSCYL width × 100/neck circumference. All patients also underwent serial videofluoroscopic swallowing studies (VFSSs). The Spearman correlation analysis was used to detect correlations between the serial VFSS results, JOSCYL widths, and JOSCYL scale values. RESULTS: Over time, we observed significant positive and negative correlations of change in the JOSCYL width and scale with changes in the Penetration-Aspiration Scale and the Dysphagia Outcome and Severity Scale scores, respectively. CONCLUSION: The JOSCYL width and JOSCYL scale clearly reflected changes in dysphagia in stroke patients over time. These parameters may provide an easier method for evaluating whether post-stroke dysphagia has been alleviated.
format Online
Article
Text
id pubmed-7349039
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Korean Academy of Rehabilitation Medicine
record_format MEDLINE/PubMed
spelling pubmed-73490392020-07-20 Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients Baek, Seungki Jung, Il Hwan Lee, Ho Young Song, Jimin Cha, Eunsil Jung, Kwang-Ik Yoo, Woo-Kyoung Ohn, Suk Hoon Ann Rehabil Med Original Article OBJECTIVE: To verify the pharyngeal width at rest as a measurement that could be used to assess changes in the degree of dysphagia over time in stroke patients. METHODS: In a cohort of stroke patients, we performed serial measurements of the pharyngeal width at the midpoints of the second (C2) and third (C3) cervical vertebral bodies using lateral neck X-rays while the patients were at rest. The JOSCYL width, a parameter named after the first initial of each developers’ surname and defined as the average value of the upper and lower pharyngeal widths, was used to formulate the JOSCYL scale, which was calculated as the JOSCYL width × 100/neck circumference. All patients also underwent serial videofluoroscopic swallowing studies (VFSSs). The Spearman correlation analysis was used to detect correlations between the serial VFSS results, JOSCYL widths, and JOSCYL scale values. RESULTS: Over time, we observed significant positive and negative correlations of change in the JOSCYL width and scale with changes in the Penetration-Aspiration Scale and the Dysphagia Outcome and Severity Scale scores, respectively. CONCLUSION: The JOSCYL width and JOSCYL scale clearly reflected changes in dysphagia in stroke patients over time. These parameters may provide an easier method for evaluating whether post-stroke dysphagia has been alleviated. Korean Academy of Rehabilitation Medicine 2020-06 2020-05-29 /pmc/articles/PMC7349039/ /pubmed/32475096 http://dx.doi.org/10.5535/arm.19140 Text en Copyright © 2020 by Korean Academy of Rehabilitation Medicine 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 non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Baek, Seungki
Jung, Il Hwan
Lee, Ho Young
Song, Jimin
Cha, Eunsil
Jung, Kwang-Ik
Yoo, Woo-Kyoung
Ohn, Suk Hoon
Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients
title Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients
title_full Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients
title_fullStr Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients
title_full_unstemmed Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients
title_short Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients
title_sort changes in pharyngeal width over time as an indicator of dysphagia in stroke patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7349039/
https://www.ncbi.nlm.nih.gov/pubmed/32475096
http://dx.doi.org/10.5535/arm.19140
work_keys_str_mv AT baekseungki changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT jungilhwan changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT leehoyoung changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT songjimin changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT chaeunsil changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT jungkwangik changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT yoowookyoung changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients
AT ohnsukhoon changesinpharyngealwidthovertimeasanindicatorofdysphagiainstrokepatients