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Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis

PURPOSE: To investigate the association between the clinical evaluation and self-perception of deglutition with the motor disability scale in patients with Multiple Sclerosis. METHODS: It is a cross-sectional, prospective study that was conducted with individuals with Multiple Sclerosis treated by t...

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Autores principales: Piloti, Dandara Tailuma Weiler, Ruiz, Vânia Carolina Devitte, Ribeiro, Marlise de Castro, de Almeida, Sheila Tamanini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Fonoaudiologia 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9769428/
https://www.ncbi.nlm.nih.gov/pubmed/35019079
http://dx.doi.org/10.1590/2317-1782/20212021026
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author Piloti, Dandara Tailuma Weiler
Ruiz, Vânia Carolina Devitte
Ribeiro, Marlise de Castro
de Almeida, Sheila Tamanini
author_facet Piloti, Dandara Tailuma Weiler
Ruiz, Vânia Carolina Devitte
Ribeiro, Marlise de Castro
de Almeida, Sheila Tamanini
author_sort Piloti, Dandara Tailuma Weiler
collection PubMed
description PURPOSE: To investigate the association between the clinical evaluation and self-perception of deglutition with the motor disability scale in patients with Multiple Sclerosis. METHODS: It is a cross-sectional, prospective study that was conducted with individuals with Multiple Sclerosis treated by the Neuroimmunology outpatient clinic of a hospital in southern Brazil. We reviewed the electronic medical records of patients to extract the score from the last Expanded Disability Status Scale. After the analysis of the inclusion criteria, and in clinical consultation, two protocols were applied: one of self-perception for the risk of dysphagia, through the Brazilian equivalence instrument of the Eating Assessment Tool; and the clinical evaluation of swallowing, with food, through the scale Gugging Swallowing Screen. The data were analyzed through tables, descriptive statistics and the tests: Fisher's Exact Association Test and Chi-square Test to assess the association between the results of the applied scales. We considered a maximum significance level of 5% (p <0.05). RESULTS: It was possible to observe that there was a significant association between the scores of the Gugging Swallowing Screen scales with the Expanded Disability Status Scale of the patients. In addition, there was also a relation between the results of both protocols with the Expanded Disability Status Scale. CONCLUSION: The patients with Multiple Sclerosis in this study presented oropharyngeal dysphagia, what was confirmed by the association between the clinical evaluation of swallowing and the results of the instrument of self-perception of swallowing and the motor disability scale.
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spelling pubmed-97694282023-02-01 Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis Piloti, Dandara Tailuma Weiler Ruiz, Vânia Carolina Devitte Ribeiro, Marlise de Castro de Almeida, Sheila Tamanini Codas Original Article PURPOSE: To investigate the association between the clinical evaluation and self-perception of deglutition with the motor disability scale in patients with Multiple Sclerosis. METHODS: It is a cross-sectional, prospective study that was conducted with individuals with Multiple Sclerosis treated by the Neuroimmunology outpatient clinic of a hospital in southern Brazil. We reviewed the electronic medical records of patients to extract the score from the last Expanded Disability Status Scale. After the analysis of the inclusion criteria, and in clinical consultation, two protocols were applied: one of self-perception for the risk of dysphagia, through the Brazilian equivalence instrument of the Eating Assessment Tool; and the clinical evaluation of swallowing, with food, through the scale Gugging Swallowing Screen. The data were analyzed through tables, descriptive statistics and the tests: Fisher's Exact Association Test and Chi-square Test to assess the association between the results of the applied scales. We considered a maximum significance level of 5% (p <0.05). RESULTS: It was possible to observe that there was a significant association between the scores of the Gugging Swallowing Screen scales with the Expanded Disability Status Scale of the patients. In addition, there was also a relation between the results of both protocols with the Expanded Disability Status Scale. CONCLUSION: The patients with Multiple Sclerosis in this study presented oropharyngeal dysphagia, what was confirmed by the association between the clinical evaluation of swallowing and the results of the instrument of self-perception of swallowing and the motor disability scale. Sociedade Brasileira de Fonoaudiologia 2022-01-10 /pmc/articles/PMC9769428/ /pubmed/35019079 http://dx.doi.org/10.1590/2317-1782/20212021026 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Piloti, Dandara Tailuma Weiler
Ruiz, Vânia Carolina Devitte
Ribeiro, Marlise de Castro
de Almeida, Sheila Tamanini
Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
title Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
title_full Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
title_fullStr Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
title_full_unstemmed Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
title_short Association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
title_sort association between clinical evaluation and self perception of deglutition with motor disability scale in patients with multiple sclerosis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9769428/
https://www.ncbi.nlm.nih.gov/pubmed/35019079
http://dx.doi.org/10.1590/2317-1782/20212021026
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