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Titre : | Effect of Anterior Cervical Osteophyte in Poststroke Dysphagia: A Case-Control Study (2015) |
Auteurs : | Youngkook Kim ; Geun-Young Park ; Yu Jung Seo |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/7, 2015) |
Article en page(s) : | p. 12691276 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Nutrition entérale ; Rachis ; Rééducation et réadaptation ; Troubles de la déglutition |
Mots-clés: | Deglutition disorders ; Enteral nutrition ; Osteophyte ; Ostéophyte ; Spine ; Stroke |
Résumé : |
Objective To investigate whether the concomitant presence of anterior cervical osteophytes can influence the severity and outcome of patients with poststroke dysphagia. Design Retrospective case-control study. Setting Hospital. Participants A total of 40 participants were identified (N=40). Patients with poststroke dysphagia with anterior cervical osteophytes (n=20) were identified and matched by age, sex, location, and laterality of the stroke lesion to a poststroke dysphagia control group with no anterior cervical osteophytes (n=20). Interventions Not applicable. Main Outcome Measures Videofluoroscopic swallowing study, Functional Oral Intake Scale (FOIS), and Penetration-Aspiration Scale results assessed within the first month of stroke were analyzed. The FOIS at 6 months was recorded, and severity of dysphagia was compared between the 2 groups. Results The case group had larger degrees of postswallow residues in the valleculae and pyriform sinuses (P=.020 and P<.001 respectively with more patients showing postswallow aspiration than the control group p along a higher risk of being on enteral nutrition feeding ratio confidence interval within first month stroke. at follow-up case had significantly lower mean fois scores an increased having persistent dysphagia ci> Conclusions The presence of anterior cervical osteophytes, which may cause mechanical obstruction and interfere with residue clearance at the valleculae and pyriform sinuses and result in more postswallow aspiration, may influence initial severity and outcome of poststroke dysphagia. The presence of anterior cervical osteophytes may be considered an important clinical condition that may affect poststroke dysphagia rehabilitation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315002166 |