| Titre : | Classification of Stroke Patients With Dysphagia Into Subgroups Based on Patterns of Submental Muscle Strength and Skill Impairment (2021) |
| Auteurs : | Karen B. Ng ; Richard D. Jones ; Esther Guiu Hernandez ; Phoebe Macrae ; Maggie-Lee Huckabee |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 5, 2021) |
| Article en page(s) : | p. 895-904 |
| Note générale : | https://doi.org/10.1016/j.apmr.2020.11.014 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Déglutition ; Réadaptation ; Troubles de la déglutition |
| Résumé : |
Objectives
To identify and characterize subgroups of stroke patients with clinical signs of dysphagia, based on swallowing-related strength and skill impairments of the submental muscle group. Design Prospective observational study. Setting Inpatient rehabilitation centers and community dwellings. Participants Individuals (N=114), including stroke patients with dysphagia (n=55) and 2 control groups including myopathic patients with dysphagia (n=19) and healthy volunteers (n=40) were included in this study. Interventions Not applicable. Main Outcome Measures Novel clinical assessment of strength (force generation) and skill (spatial and temporal precision of muscle activation) of the submental muscle group during swallowing and nonswallowing behaviors, using surface electromyography and dynamometry. Results Hierarchical cluster analysis revealed 4 clusters, which could be broadly characterized as cluster 1: intact strength and skill, cluster 2: poor strength and poor nonswallowing skill, cluster 3: poor strength, and cluster 4: poor strength and poor swallowing skill. Membership in cluster was significantly associated with medical diagnosis (P<.001 the majority of healthy and myopathic participants were assigned to clusters respectively whereas stroke patients found in all clusters. skill outcome measures more predictive cluster assignment than strength measures.> Conclusions Although healthy and myopathic participants demonstrated predominantly homogeneous swallowing patterns of submental muscle function within their etiology, several subgroups were identified within stroke, possibly reflecting different subtypes of swallowing function. Future research should focus on the nature and rehabilitation needs of these subtypes. Assessment of skill in swallowing may be an important but overlooked aspect of rehabilitation. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320313228#! |
Bibliothèques HE Vinci
