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Titre : | Findings of Abnormal Videofluoroscopic Swallowing Study Identified by High-Resolution Manometry Parameters (2016) |
Auteurs : | Donghwi Park ; Yoongul Oh ; Ju Seok Ryu |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/3, 2016) |
Article en page(s) : | pp. 421428 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Troubles de la déglutition |
Mots-clés: | Fluoroscopy ; Radioscopie ; Deglutition disorders ; Manometry ; Manométrie |
Résumé : |
Objective To identify the parameters of high-resolution manometry (HRM) with a significant correlation to abnormal findings of videofluoroscopic swallowing study (VFSS). Design Prospective study. Setting Hospital rehabilitation department. Participants Patients with dysphagia symptoms (N=40). Intervention Participants were evaluated once using VFSS in neutral head position and evaluated twice using HRM with 5mL of thin fluid. Main Outcome Measures HRM parameters included maximal pressure, area integral, rise time, duration of the velopharynx and tongue base, maximal pressure of preupper esophageal sphincter (UES), low pharynx, cricopharyngeus, minimal UES pressure, UES activity time, and nadir UES duration. HRM parameters were compared with the findings of VFSS. Receiver operating characteristic analysis was performed to obtain the cutoff value, sensitivity, and specificity of HRM parameters for the prediction of findings of VFSS. Results The maximum pressure of the velopharynx showed a significantly positive prediction for most abnormal parameters of VFSS in the pharyngeal phase. Nadir UES pressure duration was significant for impaired laryngeal elevation, residue at pyriformis sinus, and combination of penetration and aspiration. The maximum pressure of the velopharynx Conclusions This study identified significant HRM parameters that are highly specific for individual abnormalities of VFSS, suggesting the cutoff value, sensitivity, and specificity. Because HRM could inform the quantitative measurement of pharyngeal weakness, the cutoff value for HRM parameters could be used to predict aspiration in patients with pharyngeal weakness. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315013416 |