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The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar doppler

Identifieur interne : 002157 ( Main/Exploration ); précédent : 002156; suivant : 002158

The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar doppler

Auteurs : Edna Márcia Da Silva Abdulmassih ; Hélio Afonso Ghizoni Teive ; Rosane Sampaio Santos

Source :

International Archives of Otorhinolaryngology [ 1809-9777 ] ; 2013.

RBID : PMC:4440452

Abstract

Sumarry

Introduction: Spinocerebellar ataxia (SCA) is a degenerative disease that can cause loss of coordination of voluntary muscle movement such as that required for swallowing.

Aims: The purposes of this cross-sectional and comparative case study were: (1) to assess the severity of dysphagia through a videofluoroscopic swallow study, and (2) to compare differences in frequency, intensity, and duration of sound waves produced during swallowing in normal and SCA patients by using sonar Doppler.

Method: During swallow evaluation using videofluoroscopy, a sonar Doppler transducer was placed on the right side of the neck, at the lateral edge of the trachea, just below the cricoid cartilage to capture the sounds of swallowing in 30 SCA patients and 30 controls.

Result: The prevalence in the dynamic evaluation of swallowing videofluoroscopy was by changes in the oral phase of swallowing. The analysis of variance of the averages found in each variable - frequency, intensity and duration of swallowing - shows there was a significant correlation when compared to the healthy individual curve.

Conclusion: The study demonstrates the prevalence of oral dysphagia observed in dynamic videofluoroscopic swallow evaluation. In patients with SCA, the mean initial frequency (IF), initial intensity (II), and final intensity (FI) were higher and the time (T) and peak frequency (PF) were lower, demonstrating a pattern of cricopharyngeal opening very close to that found in normal populations.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4440452

DOI: 10.7162/S1809-97772013000100012
PubMed: 26038680
PubMed Central: 4440452

Affiliations:

Le document en format XML

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<author><name sortKey="Abdulmassih, Edna Marcia Da Silva" sort="Abdulmassih, Edna Marcia Da Silva" uniqKey="Abdulmassih E" first="Edna Márcia Da Silva" last="Abdulmassih">Edna Márcia Da Silva Abdulmassih</name>
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<author><name sortKey="Teive, Helio Afonso Ghizoni" sort="Teive, Helio Afonso Ghizoni" uniqKey="Teive H" first="Hélio Afonso Ghizoni" last="Teive">Hélio Afonso Ghizoni Teive</name>
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<author><name sortKey="Santos, Rosane Sampaio" sort="Santos, Rosane Sampaio" uniqKey="Santos R" first="Rosane Sampaio" last="Santos">Rosane Sampaio Santos</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The evaluation of swallowing in patients with spinocerebellar ataxia
and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar
doppler</title>
<author><name sortKey="Abdulmassih, Edna Marcia Da Silva" sort="Abdulmassih, Edna Marcia Da Silva" uniqKey="Abdulmassih E" first="Edna Márcia Da Silva" last="Abdulmassih">Edna Márcia Da Silva Abdulmassih</name>
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<author><name sortKey="Teive, Helio Afonso Ghizoni" sort="Teive, Helio Afonso Ghizoni" uniqKey="Teive H" first="Hélio Afonso Ghizoni" last="Teive">Hélio Afonso Ghizoni Teive</name>
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<author><name sortKey="Santos, Rosane Sampaio" sort="Santos, Rosane Sampaio" uniqKey="Santos R" first="Rosane Sampaio" last="Santos">Rosane Sampaio Santos</name>
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<front><div type="abstract" xml:lang="en"><title>Sumarry</title>
<p><bold>Introduction:</bold> Spinocerebellar ataxia (SCA) is a degenerative disease
that can cause loss of coordination of voluntary muscle movement such as
that required for swallowing.</p>
<p><bold>Aims:</bold> The purposes of this cross-sectional and comparative case study
were: (1) to assess the severity of dysphagia through a videofluoroscopic
swallow study, and (2) to compare differences in frequency, intensity, and
duration of sound waves produced during swallowing in normal and SCA
patients by using sonar Doppler.</p>
<p><bold>Method:</bold> During swallow evaluation using videofluoroscopy, a sonar
Doppler transducer was placed on the right side of the neck, at the lateral
edge of the trachea, just below the cricoid cartilage to capture the sounds
of swallowing in 30 SCA patients and 30 controls.</p>
<p><bold>Result:</bold> The prevalence in the dynamic evaluation of swallowing
videofluoroscopy was by changes in the oral phase of swallowing. The
analysis of variance of the averages found in each variable - frequency,
intensity and duration of swallowing - shows there was a significant
correlation when compared to the healthy individual curve.</p>
<p><bold>Conclusion</bold>: The study demonstrates the prevalence of oral dysphagia
observed in dynamic videofluoroscopic swallow evaluation. In patients with
SCA, the mean initial frequency (IF), initial intensity (II), and final
intensity (FI) were higher and the time (T) and peak frequency (PF) were
lower, demonstrating a pattern of cricopharyngeal opening very close to that
found in normal populations.</p>
</div>
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The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar doppler

The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar doppler

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