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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 : 000057 ( Pmc/Curation ); précédent : 000056; suivant : 000058

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 :

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

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PMC:4440452

Le document en format XML

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<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>
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<journal-id journal-id-type="nlm-ta">Int Arch Otorhinolaryngol</journal-id>
<journal-id journal-id-type="iso-abbrev">Int Arch Otorhinolaryngol</journal-id>
<journal-id journal-id-type="doi">10.1055/s-00025477</journal-id>
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<journal-title>International Archives of Otorhinolaryngology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1809-9777</issn>
<issn pub-type="epub">1809-4864</issn>
<publisher>
<publisher-name>Thieme Publicações Ltda</publisher-name>
<publisher-loc>Rio de Janeiro, Brazil</publisher-loc>
</publisher>
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<article-id pub-id-type="pmid">26038680</article-id>
<article-id pub-id-type="pmc">4440452</article-id>
<article-id pub-id-type="doi">10.7162/S1809-97772013000100012</article-id>
<article-id pub-id-type="publisher-id">170112</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar doppler</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Abdulmassih</surname>
<given-names>Edna Márcia da Silva</given-names>
</name>
<xref rid="AF170112-1" ref-type="aff">1</xref>
<xref rid="CO170112-1" ref-type="author-notes"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Teive</surname>
<given-names>Hélio Afonso Ghizoni</given-names>
</name>
<xref rid="AF170112-2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Santos</surname>
<given-names>Rosane Sampaio</given-names>
</name>
<xref rid="AF170112-3" ref-type="aff">3</xref>
</contrib>
</contrib-group>
<aff id="AF170112-1">
<label>1</label>
<institution>Speech Therapist Speech Therapy Specialist Hospital PUC PR Master in Communication Disorders UTP PR Doctoral Student in Internal Medicine UFPR.</institution>
</aff>
<aff id="AF170112-2">
<label>2</label>
<institution>Associate Professor of Neurology UFPR.</institution>
</aff>
<aff id="AF170112-3">
<label>3</label>
<institution>Speech Therapist Master in Communication Disorders UTP PR Doctoral Student in Internal Medicine UFPR.</institution>
</aff>
<aff id="AF170112-4">
<institution>Institution: Neurology Service, Department of Internal Medicine, Clinical Hospital, Federal University of Paraná. Curitiba / PR - Brazil.</institution>
</aff>
<author-notes>
<corresp id="CO170112-1">
<bold>Address for correspondence </bold>
Edna Márcia da Silva Abdulmassih
<institution>17 A, Jose de Melo Braga Junior - Curitiba / PR - Brazil - Zip Code: 81.540-280 - Telephone: +55 41 9252-8795</institution>
<email>eabdul@uol.com.br</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2013</year>
</pub-date>
<volume>17</volume>
<issue>1</issue>
<fpage>66</fpage>
<lpage>73</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>8</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>10</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>© Thieme Medical Publishers</copyright-statement>
</permissions>
<abstract>
<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>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Deglutition Disorders</kwd>
<kwd>Spinocerebellar Ataxias</kwd>
<kwd>Doppler Effect</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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