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Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patients.

Authors :
Cho H
Noh JS
Park J
Park C
Park ND
Ahn JY
Park JW
Choi YH
Chun SM
Source :
Annals of rehabilitation medicine [Ann Rehabil Med] 2021 Dec; Vol. 45 (6), pp. 440-449. Date of Electronic Publication: 2021 Dec 31.
Publication Year :
2021

Abstract

Objective: To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients.<br />Methods: Free tongue length (FTL) was measured using the quick tongue-tie assessment tool and MTPL was measured using a transparent plastic ruler in 47 post-stroke patients. The MTPL-to-FTL (RMF) ratio was calculated. Swallowing function in all patients was evaluated via videofluoroscopic swallowing study (VFSS), PenetrationAspiration Scale (PAS), Functional Oral Intake Scale (FOIS), and Videofluoroscopic Dysphagia Scale (VDS).<br />Results: The MTPL and RMF values were significantly higher in the non-aspirator group than in the aspirator group (MTPL, p=0.0049; RMF, p<0.001). MTPL and RMF showed significant correlations with PAS, FOIS and VDS scores. The cut-off value in RMF for the prediction of aspiration was 1.56, with a sensitivity of 84% and a specificity of 86%.<br />Conclusion: There is a relationship between MTPL and dysphagia in post-stroke patients. MTPL and RMF can be useful for detecting aspiration in post-stroke patients.

Details

Language :
English
ISSN :
2234-0645
Volume :
45
Issue :
6
Database :
MEDLINE
Journal :
Annals of rehabilitation medicine
Publication Type :
Academic Journal
Accession number :
35000369
Full Text :
https://doi.org/10.5535/arm.21126