Utility of Clinical Swallowing Examination Measures for Detecting Aspiration Post-Stroke

McCullough, G. H.; Rosenbek, J. C.; Wertz, R. T.; McCoy, S.; Mann, G.; McCullough, K.
December 2005
Journal of Speech, Language & Hearing Research;Dec2005, Vol. 48 Issue 6, p1280
Academic Journal
The purpose of this investigation was to determine the utility of clinical swallowing examination (CSE) measures for detecting aspiration as defined by videofluoroscopic swallowing examination (VFSE). This study, involving 165 participants, is a follow-up to a previously published investigation of 60 participants. Findings are compared with that investigation as well as with other research on CSEs. The results suggest that clinicians can make an accurate judgment of the occurrence of aspiration in most poststroke patients. However, ruling out aspiration when it is absent appears more problematic. More work needs to be done if data collected from noninstrumented examinations are to be strongly predictive of the presence and absence of aspiration on VFSE. At present, there are no data to suggest that CSEs can be used to quantify aspiration or make adequate recommendations regarding patient care.


Related Articles

  • Resolution of Tracheal Aspiration After the Acute Phase of Stroke-Related Oropharyngeal Dysphagia. Terré, Rosa; Mearin, Fermín // American Journal of Gastroenterology;Apr2009, Vol. 104 Issue 4, p923 

    OBJECTIVES:We set out to ascertain the evolution and the clinical and videofluoroscopic (VFS) prognostic factors of aspiration recovery and return to oral intake in patients with stroke and VFS diagnosis of tracheal aspiration.METHODS:Twenty patients with stroke and VFS diagnosis of tracheal...

  • Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. Finestone, Hillel M.; Greene-Finestone, Linda S. // CMAJ: Canadian Medical Association Journal;11/11/2003, Vol. 169 Issue 10, p1041 

    FOLLOWING STROKE, PATIENTS MAY HAVE REDUCED DIETARY intake, swallowing impairments (dysphagia) and other neurological deficits that could affect their nutritional and hydration status and lead to aspiration pneumonia. Impaired nutritional status is associated with reduced functional improvement,...

  • Comparison of Clinician Judgments and Measurements of Swallow Response Time: A Preliminary Report. Karnell, Michael P.; Rogus, Nicole M. // Journal of Speech, Language & Hearing Research;Dec2005, Vol. 48 Issue 6, p1269 

    Practicing clinicians frequently offer judgments about aspects of swallowing physiology rather than performing actual measurements. Little is known about the accuracy of those judgments. The purpose of this preliminary study was to explore agreement of clinicians' judgments of pharyngeal swallow...

  • Comments on Selected Recent Dysphagia Literature. Sasaki, Clarence; Leder, Steven // Dysphagia (0179051X);Fall2004, Vol. 19 Issue 4, p272 

    This article comments on several studies on dysphagia. The aim of the study "Efficacy of Swallowing Training for Residents Following Stroke," conducted by Lin L-C, Wang S-C, Chen SH, Wang T-G, Chen M-Y, Wu S-C, was to examine the functional swallowing and nutritional outcomes of swallowing...

  • Deglutitive Iaryncieal closure in stroke patients. Power, M. I.; Hamdy, S.; Singh, S.; Tyrrell, P. J.; Turnbull, I.; Thompson, D. G. // Journal of Neurology, Neurosurgery & Psychiatry;Feb2007, Vol. 78 Issue 2, p141 

    Background: Dysphagia has been reported in up to 70% of patients with stroke, predisposing them to aspiration and pneumonia. Despite this, the mechanism for aspiration remains unclear. Aims: To determine the relationship between bolus flow and laryngeal closure during swallowing in patients with...

  • Dysphagia in stroke patients. Singh, S.; Hamdy, S. // Postgraduate Medical Journal;Jun2006, Vol. 82 Issue 968, p383 

    Swallowing musculature is asymmetrically represented in both motor cortices. Stroke affecting the hemisphere with the dominant swallowing projection results in dysphagia and clinical recovery has been correlated with compensatory changes in the previously non-dominant, unaffected hemisphere....

  • INGESTA ORAL DO PACIENTE HOSPITALIZADO COM DISFAGIA OROFARÍNGEA NEUROGÊNICA. Silvério, Carolina Castelli; Hernandez, Ana Maria; Rebelo Gonçalves, Maria Inês // Revista CEFAC;2010, Vol. 12 Issue 6, p964 

    Purpose: to investigate the development in oral intake and the incidence of bronchopneumonia (BCP) in hospitalized patients with neurogenic oropharyngeal dysphagia, after speech and language therapy intervention. Methods: 50 adult patients, divided in three groups: I: 31 post stroke patients;...

  • Pneumatic Dilation for Achalasia without Fluoroscopic Guidance: Safety and Efficacy. Lambroza, Arnon; Schuman, Robert W. // American Journal of Gastroenterology;Aug1995, Vol. 90 Issue 8, p1226 

    Objectives: To describe the technique of pneumatic dilation for achalasia without fluoroscopic guidance and to assess its safety and efficacy. Methods: Twenty-seven consecutive patients who underwent pneumatic dilation with the Rigiflex achalasia balloon under direct endoscopic visualization...

  • Pre and post-surgical dysphagia outcome associated with posterior fossa tumour in children. Angela Morgan; Deborah Sell; Martina Ryan; Elizabeth Raynsford; Richard Hayward // Journal of Neuro-Oncology;May2008, Vol. 87 Issue 3, p347 

    Abstract   Background Swallowing impairment (dysphagia) has been reported as a possible sequela following surgical removal of posterior fossa tumours (PFT). Dysphagia may result in aspiration of food/fluid leading to respiratory tract infection, placing the patient at...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics