Palpation as a Method To Predict Spatial Instrumental Hyolaryngeal Excursion Measures.

IF 3 3区 医学 Q1 OTORHINOLARYNGOLOGY
Kelsey L Murray, Sarah H Szynkiewicz, Erin Kamarunas
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引用次数: 0

Abstract

The purpose of this study is to determine if speech-language pathologists' (SLP) ratings of palpated hyolaryngeal excursion (pHLE) during a clinical swallow evaluation (CSE) are predictive of spatial measures of hyolaryngeal excursion determined by instrumentation (iHLE). Adults between the ages of 18-99 were recruited with a physician referral to complete a CSE and videofluoroscopy swallow study. Four SLP investigators completed ratings of pHLE palpation during a CSE. Spatial measures of hyoid peak elevation were taken from videofluoroscopy swallow studies. Statistical analyses included multiple linear regression to determine the best-fitting model to predict iHLE from palpated ratings. Data from 77 volunteers (44 female, mean age 71.6) were used for statistical analyses. The linear regression model indicated three significant predictors of superior (upward) hyoid peak position, including palpation, bolus consistency, and the number of swallows. There were no significant predictors of anterior (forward) hyoid peak position from the tested factors. The emergence of these significant predictors suggests that palpation may provide insight into superior HLE movements during a CSE. Next steps will be to determine if palpation improves SLPs' diagnostic accuracy and clinical decision-making during swallow assessment without instrumentation.

触诊作为预测空间仪器喉偏移测量的方法。
本研究的目的是确定在临床吞咽评估(CSE)中,语言病理学家(SLP)对触诊的咽漂移(pHLE)的评分是否可以预测由仪器测量(iHLE)确定的咽漂移的空间测量。年龄在18-99岁之间的成年人在医生推荐下被招募来完成CSE和视频透视吞咽研究。四名SLP调查员在CSE期间完成了pHLE触诊评分。舌骨峰抬高的空间测量是通过透视吞咽研究获得的。统计分析包括多元线性回归,以确定从触诊评分预测iHLE的最佳拟合模型。77名志愿者(女性44名,平均年龄71.6岁)的数据用于统计分析。线性回归模型显示舌骨峰位置向上的三个显著预测因子,包括触诊、剂量一致性和吞咽次数。从测试的因素来看,舌骨峰前(前)位置没有显著的预测因子。这些重要预测因素的出现表明,触诊可能有助于了解CSE期间HLE的运动情况。下一步将是确定在没有仪器的情况下,触诊是否能提高slp的诊断准确性和临床决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Dysphagia
Dysphagia 医学-耳鼻喉科学
CiteScore
4.90
自引率
15.40%
发文量
149
审稿时长
6-12 weeks
期刊介绍: Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.
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