Parrott L C, Selley W G, Brooks W A, Lethbridge P C, Cole J J, Flack F C, Ellis R E, Tripp J H
Vranch House School, Exeter, Devon, U.K.
Dysphagia. 1992;7(4):209-19. doi: 10.1007/BF02493472.
Eighteen children with cerebral palsy in a special school, most of whom had feeding difficulties, were studied to compare the diagnostic value of the Exeter Dysphagia Assessment Technique (EDAT) with an exhaustive clinical assessment undertaken by a multidisciplinary team experienced in the diagnosis and treatment of dysphagia of neurological origin. Four feeding skills were assessed by each method independently, viz. anticipation, intraoral sensory perception, oral-motor efficiency, and pharyngeal triggering. Comparison of the two sets of results showed agreement in at least 78% of the assessed skills. The possible reasons for the few discrepancies are discussed. The noninvasive EDAT equipment was easy to use with the children, who had a range of type and severity of cerebral palsy. The test was undertaken in their familiar surroundings and took 15 to 20 min per child. Interpretation of the results showed that EDAT provided a rapid, reliable diagnostic aid which assisted in the assessment of the degree of feeding impairment within each of the four feeding skills tested.
对一所特殊学校的18名脑瘫儿童进行了研究，其中大多数儿童存在进食困难。研究目的是比较埃克塞特吞咽障碍评估技术（EDAT）与由在神经源性吞咽障碍诊断和治疗方面经验丰富的多学科团队进行的详尽临床评估的诊断价值。每种方法独立评估四项进食技能，即预期、口腔内感觉感知、口腔运动效率和咽部触发。两组结果的比较显示，至少78%的评估技能结果一致。讨论了出现少数差异的可能原因。这种非侵入性的EDAT设备便于与患有不同类型和严重程度脑瘫的儿童使用。测试在他们熟悉的环境中进行，每个儿童测试需要15至20分钟。结果解读表明，EDAT提供了一种快速、可靠的诊断辅助手段，有助于评估所测试的四项进食技能中每项技能的进食障碍程度。
