Department of Communication Disorders, Peninsula Hospital Center, Far Rockaway, NY 11691, USA.
Dysphagia. 2009 Dec;24(4):423-33. doi: 10.1007/s00455-009-9220-5. Epub 2009 May 30.
Speech-language pathologists tend to rely on the noninstrumental swallowing evaluation in making recommendations about a patient's diet and management plan. The present study was designed to examine the sensitivity and specificity of the accuracy of using the chin-down posture during the clinical/bedside swallowing assessment. In 15 patients with acute stroke and clinically suspected oropharyngeal dysphagia, the correlation between clinical and videofluoroscopic findings was examined. Results identified that there is a difference in outcome prediction using the chin-down posture during the clinical/bedside assessment of swallowing compared to assessment by videofluoroscopy. Results are discussed relative to statistical and clinical perspectives, including site of lesion and factors to be considered in the design of an overall treatment plan for a patient with disordered swallowing.
言语语言病理学家倾向于依赖非仪器吞咽评估来为患者的饮食和管理计划提出建议。本研究旨在检查在临床/床边吞咽评估中使用低头姿势的准确性的灵敏度和特异性。在 15 名急性脑卒中患者和临床疑似口咽吞咽困难患者中，检查了临床和视频荧光检查结果之间的相关性。结果表明，与视频荧光检查相比，在临床/床边吞咽评估中使用低头姿势进行结果预测存在差异。结果从统计学和临床角度进行了讨论，包括病变部位以及在设计吞咽障碍患者整体治疗计划时需要考虑的因素。
