最大舌前伸长度降低可能预示着中风患者存在吞咽困难。
Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patients.
作者信息
Cho Hyunchul, Noh Jeong Se, Park Junwon, Park Changwook, Park No Dam, Ahn Jun Young, Park Ji Woong, Choi Yoon-Hee, Chun Seong-Min
机构信息
Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Seoul, Korea.
Department of Physical Medicine and Rehabilitation, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
出版信息
Ann Rehabil Med. 2021 Dec;45(6):440-449. doi: 10.5535/arm.21126. Epub 2021 Dec 31.
OBJECTIVE
To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients.
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).
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%.
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.
目的
探讨脑卒中后患者的最大舌前伸长度（MTPL）与吞咽困难之间的关系。
方法
使用快速舌系带评估工具测量47例脑卒中后患者的游离舌长度（FTL），并用透明塑料尺测量MTPL。计算MTPL与FTL的比值（RMF）。通过电视透视吞咽造影检查（VFSS）、渗透-误吸量表（PAS）、功能性经口摄食量表（FOIS）和电视透视吞咽困难量表（VDS）对所有患者的吞咽功能进行评估。
结果
非误吸组的MTPL和RMF值显著高于误吸组（MTPL，p = 0.0049；RMF，p < 0.001）。MTPL和RMF与PAS、FOIS和VDS评分显著相关。预测误吸的RMF临界值为1.56，敏感性为84%，特异性为86%。
结论
脑卒中后患者的MTPL与吞咽困难之间存在关联。MTPL和RMF可用于检测脑卒中后患者的误吸情况。
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