Abakay Hanife, Yetkin M Fatih, Güç Ayşe, Şekercan Gizem
Incesu Ayşe and Saffet Arslan Health Services Vocational School, Kayseri University, Kayseri, Turkey.
Faculty of Medicine, Internal Medicine, Department of Neurology, Erciyes University, Kayseri, Turkey.
Eur J Oral Sci. 2025 Jun;133(3):e70012. doi: 10.1111/eos.70012. Epub 2025 May 13.
This study aimed to investigate the relationship between dysphagia severity and neck proprioception, pain, and mood in individuals with multiple sclerosis (MS). The individuals were divided into two groups according to the severity of dysphagia: dysphagia group (n = 13) with a score of 3 and above on the Dysphagia Assessment Scale in Multiple Sclerosis (DYMUS) scale and mild dysphagia group (n = 13) with a score of 2 and below. Clinical swallowing function was evaluated with the Turkish version of the Eating Assessment Tool-10 (T-EAT-10) and DYMUS. Proprioception was assessed with a laser by noting the deviation from the center target in centimeters. Neck pain severity was assessed with the Visual Analogue Scale (VAS), and mood was assessed with the Beck Depression Inventory (BDI). Individuals with severe dysphagia demonstrated statistically significantly greater proprioceptive impairment in cervical extension and right rotation. A significant difference was also found between the two groups in terms of clinical swallowing evaluations, neck pain status, and mood measurements. The findings suggest that proprioceptive deficits, increased pain, and mood disturbances are closely associated with dysphagia severity in MS. A multidimensional approach addressing dysphagia, proprioception, and pain management may be beneficial in optimizing dysphagia rehabilitation in patients with MS.
本研究旨在调查多发性硬化症（MS）患者吞咽困难严重程度与颈部本体感觉、疼痛及情绪之间的关系。根据吞咽困难的严重程度将患者分为两组：吞咽困难组（n = 13），其在多发性硬化症吞咽评估量表（DYMUS）上的得分在3分及以上；轻度吞咽困难组（n = 13），其得分在2分及以下。使用土耳其语版的饮食评估工具10（T-EAT-10）和DYMUS对临床吞咽功能进行评估。通过记录激光偏离中心目标的厘米数来评估本体感觉。使用视觉模拟量表（VAS）评估颈部疼痛严重程度，使用贝克抑郁量表（BDI）评估情绪。严重吞咽困难的患者在颈椎伸展和右旋时表现出统计学上显著更大的本体感觉障碍。两组在临床吞咽评估、颈部疼痛状况和情绪测量方面也存在显著差异。研究结果表明，本体感觉缺陷、疼痛加剧和情绪障碍与MS患者的吞咽困难严重程度密切相关。采用多维度方法解决吞咽困难、本体感觉和疼痛管理问题可能有助于优化MS患者的吞咽困难康复。
