Hernández-Núñez G, Morales-Cadena GM

Language: Spanish
References: 20
Page: 330-339
PDF size: 221.30 Kb.

ABSTRACT

Objective: To evaluate through the EAT-10 questionnaire and the Penetration-Aspiration scale by means of swallowing videoendoscopy the response to rehabilitation with swallowing maneuvers in patients over 65 years of age.
Materials and Methods: A two-arm controlled clinical trial. Phase 1: Dysphagia screening was performed using the Eating Assessment Tool (EAT-10) questionnaire and the Rosenbeck Penetration-Aspiration scale in patients older than 65 years. Phase 2: Patients identified with swallowing disorder underwent to a randomization process by blocks to obtain two groups, a control group and an experimental group, they were evaluated using the EAT-10 questionnaire and Penetration-Aspiration scale in both groups at 8 weeks of the intervention. Inferential statistical analysis was performed.
Results: One-hundred questionnaires were applied; 34 patients were included (prevalence of dysphagia: 34%). No statistically significant significance was found between the EAT-10 questionnaire and the Penetration-Aspiration scale after the application of swallowing maneuvers in the experimental group at 8 weeks (p = 0.794 and p = 0.302, respectively). Difference was observed in the average ranges in favor of the experimental group. Additionally, significant statistical significance was found in the post-treatment residue scale (p = 0.004).
Conclusions: No statistical significance was found in the EAT-10 questionnaire and the Penetration-Aspiration scale after 8 weeks of intervention. Statistically significance was found in the residual scale, which is directly related to the risk of pneumonia.

REFERENCES

1. Madhavan A, Lagorio L, Crary M, Dahl W, Carnaby G. Prevalence of and risk factors for dysphagia in the community dwelling elderly: A systematic review. J Nutrit Health Aging 2016; 20 (8): 806-815. doi: 10.1007/s12603-016-0712-3.

2. Azzolino D, Damanti S, Bertagnoli L, Lucchi T, Cesari M. Sarcopenia and swallowing disorders in older people. Aging Clin Exp Res 2019; 31 (6): 799-805. doi: 10.1007/s40520- 019-01128-3.

3. Wakabayashi H. Presbyphagia and sarcopenic dysphagia: Association between aging, sarcopenia, and deglutition disorders. J Frailty Aging 2014; 3 (2): 97-103. doi: 10.14283/ jfa.2014.8.

4. Andrade P, Santos C, Firmino H, Rosa C. The importance of dysphagia screening and nutritional assessment in hospitalized patients. Einstein (São Paulo) 2018; 16 (2). doi: 10.1590/S1679-45082018AO4189.

5. Rodriguez A, Restrepo M. New perspectives in aspiration community acquired pneumonia. Exp Rev Clin Pharmacol 2019; 12 (10): 991-1002. doi: 10.1080/17512433.2019.1663730.

6. Gaeckle M, Domahs F, Kartmann A, Tomandl B, Frank U. Predictors of penetration-aspiration in parkinson’s disease patients with dysphagia: A retrospective analysis. Ann Otol Rhinol Laryngol. 2019; 128 (8): 728-735. doi: 10.1177/0003489419841398.

7. Bock J, Varadarajan V, Brawley M, Blumin J. Evaluation of the natural history of patients who aspirate. Laryngoscope 2017; 127: S1-S10. doi: 10.1002/lary.26854.

8. Balou M, Herzberg E, Kamelhar D, Molfenter S. An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia. Clin Interv Aging 2019; 14: 283-288.

9. Boccardi V, Ruggiero C, Patriti A, Marano L. Diagnostic assessment and management of dysphagia in patients with Alzheimer’s disease. J Alzheimers Dis 2016; 50 (4): 947-955. doi: 10.3233/JAD-150931.

10. Belafsky P, Mouadeb D, Rees C, Pryor J, Postma G, Allen J, Leonard R. Validity and reliability of the eating assessment tool (EAT-10). Ann Otol Rhinol Laryngol 2008; 117 (12): 919-924. doi: 10.1177/000348940811701210.

11. Burgos R, Sarto B, Segurola H, Romagosa A, Puiggros C, Vazquez C, Araujo K, Perez-Portabella C. Translation and validation of the Spanish version of the Eating Assessment Tool-10 (EAT-10) for the screening of dysphagia. Nutr Hosp 2011; 6 (1): 167.

12. Martino R, Maki E, Diamant N. Identification of dysphagia using the Toronto Bedside Swallowing Screening Test (TOR-BSST©): are 10 teaspoons of water necessary? Int J Speech Lang Pathol 2014; 16 (3): 193-198. doi: 10.3109/17549507.2014.902995.

13. Giraldo-Cadavid L, Leal-Leaño L, Leon-Basantes G, Bastidas A, Garcia R, Ovalle S, Abondano-Garavito J. Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia. Laryngoscope 2016; 127 (9): 2002-2010. doi: 10.1002/lary.26419.

14. Butler S, Markley L, Sanders B, Stuart A. Reliability of the penetration aspiration scale with flexible endoscopic evaluation of swallowing. Ann Otol Rhinol Laryngol 2015; 124 (6): 480-483. doi: 10.1177/0003489414566267.

15. Imaizumi M, Suzuki T, Matsuzuka T, Murono S, Omori K. Low‐risk assessment of swallowing impairment using flexible endoscopy without food or liquid. Laryngoscope 2019; 129 (10): 2249-2252. doi: 10.1002/lary.28073.

16. Neubauer P, Hersey D, Leder S. Pharyngeal residue severity rating scales based on fiberoptic endoscopic evaluation of swallowing: A systematic review. Dysphagia 2016; 31 (3): 352-359.

17. Inamoto Y, Saitoh E, Ito Y, Kagaya H, Aoyagi Y, Shibata S, Ota K, Fujii N, Palmer J. The Mendelsohn maneuver and its effects on swallowing: kinematic analysis in three dimensions using dynamic area detector CT. Dysphagia 2017; 33 (4): 419-430. doi: 10.1007/s00455-017-9870-7.

18. Zarkada A, Regan J. Inter-rater reliability of the Dysphagia Outcome and Severity Scale (DOSS): Effects of clinical experience, audio-recording and training. Dysphagia 2017; 33 (3): 329-336. doi: 10.1007/s00455-017-9857-4

19. Kim H, Park J. Efficacy of modified chin tuck against resistance exercise using hand‐free device for dysphagia in stroke survivors: a randomised controlled trial. J Oral Rehabil 2019; 46 (11): 1042-1046. doi: 10.1111/joor.12837.

20. Doeltgen S, Ong E, Scholten I, Cock C, Omari T. Biomechanical quantification of Mendelsohn maneuver and effortful swallowing on pharyngoesophageal function. Otolaryngol Head Neck Surg 2017; 157 (5): 816-823. doi: 10.1177/0194599817708173.