DOI QR코드

DOI QR Code

Dysphagia Handicap Index and Swallowing Characteristics based on Laryngeal Functions in Korean Elderly

한국 정상 노인층의 삼킴장애지수와 후두 기능에 따른 삼킴 특성

  • 김근희 (대구가톨릭대학교 언어청각치료학과) ;
  • 최성희 (대구가톨릭대학교 언어청각치료학과) ;
  • 이경재 (대구가톨릭대학교 언어청각치료학과) ;
  • 최철희 (대구가톨릭대학교 언어청각치료학과)
  • Received : 2014.03.01
  • Accepted : 2014.07.06
  • Published : 2014.09.30

Abstract

Larynx plays an important role in phonation and protection of the respiratory tract during swallowing. The reduced anatomical and physiological function in elevation of larynx and glottis closure can cause problems in voice and swallowing. The present study investigated the Korean version of handicap index of dysphagia in elderly Koreans. Therefore, 60 normal elderly Koreans ranged from 65 to 95 and 20 normal Korean young adults aged from 20 to 25 were participated in this study to compare total (T), physical (P), functional (F), and emotional (E) index scores between two groups as well as among sub groups (60s, 70s, 80s) in elderly. For swallowing, total and sub dysphagia handicap index (DHI) scores, voice quality during /a/phonation following swallowing (saliva and water), intensity of coughing, and L-DDK were measured. The results showed that functional (P), physical (P), emotional (E) scores as well as total (T) score were significantly different between young adults and old adults in DHI(p<.05). Additionally, there was a negative correlation between total DHI score and intensity of coughing (r=-.51) as well as L-DDK (r=-.70). These findings suggest that a slow rate in vocal fold adduction and reduced intensity of coughing in the elderly affect swallowing function. Thus, recently translated Korean version of DHI may be useful as supplement in evaluating the swallowing problems in elderly people.

Keywords

References

  1. Choi, S.H. (2014). Validity and Reliability of Korean version of Dysphagia handicap index. Dysphagia, (in review). (최성희(2014). 한국어판 삼킴장애지수의 타당도와 신뢰도. 미간행.)
  2. Ekberg, O., & Feinberg, M. J. (1991). Altered swallowing function in elderly patients without dysphagia: radiologic findings in 56 cases. American Journal of Roentgenology, 156(6), 1181-1184. https://doi.org/10.2214/ajr.156.6.2028863
  3. Fucile, S., Wright, PM., Chan, I., Yee, S., Langlais, M. E. & Gisel, E. G.(1998). Functional oral-motor skills: Do they change with age? Dysphagia. 13, 195-201. https://doi.org/10.1007/PL00009571
  4. Gustafsson, B., & Tibbling, L.(1991). Dysphagia, an unrecognized handicap. Dysphagia, 6(4), 193-199. https://doi.org/10.1007/BF02493525
  5. Han, J. Y., & Lee, O. B.(2008). Effects of Vowel Differences on Laryngeal DDK. Journal of the Korean society of speech sciences, 68, 1-15. (한지연, 이옥분(2008). 모음에 따른 후두 교호운동 특성. 말 소리와 음성과학, 68, 1-15.)
  6. Humbert, I.A. & Robbins, J. (2008). Dysphagia in the elderly. Physical Medicine and Rehabilitation Clinics of North America, 19(4), 853-66. https://doi.org/10.1016/j.pmr.2008.06.002
  7. Kendall, K.A., Leonard, R. J., & McKenzie, S. (2004). Airway protection: Evaluation with videofluoroscopy, Dysphagia, 19, 65-70.
  8. Kim, S. J., & Lee, K. J.(2006). Comparison of the Hyoid Movement during the Pharyngolaryngeal Swallowing at the Healthy Young and Old Person. Korean academy of rehabilitation, 30(5), 485-490. (김상준, 이건재(2006). 정상성인과 노인에서 인후부연하시 설골의 움직임의 비교. 대한재활의학회지, 30(5), 485-490.)
  9. Kim, Y., S., & Park, T., O.(2007). Comparison of the Hyoid Movement during the Pharyngolaryngeal Swallowing at the Healthy Young and Old Person. Korean Journal of Communication Disorders, 30(5), 485-490. (김영선, 박태옥(2007). 정상인에서 연령과 성별에 따른 삼킴 시 후두닫힘 지속시간 비교. 언어청각장애연구, 12(3), 521-531.)
  10. Lauren, A. (2013). Characteristics of laryngeal diadochokinetic rates in the normal aging population. published master's thesis. Indiana University of Pennsylvania, Pennsylvania.
  11. Lee, H., J. (2010). Temporal Measurement of Normal Adult Swallow : Stage Transit Duration. Special Education Research, 9(3), 211-221. (이현정(2010). 정상 성인의 인두삼킴반응시간. 특수교육, 9(3), 211-221.) https://doi.org/10.18541/ser.2010.10.9.3.211
  12. Lindgren, S., & Janzon, L. (1991). Prevalence of swallowing complaints and clinical findings among 50-79-year-old men and women in an urban population. Dysphagia, 6(4), 187-192. https://doi.org/10.1007/BF02493524
  13. Marik, P. E. & Kaplan, D. (2003). Aspiration Pneumonia and Dysphagia in the Elderly. Chest, 124, 328-336. https://doi.org/10.1378/chest.124.1.328
  14. McHorney, C. A., Martin-Harris, B., Robbins, J. A., & Rosenbek, J. (2006). Clinical validity of the SWAL-QOL and SWAL-CARE outcome tools with respect to bolus flow measures. Dysphagia, 21(3), 141-148. https://doi.org/10.1007/s00455-005-0026-9
  15. Murty, G. E., Carding, P. N. & Kelly P. J. (1991). Combined glottographic changes in the elderly. Clinical otolaryngology and allied sciences, 16, 532-534. https://doi.org/10.1111/j.1365-2273.1991.tb00966.x
  16. Rim, C., S. (2003). A Study on a Policy to Utilize Senile Manpower in Aging Society. Journal of Welfare for the Aged, 22, 55-77. (임춘식 (2003). 고령화 사회의 노인인력 활용 정책에 관한 연구. 노인복지연구, 22, 55-77.)
  17. Robbins, J.A., Hamilton, J.W., Lof, G.L., & Kempster, G.B. (1992). Oropharyngeal swallowing in normal adults of different ages. Gastroenterology, 103, 823-829. https://doi.org/10.1016/0016-5085(92)90013-O
  18. Silbergleit, A.K., Schultz, L., Jacobson, B.H., Beardsley, T., & Johnson, A.F. (2012). The Dysphagia handicap index development and validation, Dysphagia, 27, 46-52. https://doi.org/10.1007/s00455-011-9336-2
  19. Statistics Korea (2013). http://www.kostat.go.kr/ (통계청(2013). 2013 고령자 통계.)
  20. Sura, L., Madhavan, A., Carnaby, G. & Crary. M.A. (2012). Dysphagia in the elderly: management and nutritional considerations. clinical interventions in aging, 7, 287-298.
  21. Verdolini, K., & Palmer, P.M. (1997). Assessment of a 'profiles' approach to voice screening, Journal of Medical Speech Language Pathology, 5(4), 217-232.

Cited by

  1. Voice quality of normal elderly people after a 3oz water-swallow test: An acoustic analysis vol.10, pp.2, 2018, https://doi.org/10.13064/KSSS.2018.10.2.69