Annals of Rehabilitation Medicine

  • 제42권6호
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  • Pages.798-803
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  • 2018
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  • 2234-0645(pISSN)
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  • 2234-0653(eISSN)
대한재활의학회 (Korean Academy of Rehabilitation Medicine)
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Clinical Importance of Peak Cough Flow in Dysphagia Evaluation of Patients Diagnosed With Ischemic Stroke

  • Min, Sang Won (Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine) ;
  • Oh, Se Hyun (Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine) ;
  • Kim, Ghi Chan (Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine) ;
  • Sim, Young Joo (Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine) ;
  • Kim, Dong Kyu (Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine) ;
  • Jeong, Ho Joong (Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine)
  • 투고 : 2018.04.06
  • 심사 : 2018.07.11
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Objective To investigate the relationship between peak cough flow (PCF), pulmonary function tests (PFT), and severity of dysphagia in patients with ischemic stroke. Methods This study included patients diagnosed with ischemic stroke, who underwent videofluoroscopic swallowing study (VFSS), PCF and PFT from March 2016 to February 2017. The dysphagia severity was assessed using the videofluoroscopic dysphagia scale (VDS). Correlation analysis of VDS, PFT and PCF was performed. Patients were divided into three groups based on VDS score. One-way ANOVA of VDS was performed to analyze PCF, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and age among the different groups. Results The correlation coefficients of VDS and PCF, VDS and FVC, and VDS and FEV1 were -0.836, -0.508, and -0.430, respectively, all of which were statistically significant at the level of p<0.001. The one-way ANOVA indicated statistically significant differences in PCF, FVC, FEV1, and age among the VDS groups. Statistically significant differences in VDS and age were observed between aspiration pneumoia and non-aspiration pneumonia groups. Conclusion Coughing is a useful factor in evaluating the risk of aspiration in dysphagia patients. Evaluation of respiratory and coughing function should be conducted during the swallowing assessment of patients with ischemic stroke.

키워드

참고문헌

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피인용 문헌

  1. Relationship between Swallowing Function, Diet Level and Pulmonary Function in Post-Stroke Patients vol.11, pp.1, 2018, https://doi.org/10.34160/jkds.2021.11.1.004
  2. Usefulness of Maximal Expiratory Pressure in Evaluating Dysphagia after Ischemic Stroke vol.11, pp.1, 2021, https://doi.org/10.34160/jkds.2021.11.1.008