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http://dx.doi.org/10.7742/jksr.2010.4.3.019

The Usefulness of Video Fluoroscopic Swallowing Study in Post-Stroke Dysphagia Patients  

Eun, Sung-Jong (Dept. of Radiology, Hanlyo University)
Kim, Sung-Gil (Dept. of Radiology, Hanlyo University)
Hong, Jea-Ran (Dept. of Occupational Therapy, Gwang-Yang Health College)
Publication Information
Journal of the Korean Society of Radiology / v.4, no.3, 2010 , pp. 19-25 More about this Journal
Abstract
Dysphagia is common and serious problems in post-stroke patients. The post-stroke dysphagia with aspiration is associated with dehydration, malnutrition, pneumonia, sepsis and death. Up to date, gag reflex and choking history used to decide the aspiration in clinical. The purpose of this study was to evaluate the aspiration and to choice the proper meal formation using by video fluoroscpic swallowing study(VFSS) with post-stroke dysphagia patients. 58 post-stroke patients and ten normal person participated to perform the VFSS with liquid type, puding, yoplait, rice mixed with barium(Ba). Two rehabilitation medicine doctors and a radiological technologist analysed the phase(oral, pharyngeal, esophageal phase)with video film, and checked the pharyngeal transition time(PTT). 38 patients showed abnormality in pharyngeal phase, 13 patients in oral and pharyngeal phase, 3 patients in oral phase, and 2 patients in pharyngeal and esophageal phase. 43 patients(65.2%) occured the aspiration, but 23 of 43 patients improved by the chin tuck position. Aspiration occured 34 patients in liquid type, 2patients in rice gruel and nothing in boiled rice. After VFSS, 13 of 23 patients change the intaking pathway from nasogastric tube(NGT) to oral, On the contrary with 3 of 42 patients from oral to NGT. Consequently VFSS is clearly effective to evaluate the aspiration with post-stroke dysphagia patients.
Keywords
Stroke; Dysphagia; Swallowing; Fluoroscopy;
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  • Reference
1 Kuhlemeier KV. Epidemiology and dysphagia. Dysphagia ;9:209-217, 1994.   DOI   ScienceOn
2 Groher M. E., The detection of aspiration and videofluoroscopy. Dysphagia 9, 147-148, 1994.   DOI   ScienceOn
3 Wade, Hewer L. Motor loss alnd swallowing difficulty stroke: frequency, ercovery and prognosis. Actaneurol Scand ;76:50-54, 1987.
4 Horner J., Massey E. W., Silent aspiration following stroke, Neurology 38, 317-319, 1988.   DOI
5 Chen MY, Ott DJ, Peele VN, Gelfand DW. Oropharynx in patients with cerebrovascular disease: Evaluation with videofluoroscopy. Radiology ;176:641-643, 1988.
6 Zaidi N. H., Smith H. A., King S. C., Park C., O'Neill P. A., Connolly M. J., Oxygen desaturation on swallowinng as a potential marker of aspiration in acute stroke. Age Aging, ;24:267-270, 1995.   DOI   ScienceOn
7 Linden P., Siebens A. A., Dysphagia: Predicting laryngeal Penetration, Arch Phys Med Rehabil, ;64:281-284, 1983.
8 Splaingard M. L., Hutchins B., Sulton L. D., Chaudhuri G., Aspiration in rehabilitation patients: Videofluroscopy vs Bedside clinical assessment. Arch Phys Med Rehabil ;69:637-640, 1988.
9 Dantas R. O., Kern M. K., Massey B. T., Dodds W. J., Kahrilas P. J., Brasseur J. G., Effects of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol 258, 675-681, 1990.
10 Horner J., Massey E. W., Riski J .E., Lathrop D. L., Chase K. N., Aspiration following stroke Clinical correlates and outcome. Neurology, ;38:1359- 1362, 1988.   DOI
11 Shanahan T .K., Logemann J .A., Rademaker A. W., Pauloski B. R., Kahrilas P. J., Chin-down posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil, ;74:736-739, 1993.   DOI   ScienceOn
12 서원희, 오제홍, 남용현, 성인영 : 뇌졸중 환자에서의 흡인성 폐렴의 발생율 및 임상적 고찰. 대한재활의학회지 ;18:52-58, 1994.
13 Perlman A. L., Dysphagia in stroke patients. Semin Neurol ;16:341-348, 1996.   DOI   ScienceOn
14 Penington G. R., Krutsch J. A., Swallowing disorders: Assessment and rehabilitation. Brit J Hosp Med ;44:17-22, 1990.
15 Palmer JB, DuChane AS. Rehabilitation of swallowing disorders due to stroke: Arch Phys Med Rehab Clin North Arch ;2:529, 1991.
16 한태륜, 백남종, 박진우 이은경, 박미선, :연하곤란 식이의 표준화. 대한뇌졸중학회지 ;2:191-195, 2000.
17 Barer D. H. The natural history and functional consequences of dysphagia after hemispheric stroke, J Neurol Neurosurg Psychiatry, ;52:236-241, 1989.   DOI
18 전민호. 뇌졸중과 연하장애. 대한뇌졸중학회지 1;2:146-150, 1999.