Reference Values for Videofluoroscopic Measures of Swallowing: An Update.
Purpose: It is essential that clinicians have evidence-based benchmarks to support accurate diagnosis and clinical decision making. Recent studies report poor reliability for diagnostic judgments and identifying mechanisms of impairment from videofluoroscopy (VFSS). Establishing VFSS reference value...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 66; no. 10; pp. 3804 - 3825 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
American Speech-Language-Hearing Association
Oct2023
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=172861985&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 172861985 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Oct2023 vid: 66 iid: 10 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 172861985 10.1044/2023_jslhr-23-00246 ppf: 3804 ppct: 21 formats: fmt: @attributes: type: P size: 1.3MB tig: atl: Reference Values for Videofluoroscopic Measures of Swallowing: An Update. aug: au: Steele, Catriona M. Bayley, Mark T. Bohn, Mary Kathryn Higgins, Victoria Kulasingam, Melanie Vathany, Peladeau-Pigeon affil: KITE Research Institute, University Health Network, Toronto, Ontario, Canada Canada Research Chair in Swallowing and Food Oral Processing, Canada Research Chairs Secretariat, Ottawa, Ontario su: Therapeutics Age distribution Task performance Quantitative research Reference values Deglutition Research evaluation Sample size (Statistics) Deglutition disorders Contrast media Fluoroscopy Benchmarking (Management) Inter-observer reliability Descriptive statistics Research funding Data analysis software Decision making in clinical medicine Reaction time Video recording sug: subj: Therapeutics Age distribution Task performance Quantitative research Reference values Deglutition Research evaluation Sample size (Statistics) Deglutition disorders Contrast media Fluoroscopy Benchmarking (Management) Inter-observer reliability Descriptive statistics Research funding Data analysis software Decision making in clinical medicine Reaction time Video recording ab: Purpose: It is essential that clinicians have evidence-based benchmarks to support accurate diagnosis and clinical decision making. Recent studies report poor reliability for diagnostic judgments and identifying mechanisms of impairment from videofluoroscopy (VFSS). Establishing VFSS reference values for healthy swallowing would help resolve such discrepancies. Steele et al. (2019) released preliminary reference data for quantitative VFSS measures in healthy adults aged < 60 years. Here, we extend that work to provide reference percentiles for VFSS measures across a larger age span. Method: Data for 16 VFSS parameters were collected from 78 healthy adults aged 21--82 years (39 male). Participants swallowed three comfortable sips each of thin, slightly, mildly, moderately, and extremely thick barium (20% w/v). VFSS recordings were analyzed in duplicate by trained raters, blind to participant and task, using the Analysis of Swallowing Physiology: Events, Kinematics and Timing (ASPEKT) Method. Reference percentiles (p2.5, 5, 25, 50, 75, 95, and 97.5) were determined as per Clinical and Laboratory Standards Institute EP28-A3c guidelines. Results: We present VFSS reference percentile tables, by consistency, for (a) timing parameters (swallow reaction time; the hyoid burst--to--upper esophageal sphincter (UES)-opening interval; UES opening duration; time--to--laryngeal vestibule closure (LVC); and LVC duration) and (b) anatomically scaled pixel-based measures of maximum UES diameter, pharyngeal area at maximum pharyngeal constriction and rest, residue (vallecular, pyriform, other pharyngeal locations, total), and hyoid kinematics (X, Y, XY coordinates of peak position; speed). Clinical decision limits are proposed to demarcate atypical values of potential clinical concern. Conclusion: These updated reference percentiles and proposed clinical decision limits are intended to support interpretation and reliability for VFSS assessment data. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|