Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patientsopen access
- Authors
- Cho, Hyunchul; Noh, Jeong Se; Park, Junwon; Park, Changwook; Park, No Dam; Ahn, Jun Young; Park, Ji Woong; Choi, Yoon-Hee; Chun, Seong-Min
- Issue Date
- Jan-2021
- Publisher
- 대한재활의학회
- Keywords
- Deglutition disorders; Stroke; Videofluoroscopic swallowing study
- Citation
- Annals of Rehabilitation Medicine, v.45, no.6, pp 440 - 449
- Pages
- 10
- Journal Title
- Annals of Rehabilitation Medicine
- Volume
- 45
- Number
- 6
- Start Page
- 440
- End Page
- 449
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20206
- DOI
- 10.5535/arm.21126
- ISSN
- 2234-0645
2234-0653
- Abstract
- Objective To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients. 1Methods Free tongue length (FTL) was measured using the quick tongue-tie assessment tool and MTPL was measured using a transparent plastic ruler in 47 post-stroke patients. The MTPL-to-FTL (RMF) ratio was calculated. Swallowing function in all patients was evaluated via videofluoroscopic swallowing study (VFSS), Penetration-Aspiration Scale (PAS), Functional Oral Intake Scale (FOIS), and Videofluoroscopic Dysphagia Scale (VDS). Results The MTPL and RMF values were significantly higher in the non-aspirator group than in the aspirator group (MTPL, p=0.0049; RMF, p<0.001). MTPL and RMF showed significant correlations with PAS, FOIS and VDS scores. The cut-off value in RMF for the prediction of aspiration was 1.56, with a sensitivity of 84% and a specificity of 86%. Conclusion There is a relationship between MTPL and dysphagia in post-stroke patients. MTPL and RMF can be useful for detecting aspiration in post-stroke patients.
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Collections - College of Medicine > Department of Physical Medicine and Rehabilitation > 1. Journal Articles
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