The value of abnormal clinical manifestations in predicting image abnormalities in patients with dysphagia caused by stroke
- VernacularTitle:脑卒中吞咽困难异常表现与影像学表现的相关性分析
- Author:
Jing ZHANG
;
Yongjun WANG
- Publication Type:Journal Article
- Keywords:
Stroke;
Dysphagia;
Videofluoroscopy;
Prediction
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2003;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify whether abnormal clinical manifestations of dysphagia in stroke patients could predict associated imaging abnormalities. Methods Clinical evaluations and videofluoroscopy were performed on 56 consecutive cases of stroke. The clinical and image manifestations of dysphagia were observed and analyzed u-sing logistic regression analysis. Results A bolus leaking from the mouth was found (P =0.037) to predict abnormal lip closure. Raising the head when swallowing (P =0.010) and dysarthria (P =0.025) were found to predict reduced tongue movement. Exertion in swallowing (P = 0.016) could predict poor laryngeal elevation. Abnormal la-ryngeal elevation (P =0.024) and reduced or absent gag reflex (P =0.005) were found to predict insufficient epiglottis tilt down. Coughing caused by swallowing could predict incomplete vocal fold closure (P =0.011) and aspiration (P = 0.042). Conclusion Videofluoroscopic manifestations could be predicted to some extend by some clinical swallowing abnormalities, which could increase the accuracy of clinical evaluation and help in the management of dysphagia in those who could not endure videofluoroscopy.
