Videofluoroscopic Evaluation of Dysphagia in Quadriplegic Patients.
- Author:
Tai Ryoon HAN
1
;
Jin Ho KIM
;
Moon Suk BANG
;
Sun Gun CHUNG
;
Hyung Ik SHIN
Author Information
1. Department of Rehabilitation Medicine, Seoul National University College of Medicine.
- Publication Type:Original Article
- Keywords:
Quadriplegia;
Videofluoroscopy;
Dysphagia;
Spinal cord injury
- MeSH:
Causality;
Cough;
Cranial Nerve Injuries;
Deglutition;
Deglutition Disorders*;
Humans;
Neck;
Orthotic Devices;
Quadriplegia;
Reflex;
Respiration, Artificial;
Spinal Cord Injuries;
Spine;
Tracheostomy;
Traction;
Voice
- From:Journal of the Korean Academy of Rehabilitation Medicine
1998;22(6):1249-1253
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To describe the videofluoroscopic findings of quadriplegic patients with dysphagia and to assess the predisposing factors of dysphagia in quadriplegic patients. METHOD: Six quadriplegic patients with a dysphagia within 3 months from the injury were included in this study and videofluoroscopic evaluations for both lateral and AP views were performed and evaluated. RESULT: A variety of swallowing deficits that involve both oral and pharyngeal phases were detected in the videofluoroscopic study. The presumed predisposing factors of dysphagia were a surgical stabilization of cervial vertebrae, inadequate neck extension due to cervical orthosis, history of mechanical ventilation, cervical traction, tracheostomy state and cranial nerve injury. CONCLUSION: When there are symptoms that suggest a swallowing problem such as a frequent reflex coughing and voice change in quadriplegic patients, videofluoroscopic study will help to prevent the pulmonary complications and to determine the successful swallowing strategies.
