Increased Bolus Volume Effect on Delayed Pharyngeal Swallowing Response in Post-stroke Oropharyngeal Dysphagia: A Pilot Study.
10.5535/arm.2016.40.6.1018
- Author:
Jin Woo PARK
1
;
Gyu Jeong SIM
;
Dong Chan YANG
;
Kyoung Hwan LEE
;
Ji Hea CHANG
;
Ki Yeun NAM
;
Ho Jun LEE
;
Bum Sun KWON
Author Information
1. Department of Physical Medicine and Rehabilitation, Dongguk University Ilsan Hospital, Goyang, Korea. skjoct09@gmail.com
- Publication Type:Original Article
- Keywords:
Deglutition disorders;
Stroke;
Reaction time;
Respiratory aspiration;
Fluoroscopy
- MeSH:
Barium;
Deglutition Disorders*;
Deglutition*;
Fluoroscopy;
Humans;
Pilot Projects*;
Reaction Time;
Respiratory Aspiration;
Stroke;
Swallows;
Water
- From:Annals of Rehabilitation Medicine
2016;40(6):1018-1023
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To confirm a relationship between the pharyngeal response and bolus volume, and examine whether increasing the fluid bolus volume can improve penetration and aspiration for stroke dysphagic patients. METHODS: Ten stroke patients with a delayed pharyngeal response problem confirmed by a videofluoroscopic swallowing study (VFSS) were enrolled. Each subject completed two swallows each of 2 mL, 5 mL, and 10 mL of barium liquid thinned with water. The pharyngeal delay time (PDT) and penetration-aspiration scale (PAS) were measured and the changes among the different volumes were analyzed. RESULTS: PDTs were shortened significantly when 5 mL and 10 mL of thin barium were swallowed compared to 2 mL. However, there was no significant difference in PAS as the bolus volume increased. CONCLUSION: The increased fluid bolus volume reduced the pharyngeal delay time, but did not affect the penetration and aspiration status.
