Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients
Objective To compare dysphagia between infratentorial stroke patients and supratentorial stroke patients. Methods Subjects of this study were patients with post-stroke dysphagia (PSD) who were admitted to our medical institution between May 2014 and June 2017. We evaluated a total of 64 patients wit...
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Korean Academy of Rehabilitation Medicine
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doaj-4c317ce99d8d4b4c9f27dd9e7cb2b67f2020-11-24T21:24:30ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532019-04-0143214915510.5535/arm.2019.43.2.1494078Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke PatientsYong Kyun KimJung Hyun ChaKyun Yeon LeeObjective To compare dysphagia between infratentorial stroke patients and supratentorial stroke patients. Methods Subjects of this study were patients with post-stroke dysphagia (PSD) who were admitted to our medical institution between May 2014 and June 2017. We evaluated a total of 64 patients with PSD. A videofluoroscopic swallowing study (VFSS) was performed to determine dysphagia severity. We measured the following parameters: pharyngeal transit time (PTT), post-swallow pharyngeal remnant, Penetration Aspiration Scale (PAS) scores, and Functional Dysphagia Scale (FDS). We analyzed patient’s results from VFSS performed at admission. All VFSS images were recorded using a camcorder running at 30 frames per second. An AutoCAD 2D screen was used to measure post-swallow pharyngeal remnant. Results In this study, PTT and FDS were similar (p>0.05) between infratentorial stroke patients and supratentorial stroke patients. However, there were significant differences in pharyngeal remnant and PAS scores between the two groups (p<0.01 and p<0.05, respectively). Conclusion Both pharyngeal remnant and PAS score registered higher levels from VFSS test for infratentorial stroke patients than those for supratentorial stroke patients. This suggests greater chances of problems occurring with swallowing, the major functions of pons. Thus, clinicians should pay particular attention to active dysphagia evaluation and treatment in PSD of infratentorial stroke patients.http://www.e-arm.org/upload/pdf/arm-2019-43-2-149.pdfDeglutition disordersStrokeInfratentorialSupratentorialFluoroscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yong Kyun Kim Jung Hyun Cha Kyun Yeon Lee |
spellingShingle |
Yong Kyun Kim Jung Hyun Cha Kyun Yeon Lee Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients Annals of Rehabilitation Medicine Deglutition disorders Stroke Infratentorial Supratentorial Fluoroscopy |
author_facet |
Yong Kyun Kim Jung Hyun Cha Kyun Yeon Lee |
author_sort |
Yong Kyun Kim |
title |
Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients |
title_short |
Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients |
title_full |
Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients |
title_fullStr |
Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients |
title_full_unstemmed |
Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients |
title_sort |
comparison of dysphagia between infratentorial and supratentorial stroke patients |
publisher |
Korean Academy of Rehabilitation Medicine |
series |
Annals of Rehabilitation Medicine |
issn |
2234-0645 2234-0653 |
publishDate |
2019-04-01 |
description |
Objective To compare dysphagia between infratentorial stroke patients and supratentorial stroke patients. Methods Subjects of this study were patients with post-stroke dysphagia (PSD) who were admitted to our medical institution between May 2014 and June 2017. We evaluated a total of 64 patients with PSD. A videofluoroscopic swallowing study (VFSS) was performed to determine dysphagia severity. We measured the following parameters: pharyngeal transit time (PTT), post-swallow pharyngeal remnant, Penetration Aspiration Scale (PAS) scores, and Functional Dysphagia Scale (FDS). We analyzed patient’s results from VFSS performed at admission. All VFSS images were recorded using a camcorder running at 30 frames per second. An AutoCAD 2D screen was used to measure post-swallow pharyngeal remnant. Results In this study, PTT and FDS were similar (p>0.05) between infratentorial stroke patients and supratentorial stroke patients. However, there were significant differences in pharyngeal remnant and PAS scores between the two groups (p<0.01 and p<0.05, respectively). Conclusion Both pharyngeal remnant and PAS score registered higher levels from VFSS test for infratentorial stroke patients than those for supratentorial stroke patients. This suggests greater chances of problems occurring with swallowing, the major functions of pons. Thus, clinicians should pay particular attention to active dysphagia evaluation and treatment in PSD of infratentorial stroke patients. |
topic |
Deglutition disorders Stroke Infratentorial Supratentorial Fluoroscopy |
url |
http://www.e-arm.org/upload/pdf/arm-2019-43-2-149.pdf |
work_keys_str_mv |
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