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Correlation of Swallowing Function With Bilateral Diaphragmatic Movement in Hemiplegic Stroke Patients
- Source :
- Annals of Rehabilitation Medicine, Vol 43, Iss 2, Pp 156-162 (2019), Annals of Rehabilitation Medicine
- Publication Year :
- 2019
- Publisher :
- Korean Academy of Rehabilitation Medicine, 2019.
-
Abstract
- Objective To investigate difference in bilateral diaphragm movement of patients with tracheal aspiration according to post stroke residue severity and determine correlations of Penetration-Aspiration Scale (PAS), residue scale, and bilateral diaphragm movement. Methods A total of 47 patients diagnosed with hemiplegic stroke were enrolled in this study. PAS, severity of valleculae, and pyriform sinus retention during videofluoroscopic swallowing study (VFSS) were assessed. Bilateral fluoroscopic diaphragm movements during spontaneous breathing and forced breathing were measured. Results Patients with tracheal aspiration (PASā„6) had significantly (p=0.035) lower ipsilateral diaphragm movement during spontaneous breathing. Post-swallow residue severity showed statistically significant (p=0.028) difference in patients with ipsilateral diaphragm movement during forced breathing. In linear regression analysis, PAS showed weak correlations with ipsilateral spontaneous diaphragm movement (r=0.397, p=0.006), ipsilateral forced diaphragm movement (r=0.384, p=0.008), and contralateral forced diaphragm movement (r=0.323, p=0.027). Weak correlation was also observed between post swallow residue severity and ipsilateral diaphragm movement during spontaneous breathing (r=0.331, p=0.023) and forced breathing (r=0.343, p=0.018). Conclusion We confirmed the relationship between swallowing function and bilateral diaphragm movement in this study. The severity of dysphagia after hemiplegic stroke was correlated with bilateral diaphragm movement. Further longitudinal studies are needed to assess the effect of breathing exercise on post-stroke dysphagia.
- Subjects :
- Stroke patient
business.industry
Respiration
Diaphragm
lcsh:R
digestive, oral, and skin physiology
Rehabilitation
lcsh:Medicine
medicine.disease
Dysphagia
Deglutition disorders
Diaphragm (structural system)
Stroke
Pyriform Sinus
Swallowing
Fluoroscopy
Anesthesia
Breathing
Medicine
Original Article
medicine.symptom
business
Subjects
Details
- ISSN :
- 22340653 and 22340645
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Annals of Rehabilitation Medicine
- Accession number :
- edsair.doi.dedup.....064b4f3d980113e9999f79de3175a136