Related Experiment Videos
[The clinical manifestations and assessment of post stroke dysphagia]
Jing Zhang1, Yun Zhou, Yong-jun Wang
1Department of Neurology, Tiantan Hospital, Capital University of Medical Science, Beijing 100050, China. zhangfengjing@163.com
Objective:
To find the relationship between the clinical manifestations of dysphagia resulting from stroke and dysfunction of swallowing organs. It is helpful to understand the mechanism of dysphagia so as to guide its diagnosis and therapy.
Methods:
Oral facial examination experimental swallowing methods were used to identify the abnormal manifestations of dysphagia. Spearman correlation analysis was used as statistic method. Sensitivity (SN), specificity (SP), predictive values (PV+/-) were calculated.
Results:
There were about 20 or so abnormal manifestations after stroke and swallowing organs dysfunction include abnormal lip closure, decreased tongue motility, weakness of palate, decreased or disappeared gag reflex, abnormal lift of larynx and insufficient opening of cricopharyngeal muscle. The sensitivity and negative predictive values were high in all the dysfunction organs with the highest sensitivity, specificity, positive and negative predictive value in abnormal lip closure (84.62%), decreased tongue motility (67.75%), insufficient opening of cricopharyngeal muscle (80.96%) and abnormal lip closure (90.91%).
Conclusions:
It is comparatively accurate for clinical evaluation to judge dysfunction in lip closure, lingual movement and larynx elevation.
Related Concept Videos
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Angina III: Clinical Manifestations and Assessment