视频光学测定吞的参考值:一个更新
Catriona M Steele1,2,3, Mark T Bayley1,3, Mary Kathryn Bohn4,5
1KITE Research Institute, University Health Network, Toronto, Ontario, Canada.
Journal of speech, language, and hearing research : JSLHR
|September 5, 2023
概括
这项研究提供了更新的视频光学吞研究 (VFSS) 参考百分位数的健康成年人在更广泛的年龄范围. 这些基准提高了临床吞评估的诊断准确性和可靠性.
科学领域:
- 语音和听力科学 语言和听力科学
- 临床诊断 临床诊断 临床诊断
- 吞生理学的吞生理学
背景情况:
- 视频光镜吞研究 (VFSS) 对于诊断吞障碍至关重要.
- 目前的VFSS诊断判断显示可靠性不佳,突出了对标准化基准的需求.
- 以前,健康成年人的参考数据仅限于60岁以下的成年人.
研究的目的:
- 为健康成年人的定量VFSS测量建立全面的参考百分位数.
- 扩展之前的研究,包括更广泛的年龄范围的参与者.
- 在临床实践中提高VFSS解释的准确性和一致性.
主要方法:
- 从78名健康成年人 (21-82岁) 收集了16个VFSS参数的数据.
- 参与者消耗了不同粘度 (从薄到极厚) 的.
- 使用ASPEKT方法分析记录,根据CLSI指南确定参考百分位数.
主要成果:
- 提供了VFSS参考百分位表,用于计时参数和基于像素的动力学测量.
- 包括吞反应时间,UES打开,喉前门关闭,喉区域,残留物和状腺动力学数据.
- 拟议的临床决策界限,以确定非典型的吞值.
结论:
- 更新的参考百分位数和决策限值旨在提高VFSS解释可靠性.
- 这些基准支持临床医生准确诊断和决策.
- 该研究为推进VFSS的临床应用提供了必要的数据.
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