发言和吞功能障碍和干预在患有骨髓灰质疏松症的个体中的患病率
Tyler J Gallagher1, Chloe Santa Maria2, Michael M Johns1
1Department of Otolaryngology-Head and Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles California USA.
OTO open
|March 6, 2025
概括
患有骨髓灰质炎 (MG) 的人口发言率和吞问题更高. 然而,正式的语音和吞评估并不经常提供,这表明需要改善护理途径.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 骨髓灰质炎 (MG) 是一种自身免疫性疾病,影响神经肌肉结节,可能导致腹筋症状.
- 听力障碍和消化障碍是MG患者常见但未被认可的并发症.
研究的目的:
- 为了确定MG患者的听力障碍和听力障碍的患病率.
- 评估这个人群中语音和吞评估和治疗的使用率.
主要方法:
- 使用TriNetX美国协作网络进行了一项回顾性队列研究.
- 患有MG和没有MG的成年人进行倾向评分匹配,以比较发言和吞诊断的发病率 (发病症,听力障碍,消化障碍,吸气性肺炎).
- 在MG队列中分析了语音和吞评估和治疗的速度.
主要成果:
- 与对照组相比,MG患者的吸气性肺炎 (3.7%vs0.7%),脱节性关节炎 (9.2%vs0.5%),失声症 (4.4%vs1.2%) 和失 ?? 症 (24.9%vs4.7%) 的发生率明显较高.
- 诊断MG增加了这些病理的几率:消化不良 (OR:4.18),消化不良 (OR:9.28),消音不良 (OR:2.63) 和吸入性肺炎 (OR:2.69).
- 总体而言,只有16.9%的MG患者接受了语音/吞评估或治疗,但症状患者的比例更高 (47.0%).
结论:
- 发言和吞病理在患有MG的个体中明显更为普遍.
- 正式的语音语言病理学评估在MG人群中未得到充分利用.
- 建议在MG患者的语言和吞功能障碍方面增加例行查和干预.
相关概念视频
Myasthenia Gravis: Overview and Treatment
1.1K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.1K
Myasthenia Gravis: Diagnostic Tests
593
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
593
Disorders of the Skeletal Muscle
849
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
849
Barrett Esophagus-II: Clinical Manifestations and Management
93
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
93
Assessment of Airway, Skin Color, and Use of Accessory Muscles
950
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
950
Gastroesophageal Reflux Disease II: Clinical Features and Management
44
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
44


