Muscle Tension Dysphagia: An Expanded Investigation of Clinical Presentations and Swallowing Kinematics.
Am J Speech Lang Pathol
; 33(4): 1802-1810, 2024 Jul 03.
Article
em En
| MEDLINE
| ID: mdl-38573246
ABSTRACT
PURPOSE:
This study retrospectively examined patient-reported symptoms, quality of life, and swallowing kinematics in individuals with presumed muscle tension dysphagia (MTDg).METHOD:
Twenty-six individuals met the inclusion criteria. Data were gathered from patient-reported outcome measures (PROs), symptomology, clinician reports of palpation, and hyolaryngeal and hyoid movements measured on a 20-ml thin liquid bolus during videofluoroscopic swallowing studies.RESULTS:
All PROs were outside of typical limits, except for the Voice Handicap Index-10. Mean hyoid excursion was 1.52 cm (SD = 0.46, range 0.76-2.43), and hyolaryngeal excursion was 0.77 cm (SD = 0.44, range -0.42-1.68). A minority of participants (4%-19%) demonstrated atypical hyoid and/or hyolaryngeal excursion compared to the available normative reference value sets.CONCLUSIONS:
Individuals demonstrated abnormalities in the clinical evaluation of the areas of palpation and reported perilaryngeal discomfort and symptoms of laryngeal hyperresponsiveness, with a negative impact on their quality of life across various PROs. Atypical hyoid and/or hyolaryngeal excursion during swallowing was rare when compared to available normative reference values. The clinical evaluation of MTDg may be enhanced by including components related to muscle tension and laryngeal hyperresponsiveness in order to differentiate MTDg from idiopathic functional dysphagia and lead the patient to the otolaryngology/speech-language pathology clinic for intervention and management.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Transtornos de Deglutição
/
Deglutição
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Tono Muscular
Limite:
Adult
/
Aged
/
Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Speech Lang Pathol
Assunto da revista:
PATOLOGIA DA FALA E LINGUAGEM
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Marrocos
País de publicação:
EEUU
/
ESTADOS UNIDOS
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ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
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UNITED STATES OF AMERICA
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US
/
USA