Jaw-opening force test to screen for Dysphagia: preliminary results.
Arch Phys Med Rehabil
; 95(5): 867-74, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-24055575
ABSTRACT
OBJECTIVE:
To assess the jaw-opening force test (JOFT) for dysphagia screening.DESIGN:
Criterion standard.SETTING:
University dental hospital.PARTICIPANTS:
Patients complaining of dysphagia (N=95) and with symptoms of dysphagia with chronic underlying causes (mean age ± SD, 79.3±9.61y; range, 50-94y; men n=49; mean age ± SD, 77.03±9.81y; range, 50-94y; women n=46; mean age ± SD, 75.42±9.73y; range, 51-93y) admitted for treatment between May 2011 and December 2012 were included.INTERVENTIONS:
None. MAIN OUTCOMEMEASURES:
All patients were administered the JOFT and underwent fiberoptic endoscopic evaluation of swallowing (FEES). The mean jaw-opening strength was compared with aspiration (ASP) and pharyngeal residue observations of the FEES, which was used as the criterion standard.RESULTS:
A receiver operating characteristic (ROC) curve analysis was performed. Forces of ≤3.2kg for men and ≤4kg for women were appropriate cutoff values for predicting ASP with a sensitivity and specificity of .57 and .79 for men and .93 and .52 for women, respectively. Based on the ROC analyses for predicting pharyngeal residue, forces of ≤5.3kg in men and ≤3.9kg in women were appropriate cutoff values, with a sensitivity and specificity of .80 and .88 for men and .83 and .81 for women, respectively.CONCLUSIONS:
The JOFT could be a useful screening tool for predicting pharyngeal residue and could provide useful information to aid in the referral of patients for further diagnostic imaging testing. However, given its low sensitivity to ASP the JOFT should be paired with other screening tests that predict ASP.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Deglutição
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Programas de Rastreamento
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Deglutição
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Teste de Esforço
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Terapia por Exercício
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Arcada Osseodentária
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article