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Rehabilitation Practice and Science

Abstract

Background/Purpose: To clarify the characteristics of dysphagia in patients with cervical spinal cord injury (CSCI) by using modified barium swallow impairment profile (MBSImP) scoring in a videofluoroscopic swallowing study (VFSS). Methods: This retrospective study included the data of 10 patients with CSCI (9 men and 1 woman) with dysphagia admitted to the rehabilitation ward of a university medical hospital who had undergone VFSS. The patients’ oral, pharyngeal, and esophageal impairments were evaluated using the MBSImP. Results: Comprising the MBSImP overall score, the median oral impairment total score (OT) was 10.5 (interquartile range [IQR]: 9–11), the median pharyngeal impairment total score (PT) was 11.0 (IQR: 8–13), and the median esophageal impairment score (EI) was 2 (IQR: 1–2). Although all three phases were affected, they were of lower clinical severity in this scoring system. Conclusion: All patients had impairments in the oral phase, pharyngeal phase, and esophageal phase. The MBSImP was useful for evaluating swallowing impairment in patients with CSCI.

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