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Rehabilitation Practice and Science

Translated Title

以床邊甲狀軟骨觸診預測中風病人吸入／嗆入風險

Abstract

Background: Bedside thyroid cartilage palpation technique is a quick and non-invasive swallowing screening test. However, the correlation between thyroid cartilage movement and penetration/aspiration risks in stroke patients has not been conclusive to date. Therefore, we compared the result of videofluoroscopic swallowing study (VFSS) and bedside thyroid cartilage palpation to determine the penetration/ aspiration risks in stroke patients. Material and methods: Our study included 53 patients admitted to a medical center for rehabilitation within 6-months of stroke onset. We recorded penetration-aspiration scale by VFSS and compared it with a bedside thyroid cartilage palpation technique. Results: Our results show significant higher rates of penetration/aspiration in patients with thyroid elevation ≤1.5 finger widths during palpation compared to ＞1.5 finger widths (p=0.0223). For the prediction of penetration/aspiration on VFSS, palpation ≤1.5 finger width has a sensitivity of 77.42% (95% CI: 58.90% to 90.41%) and specificity 54.55% (95% CI: 32.21% to 75.61%). Conclusion: Our results indicate that a ≤ 1.5 finger width elevation of thyroid cartilage during palpation technique is a sensitive, quick and non-invasive swallowing screening test to evaluate possible risks of penetration/aspiration in stroke patients or used as a follow up examination after VFSS.

Language

English

First Page

109

Last Page

115

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