Erişkin Hastalarda Klinik Yutma Değerlendirme Aşamaları

Year 2021, Volume: 7 Issue: 1, 1 - 11, 01.01.2021

Mahmut Sevim Ayşe Kübra Şahan Selen Serel Arslan

Abstract

Yutma; besinin ağza kabulüyle başlayan ve mideye iletilmesi ile tamamlanan bir fonksiyondur. Disfaji yutma bozukluğu besinin ağızdan alınıp mideye iletilmesine kadar geçen sürede gerçekleşen bozuklukları ifade etmektedir. Disfaji; malnutrisyon, dehidratasyon, yaşam kalitesinde azalma ve hatta ölümle sonuçlanabilir. Disfaji yarattığı bu komplikasyonlar nedeniyle erken evrede saptanmalı ve tedavi edilmelidir. Disfaji değerlendirilmesi; klinik ve aletsel değerlendirmeler olmak üzere ikiye ayrılabilir. Bu derlemede amaç; klinik yutma değerlendirme basamaklarını belirlemek, klinik değerlendirmelerde sıkça kullanılan ölçekleri tanımlamak ve yutma bozuklukları konusunda çalışan klinisyenlere yol göstermektir

Keywords

Yutma bozukluğu, Klinik değerlendirme, Değerlendirme ölçekleri

Clinical Swallowing Evaluation Steps in Adult Patients

Abstract

Swallowing is a function that starts with acceptance of food into the mouth and is completed by delivery to the stomach. Dysphagia swallowing disorders refers to the disorders that occur during the period of food delivery from the mouth to the stomach. Dysphagia may result in malnutrition, dehydration, decreased quality of life, or even death. Dysphagia should be detected and treated at an early stage due to these complications. Dysphagia evaluation can be divided into clinical and instrumental evaluation. The aim of this review was to determine the clinical evaluation steps of swallowing function, define the scales that are frequently used in clinical evaluations, and guide clinicians working in the field of swallowing disorders

Keywords

Dysphagia, Clinical evaluation, Evaluation tools

References

• Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: Normal and abnormal. Phys Med Rehabil Clin N Am 2008;19(4):691-707.
• Feigin VL, Roth GA, Naghavi M, Parmar P, Krishnamurthi R, Chugh S, Estep K. Global burden of stroke and risk factors in 188 countries, during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Neurol 2016; 15(9):913-24.
• Barer DH. The natural history and functional consequences of dysphagia after hemispheric stroke. J Neurol 1989; 52:236-41.
• Plowman‐Prine EK, Sapienza CM, Okun MS, Pollock SL, Jacobson C, Wu SS, Rosenbek JC. The relationship between quality of life and swallowing in Parkinson’s disease. Mov Disord 2009; 24(9):1352-8.
• Johnston BT, Li Q, Castell JA. Swallowing and esophageal function in Parkinson’s disease. Am J Gastroenterol 1995; 90(10):1741-6.
• Heemskerk AW, Roos RA. Dysphagia in huntington’s disease: A review. Dysphagia 2011; 26(1):62-6.
• Ertekin C, Aydogdu I, Yüceyar N. Pathophysiological mechanisms of oropharyngeal dysphagia in amyotrophic lateral sclerosis. Brain 2000; 123(1):125-40.
• Kronenberger MB, Meyers AD. Dysphagia following head and neck cancer surgery. Dysphagia 1994; 9(4):236- 44.
• Hutcheson KA, Lewin JS, Barringer DA, Lisec A, Gunn GB, Moore MW, Holsinger FC. Late dysphagia after radiotherapy‐based treatment of head and neck cancer. Cancer 2012; 118(23):5793-9.
• Butler SG, Stuart A, Leng X, Rees C, Williamson J, Kritchevsky SB. Factors influencing aspiration during swallowing in healthy older adults. The Laryngoscope 2010; 120(11):2147-52.
• Shaw DW, Cook IJ, Gabb, Holloway RH, Simula ME, Panagopoulos V, Dent J. Influence of normal aging on oral-pharyngeal and upper esophageal sphincter function during swallowing. Am J Physiol Gastrointest Liver Physiol 1995; 268(3):389-96.
• Robbins J. Old swallowing and dysphagia: Thoughts on intervention and prevention. Nutr Clin Pract 1999;14:21-6.
• Hemant K, Satpathy MD. Dysphagia; Evaluation and treatment. Gastroenterol Clin N Am 2003; 32:553-75.
• Miller CK, Burklow KA, Santoro K, Kirby E, Mason D, Rudolph CD. An interdisciplinary team approach to the management of pediatric feeding and swallowing disorders. Children’s Health Care 2001; 30:201-18.
• Mathers-Schmidt BA, Kurlinski M. Dysphagia evaluation practices: Inconsistencies in clinical assessment and instrumental examination decision-making. Dysphagia 2003; 18:114-25.
• Clavé P, Terré R, de Kraa M, Serra M. Approaching oropharyngeal dysphagia. Rev Esp Enferm Dig 2004; 96:119-31.
• Cook IJ, Kahrilas PJ, AGA technical review on manage- ment of oropharyngeal dysphagia. Gastroenterology 1999; 116(2):455-78.
• Bastian WR. The videoendoscopic swallowing study: an alternative and partner to the videofluoroscopic swallowing study. Dysphagia 1993; 8:359-67.
• McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 2002; 17:97-114-24.
• Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients withhead and neck cancer: The MD anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001; 127:870-6.
• Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, Leonard RJ. Validity and reliability of the eating assessment tool (EAT-10). Ann Otol Rhinol Laryngol 2008; 117:919-24.
• Chojin Y, Kato T, Rikihisa M, Omori M, Noguchi S, Akata K, Mukee H. Evaluation of the mann assessment of swallowing ability in elderly patients with pneumonia. Aging Dis 2017; 8:420-33.
• Al-Khaled M, Matthis C, Binder A, Mudter J, Schattschneider J, Pulkowski U, Valdueza JM. Dysphagia in patients with acute ischemic stroke: Early dysphagia screening may reduce stroke-related pneumonia and improve stroke outcomes. Cerebrovasc Dis 2016; 42:81-9.
• Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest 2003; 124:328-36.
• Ramsey DJ, Smithard DG, Kalra L. Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke 2003; 34:1252-7.
• Falsetti P, Acciai C, Palilla R, Bosi M, Carpinteri F, Zingarelli A, Lenzi L. Oropharyngeal dysphagia after stroke: Incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit. J Stroke Cerebrovasc Dis 2009; 18:329-35.
• Bickerstaff ER. Neurological examination in clinical practice, 3rd ed. Oxford: Blackwell Scientific, 1973.
• Palmer JB, Drennan JC, Baba M. Evaluation and treatment of swallowing impairments. Am Fam Physician 2000; 61:2453-62.
• Susan JG, Alice IW. Clinical Swallow Evaluation. In: Rebecca L, Katherine AK, eds. Dysphagia Assessment and Treatment Planning 3rd ed. San Diego, By Plural Publishing. 2014: 113-126.
• Wiles CM. Neurogenic dysphagia. J Neurol Neurosurg Psychiatry 1991; 54(12):1037-9.
• Bülow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia 1999; 14:67-72.
• Connolly MJ. Of proverbs and prevention: Aspiration and its consequences in older patients. Ageing Dis 2010; 39(1):2-4.
• Bours GJ, Speyer R, Lemmens J, Limburg M, de Wit R. Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: Systematic review. J Adv Nurs 2009; 65:477-93.
• Warner HL, Suiter DM, Nystrom KV, Poskus K, Leder SB. Comparing accuracy of the yale swallow protocol when administered by registered nurses and speech‐ language pathologists. J Clin Nurs 2014; 23:1908-15.
• Clave P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume- viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr 2008; 27:806-81.
• Rofesa L, Arreolab V, Clavé P. The volume-viscosity swallow test for clinical screening of dysphagia and aspiration. Nestle Nutr Inst Workshop Ser 2012; 72:33-42.
• Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines: Potential benefits, limitations, and harms of clinical guidelines. BMJ 1999; 318:527-30.
• Kunieda K, Ohno T, Fujishima, Hojo K, Morita T. Reliability and validity of a tool to measure the severity of dysphagia: The food intake level scale. J Pain Symptom Manage 2013; 46:201-6.
• Crary M, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil 2005; 86:1516- 20.
• Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL, Diamant NE. The Toronto bedside swallowing screening test (TOR-BSST): Development and validation of a dysphagia screening tool for patients with stroke. Stroke 2009; 40:555-61.
• Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care 2010; 19:357-64.
• Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M. Dysphagia bedside screening for acute-stroke patients: The gugging swallowing screen. Stroke 2007; 38:2948-52.
• Bergamaschi R, Crivelli P, Rezzani C, Patti F, Solaro C, Rossi P, Tavazzi E. The DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis. J Neurol Sci 2008; 269:49-53.
• Dwivedi RC, Rose SS, Roe JW, Khan AS, Pepper C, Nutting CM, Kazi R. Validation of the Sydney Swallow Questionnaire (SSQ) in a cohort of head and neck cancer patients. Oral Oncol 2010; 46(4):10-4.
• Manor Y, Giladi N, Cohen A, Fliss DM, Cohen JT. Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson’s disease. Mov Disord 2007; 22:1917-21.
• Govender R, Lee MT, Davies TC, Twinn CE, Katsoulis KL, Payten CL, Drinnan M. Development and preliminary validation of a patient-reported outcome measure for swallowing after total laryngectomy (SOAL questionnaire). Clin Otolaryngol 2012; 37:452-9.
• Skeppholm M, Ingebro C, Engström T, Olerud C. The dysphagia short xuestionnaire. Spine 2012; 37:996-1002.
• Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF. The dysphagia handicap index: Development and validation. Dysphagia 2012; 27:46-52.
• Demir N, Arslan SS, İnal Ö, Ünlüer NÖ, Karaduman AA. Reliability and validity of the Turkish version of the swallow quality of life questionnaire. Fizyoterapi Rehabilitasyon 2016; 27:19-24.
• Volonte MA, Porta M, Comi G. Clinical assessment of dysphagia in early phases of Parkinson’s disease. Neurol Sci 2002; 23:121-2.
• Demir N, Arslan SS, İnal Ö, Karaduman AA. Reliability and validity of the Turkish Eating Assessment Tool (T-EAT-10). Dysphagia 2016; 31:644-9.
• Umay EK, Gürçay E, Bahçeci K, Öztürk E, Yılmaz V, Gündoğdu İ, Çakcı A. Validity and reliability of Turkish version of the gugging swallowing screen test in the early period of hemispheric stroke. J Neurol Sci Turk 2018; 35(1):6-13.
• Tenekeci EG, Kara B, Cetiz A, Demirkaya Ş, Demir N, Acikel C. Validity and reliability of the Turkish version of the questionnaire for the asessment of dysphagia in multiple sclerosis. Noro Psikiyatr Ars 2018; 55:243-7.
• McElhiney J, Lohse MR, Arora AS. The mayo dysphagia questionnaire-30: Documentation of reliability and validity of a tool for interventional trials in adults with esophageal disease. Dysphagia 2010; 2:221-30.