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Examination Of Swallowing Status In Multipl Sclerosis Patients

Year 2022, Volume: 12 Issue: 2, 244 - 248, 15.03.2022
https://doi.org/10.16899/jcm.1059214

Abstract

Background: Dysphagia is a life-threatening symptom. The present study aims to evaluate the swallowing function and dysphagia status of MS patients and to find factors that may cause dysphagia. Also, to bring attention to the importance of the early dysphagia examination in MS patients.
Methods: A total of 30 MS patients who applied to the neurology clinic of Mustafa Kemal University were included in the study. Dysphagia was evaluated using GUSS (Gugging Swallowing Screen) test for quantitative evaluation of swallowing function. Demographic data (age, gender) of all patients were recorded. Disease duration, if present dysphagia duration, MS type, and Kurtzke's Expanded Disability Status Scale (EDSS) indicating the patient's level of disability was all recorded.
Results: According to the GUSS test classification; while 14 patients had mild dysphagia, the remaining 16 patients did not reveal any dysphagia or aspiration risk. We found a weak correlation between EDSS and GUSS(r=-0.227), and between EDSS and Subjective Duration of Dysphagia (r=-0.227). There was a moderate and negative correlation between GUSS and duration of disease (-0.543), GUSS, and teeth status (r=-0.535) but a weak correlation between GUSS and age; GUSS and duration of dysphagia. There was a significant difference in teeth status and GUSS score
Conclusion: As a result, individuals with MS may have swallowing dysfunction due to different conditions, so these patients should be evaluated closely in terms of swallowing function from the early stages of the disease immediately upon diagnosis. Thus, serious problems related to aspiration can be prevented.

References

  • 1. Compston, A. and A. Coles, Multiple sclerosis. Lancet, 2008. 372(9648): p. 1502-17.
  • 2. Milo, R. and E. Kahana, Multiple sclerosis: geoepidemiology, genetics and the environment. Autoimmun Rev, 2010. 9(5): p. 20.
  • 3. Kurtzke, J.F., Epidemiologic contributions to multiple sclerosis: an overview. Neurology, 1980. 30(7 Pt 2): p. 61-79.
  • 4. De Pauw, A., et al., Dysphagia in multiple sclerosis. Clin Neurol Neurosurg, 2002. 104(4): p. 345-51.
  • 5. Tassorelli, C., et al., Dysphagia in multiple sclerosis: from pathogenesis to diagnosis. Neurol Sci, 2008. 29(4): p. 008-1044.
  • 6. Calcagno, P., et al., Dysphagia in multiple sclerosis - prevalence and prognostic factors. Acta Neurol Scand, 2002. 105(1): p. 40-3.
  • 7. Poorjavad, M., et al., Oropharyngeal dysphagia in multiple sclerosis. Mult Scler, 2010. 16(3): p. 362-5.
  • 8. Thomas, F.J. and C.M. Wiles, Dysphagia and nutritional status in multiple sclerosis. J Neurol, 1999. 246(8): p. 677-82.
  • 9. Wiesner, W., et al., Swallowing abnormalities in multiple sclerosis: correlation between videofluoroscopy and subjective symptoms. Eur Radiol, 2002. 12(4): p. 789-92.
  • 10. Trapl, M., et al., Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke, 2007. 38(11): p. 2948-52.
  • 11. Aghaz, A., et al., Prevalence of dysphagia in multiple sclerosis and its related factors: Systematic review and meta-analysis. Iran J Neurol, 2018. 17(4): p. 180-188.
  • 12. Fernandes, A.M., et al., Oropharyngeal dysphagia in patients with multiple sclerosis: do the disease classification scales reflect dysphagia severity? Braz J Otorhinolaryngol, 2013. 79(4): p. 460-5.
  • 13. Shibasaki, H., W.I. McDonald, and Y. Kuroiwa, Racial modification of clinical picture of multiple sclerosis: comparison between British and Japanese patients. J Neurol Sci, 1981. 49(2): p. 253-71.

Multipl Skleroz Hastalarında Yutma Durumunun Değerlendirilmesi

Year 2022, Volume: 12 Issue: 2, 244 - 248, 15.03.2022
https://doi.org/10.16899/jcm.1059214

Abstract

Amaç: Disfaji hayati risk oluşturabilen bir semptomdur. Bu çalışma, MS hastalarının yutma fonksiyonu ve disfaji durumunu değerlendirmeyi ve disfajiye neden olabilecek faktörleri bulmayı amaçlamaktadır. Ayrıca MS hastalarında erken disfaji muayenesinin önemine dikkat çekmek amaçlanmaktadır.
Yöntem: Çalışmaya Mustafa Kemal Üniversitesi nöroloji kliniğine başvuran toplam 30 MS hastası dahil edildi. Yutma fonksiyonunun nicel değerlendirmesi için GUSS (Gugging Swallowing Screen) testi kullanılarak hastaların disfaji durumu değerlendirildi. Tüm hastaların demografik verileri (yaş, cinsiyet) kaydedildi. Hastalık süresi, varsa disfaji süresi, MS tipi ve hastanın özürlülük düzeyini gösteren Kurtzke'nin Genişletilmiş Özürlülük Durum Skalası (EDSS) kaydedildi.
Bulgular: GUSS test sınıflamasına göre; 14 hastada hafif disfaji varken, kalan 16 hastada disfaji veya aspirasyon riski saptanmadı. EDSS ile GUSS (r=-0.227) arasında ve EDSS ile Öznel Disfaji Süresi (r=-0.227) arasında zayıf bir ilişki saptandı. GUSS ile hastalık süresi (-0.543) ve GUSS ve dişlerin durumu (r=-0.535) arasında orta ve negatif bir korelasyon saptandı ancak GUSS ile yaş ve GUSS ile disfaji süresi arasında zayıf bir korelasyon vardı. Diş durumu ve GUSS skoru arasında ise anlamlı bir fark vardı.
Sonuç: MS'li bireylerde farklı koşullara bağlı olarak yutma güçlüğü görülebilmektedir, bu nedenle bu hastalar tanı konulduktan hemen sonra hastalığın erken evrelerinden itibaren yutma fonksiyonu açısından yakından değerlendirilmelidir. Böylece aspirasyonla ilgili ciddi sorunların önüne geçilebilir.

References

  • 1. Compston, A. and A. Coles, Multiple sclerosis. Lancet, 2008. 372(9648): p. 1502-17.
  • 2. Milo, R. and E. Kahana, Multiple sclerosis: geoepidemiology, genetics and the environment. Autoimmun Rev, 2010. 9(5): p. 20.
  • 3. Kurtzke, J.F., Epidemiologic contributions to multiple sclerosis: an overview. Neurology, 1980. 30(7 Pt 2): p. 61-79.
  • 4. De Pauw, A., et al., Dysphagia in multiple sclerosis. Clin Neurol Neurosurg, 2002. 104(4): p. 345-51.
  • 5. Tassorelli, C., et al., Dysphagia in multiple sclerosis: from pathogenesis to diagnosis. Neurol Sci, 2008. 29(4): p. 008-1044.
  • 6. Calcagno, P., et al., Dysphagia in multiple sclerosis - prevalence and prognostic factors. Acta Neurol Scand, 2002. 105(1): p. 40-3.
  • 7. Poorjavad, M., et al., Oropharyngeal dysphagia in multiple sclerosis. Mult Scler, 2010. 16(3): p. 362-5.
  • 8. Thomas, F.J. and C.M. Wiles, Dysphagia and nutritional status in multiple sclerosis. J Neurol, 1999. 246(8): p. 677-82.
  • 9. Wiesner, W., et al., Swallowing abnormalities in multiple sclerosis: correlation between videofluoroscopy and subjective symptoms. Eur Radiol, 2002. 12(4): p. 789-92.
  • 10. Trapl, M., et al., Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke, 2007. 38(11): p. 2948-52.
  • 11. Aghaz, A., et al., Prevalence of dysphagia in multiple sclerosis and its related factors: Systematic review and meta-analysis. Iran J Neurol, 2018. 17(4): p. 180-188.
  • 12. Fernandes, A.M., et al., Oropharyngeal dysphagia in patients with multiple sclerosis: do the disease classification scales reflect dysphagia severity? Braz J Otorhinolaryngol, 2013. 79(4): p. 460-5.
  • 13. Shibasaki, H., W.I. McDonald, and Y. Kuroiwa, Racial modification of clinical picture of multiple sclerosis: comparison between British and Japanese patients. J Neurol Sci, 1981. 49(2): p. 253-71.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Murat Güntel 0000-0002-5885-7571

Esra Doğru Hüzmeli This is me 0000-0002-7025-8192

Taşkın Duman 0000-0002-6552-4193

Early Pub Date January 1, 2022
Publication Date March 15, 2022
Acceptance Date February 2, 2022
Published in Issue Year 2022 Volume: 12 Issue: 2

Cite

AMA Güntel M, Hüzmeli ED, Duman T. Examination Of Swallowing Status In Multipl Sclerosis Patients. J Contemp Med. March 2022;12(2):244-248. doi:10.16899/jcm.1059214