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Dysphagia

, Volume 9, Issue 2, pp 120–129 | Cite as

Swallowing in neurological outpatients: Use of a timed test

  • Kalyanee M. Nathadwarawala
  • Anna McGroary
  • Charles M. Wiles
Article

Abstract

Swallowing was studied prospectively in a consecutive group of 90 neurology outpatients under 70 years of age. No patient had been referred primarily because of dysphagia. Patients were classified into four groups: those with (1) neurological or (2) non-neurological diagnoses possibly relevant to disordered swallowing, (3) functional disorders, and (4) definite diagnoses not likely to be relevant. They were defined as having abnormal or probably abnormal swallowing if two or more of the following were present: a complaint of swallowing problem, abnormal symptoms or signs, a slow swallowing speed (<10 ml.s-1). Nineteen patients among the four groups (21%) were found to have abnormal/probably abnormal swallowing. Swallowing speed was significantly slower in patients who perceived a swallowing problem or who had abnormal symptoms or signs compared with those who did not, providing further evidence for the validity of a timed test of swallowing capacity. The study also provides evidence of a significant incidence of disordered swallowing in outpatients who may not have complained spontaneously but who have diagnoses potentially relevant to swallowing.

Key words

Dysphagia Neurology outpatients Swallowing speed Swallowing capacity Deglutition Deglution disorders 

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References

  1. 1.
    Nathadwarawala KM, Nicklin J, Wiles CM: A timed test of swallowing capacity for neurological patients.J Neurol Neurosurg Psychiatry 55:822–825, 1992Google Scholar
  2. 2.
    Nicklin J, Karni Y, Wiles CM: Measurement of swallowing time—a proposed method.clin Rehab 4: 335–336, 1990Google Scholar
  3. 3.
    Borgstrom PS, Ekberg O: Pharyngeal dysfunction in the elderly.J Med Imag 2: 74–81, 1988Google Scholar
  4. 4.
    Bloem BR, Lagaay AM, van Beek W, Haan J, Roos RAC, Wintzen AR: Prevalence of subjective dysphagia in community residents aged over 87.Br Med J 300: 721–722, 1990Google Scholar
  5. 5.
    Sheth N, Diner WC: Swallowing problems in the elderly.Dysphagia 2: 209–215 1988Google Scholar
  6. 6.
    Logemann JA: Effects of aging on the swallowing mechanism.Otolaryngol Clin N Am 23: 1045–1056, 1990Google Scholar
  7. 7.
    Howard RS, Wiles CM, Hirsch NP, Loh L, Spencer GT, Newsom Davis J: Respiratory involvement in multiple sclerosis.Brain 115: 479–494, 1992Google Scholar
  8. 8.
    Robbins JA, Logemann JA, Kirshner HS: Swallowing and speech production in Parkinson's disease.Ann Neurol 19: 283–287, 1986Google Scholar
  9. 9.
    Meadows JC: Dysphagia in unilateral cerebral lesions.J Neurol, Neurosurg Psychiatry 36: 853–860, 1973Google Scholar
  10. 10.
    Gordon C, Langton Hewer R, Wade DT: Dysphagia in stroke.Br Med J 295: 411–414, 1987Google Scholar
  11. 11.
    Buchin PJ: Swallowing disorders: diagnosis and medical treatment.Otolaryngol Clin N Am 21 (4): 663–675, 1988Google Scholar
  12. 12.
    Buchholz DW, Bosma JF, Donner MW: Adaptation, compensation, and decompensation of the pharyngeal swallow.Gastrointest Radiol 10: 235–239, 1985Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1994

Authors and Affiliations

  • Kalyanee M. Nathadwarawala
    • 1
  • Anna McGroary
    • 2
  • Charles M. Wiles
    • 1
  1. 1.Department of Medicine (Neurology)University of Wales College of MedicineCardiffUK
  2. 2.Department of Speech and Language TherapyUniversity Hospital of WalesCardiffUK

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