Dysphagia

, Volume 23, Issue 4, pp 392–405 | Cite as

MBS Measurement Tool for Swallow Impairment—MBSImp: Establishing a Standard

  • Bonnie Martin-Harris
  • Martin B. Brodsky
  • Yvonne Michel
  • Donald O. Castell
  • Melanie Schleicher
  • John Sandidge
  • Rebekah Maxwell
  • Julie Blair
Original Article

Abstract

The aim of this study was to test reliability, content, construct, and external validity of a new modified barium swallowing study (MBSS) tool (MBSImp) that is used to quantify swallowing impairment. Multiple regression, confirmatory factor, and correlation analyses were used to analyze 300 in- and outpatients with heterogeneous medical and surgical diagnoses who were sequentially referred for MBS exams at a university medical center and private tertiary care community hospital. Main outcome measures were the MBSImp and index scores of aspiration, health status, and quality of life. Inter- and intrarater concordance were 80% or greater for blinded scoring of MBSSs. Regression analysis revealed contributions of eight of nine swallow types to impressions of overall swallowing impairment (p ≤ 0.05). Factor analysis revealed 13 significant components (loadings ≥ 0.5) that formed two impairment groupings (oral and pharyngeal). Significant correlations were found between Oral and Pharyngeal Impairment scores and Penetration-Aspiration Scale scores, and indexes of intake status, nutrition, health status, and quality of life. The MBSImp demonstrated clinical practicality, favorable inter- and intrarater reliability following standardized training, content, and external validity. This study reflects potential for establishment of a new standard for quantification and comparison of oropharyngeal swallowing impairment across patient diagnoses as measured on MBSS.

Keywords

Dysphagia Swallowing Videofluoroscopy Diagnostic tool Reliability Deglutition Deglutition disorders 

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Bonnie Martin-Harris
    • 1
    • 2
    • 3
    • 4
  • Martin B. Brodsky
    • 1
    • 2
    • 3
    • 5
    • 8
  • Yvonne Michel
    • 6
  • Donald O. Castell
    • 7
  • Melanie Schleicher
    • 4
  • John Sandidge
    • 4
  • Rebekah Maxwell
    • 2
    • 3
    • 5
  • Julie Blair
    • 2
    • 3
    • 5
  1. 1.Department of Otolaryngology-Head and Neck SurgeryMedical University of South CarolinaCharlestonUSA
  2. 2.Evelyn Trammell Institute for Voice and SwallowingMedical University of South CarolinaCharlestonUSA
  3. 3.Department of Communication Sciences & DisordersMedical University of South CarolinaCharlestonUSA
  4. 4.Evelyn Trammell Voice & Swallowing CenterSaint Joseph’s Hospital of AtlantaAtlantaUSA
  5. 5.Department of Speech PathologyMedical University of South CarolinaCharlestonUSA
  6. 6.College of NursingMedical University of South CarolinaCharlestonUSA
  7. 7.College of MedicineMedical University of South CarolinaCharlestonUSA
  8. 8.Johns Hopkins HospitalBaltimoreUSA

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