, Volume 29, Issue 4, pp 438–443 | Cite as

Validation of the Videofluoroscopic Dysphagia Scale in Various Etiologies

  • Juyong Kim
  • Byung-Mo Oh
  • Jung Yoon Kim
  • Goo Joo Lee
  • Seung Ah Lee
  • Tai Ryoon HanEmail author
Original Article


The videofluoroscopic dysphagia scale (VDS) was developed as an objective predictor of the prognosis of dysphagia after stroke. We evaluated the clinical validity of the VDS for various diseases. We reviewed the medical records of 1,995 dysphagic patients (1,222 men and 773 women) who underwent videofluoroscopic studies in Seoul National University Hospital from April 2002 through December 2009. Their American Speech–Language–Hearing Association’s National Outcome Measurement System (ASHA NOMS) swallowing scale, clinical dysphagia scale (CDS), and VDS scores were evaluated on the basis of the clinical and/or videofluoroscopic findings by the consensus of two physiatrists. The correlations between the VDS and the other scales were calculated. The VDS displayed significant correlations with the ASHA NOMS swallowing scale and the CDS in every disease group (p < 0.001 in all groups, including central and peripheral nervous system disorders), and these correlations were more apparent for spinal cord injury, peripheral nerve system disorders, and neurodegenerative diseases (correlation coefficients between the VDS and the ASHA NOMS swallowing scale: −0.603, −0.602, and −0.567, respectively). This study demonstrated that the VDS is applicable to dysphagic patients with numerous etiologies that cause dysphagia.


Deglutition Deglutition disorders Etiology Validity of results 



This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (A101272).

Conflict of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Juyong Kim
    • 1
  • Byung-Mo Oh
    • 1
  • Jung Yoon Kim
    • 1
    • 2
  • Goo Joo Lee
    • 1
  • Seung Ah Lee
    • 1
    • 3
  • Tai Ryoon Han
    • 1
    Email author
  1. 1.Department of Rehabilitation MedicineSeoul National University College of MedicineSeoulRepublic of Korea
  2. 2.Department of Rehabilitation MedicineNational Rehabilitation HospitalSeoulSouth Korea
  3. 3.Department of Physical Medicine and RehabilitationKyung Hee University College of Medicine Kangdong HospitalSeoulSouth Korea

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