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A Systematic Review of Self-reported Swallowing Assessments in Progressive Neurological Disorders

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Abstract

Dysphagia experienced as a consequence of neurodegenerative disease can have severe consequences on a patient’s health and well-being. Regular assessment of swallowing function can assist to achieve adequate nutrition and hydration. Here we review subjective swallowing assessments currently available are suitable for use in people with neurodegenerative disease. Measurement properties were reviewed for each tool and coverage of the World Health Organization’s International Classification of Functioning, Disability and Health (WHO ICF) was considered. Assessments were identified following a review of the published literature Instruments were reviewed on the basis of reliability and validity, as well as administrative properties, such an interpretability, acceptability, and feasibility. Tools were also evaluated according to the WHO ICF framework. In total, 19 studies were identified for full-text review from 13,315 abstracts. Nine self-reported dysphagia assessment tools suitable for use in progressive neurological disorders were identified. The Swallowing Quality of Life Questionnaire (SWAL-QOL) yields the strongest combination of reliability (including internal consistency and test–retest reliability) and convergent validity while simultaneously covering all WHO ICF domains. Lengthy administration time was identified as a limitation of the SWAL-QOL. The review highlights a relative lack of well-validated self-report questionnaires in dysphagia for people with progressive neurological disease. Additional validation and evaluation of the clinical utility of the tools currently available is required to further promote an informed selection of available assessments.

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References

  1. Adams CWM. A colour atlas of multiple sclerosis and other myelin disorders. J Neurol Neurosurg Psychiatry. 1989;52(10):1216–7.

    Google Scholar 

  2. Bayés-Rusiñol À, Forjaz MJ, Ayala A, Crespo-Mde L, Prats A, Valles E, Petit C, Casanovas M, Garolera-Freixa M. Awareness of dysphagia in Parkinson’s disease. Revista de Neurologia. 2011;53(11):664–72.

    PubMed  Google Scholar 

  3. Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Alln J, Leonard RJ. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol. 2008;117(12):919–24.

    Article  PubMed  Google Scholar 

  4. Bergamaschi R, Crivelli P, Rezzani C, Patti F, Solaro C, Rossi P, Restivo D, Maimone D, Romani A, Bastionello S, Tavazzi E, Montomoli C, Cosi V. The DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis. J Neurol Sci. 2008;269(1):49–53.

    Article  CAS  PubMed  Google Scholar 

  5. Bergamaschi R, Rezzani C, Minguzzi S, Amato MP, Patti F, Marruso MG, Bonavita S, Grasso MG, Ghezzi A, Rottoli M, Gasperini C, Restivo D, Maimone D, Rossi P, Stromillo ML, Montomoli C, Solaro C, DYMUS Group. Validation of the DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis. Funct Neurol. 2009;24(3):159.

    PubMed  Google Scholar 

  6. Bogaardt HCA, Speyer R, Baijens LWJ, Fokkens WJ. Cross-cultural adaptation and validation of the Dutch version of SWAL-QoL. Dysphagia. 2009;24(1):66–70.

    Article  CAS  PubMed  Google Scholar 

  7. Coates C, Bakheit AM. Dysphagia in Parkinson’s disease. Eur Neurol. 1997;38(1):49–52.

    Article  CAS  PubMed  Google Scholar 

  8. Cohen JT, Manor Y. Swallowing disturbance questionnaire for detecting dysphagia. Laryngoscope. 2011;121(7):1383–7.

    Article  PubMed  Google Scholar 

  9. Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and psychological burden of dysphagia: its impact on diagnosis and dreatment. Dysphagia. 2002;17(2):139–46.

    Article  PubMed  Google Scholar 

  10. Evatt ML, Chaudhuri KR, Chou KL, Cubo E, Hinson V, Kompoliti K, Yang C, Poewe W, Rascol O, Sampaio C, Stebbins GT, Goetz CG. Dysautonomia rating scales in Parkinson’s disease: sialorrhea, dysphagia, and constipatiion—critique and recommendations by movement disorders task force on rating scales for Parkinson’s disease. Mov Disord. 2009;24(5):635–46.

    Article  PubMed  Google Scholar 

  11. Fitzpatrick R, Davey C, Buston MJ, Jones DR. Evaluation of patient-based outcome measures for use in clinical trials. Health Technol Assess. 1998;2(14):1–74.

    CAS  PubMed  Google Scholar 

  12. González-Fernández M, Daniels SK. Dysphagia in stroke and neurologic disease. Phys Med Rehabil Clin N Am. 2008;19(4):867–88.

    Article  PubMed  Google Scholar 

  13. Hely MA, Reid WG, Adena MA, Halliday GM, Morris JG. The Sydney multicenter study of Parkinson’s disease: the inevitability of dementia at 20 years. Mov Disord. 2008;23(6):837–44.

    Article  PubMed  Google Scholar 

  14. Hoehn M, Yahr M. Parkinsonism: onset, progression and mortality. Neurology. 1967;17(5):427–42.

    Article  CAS  PubMed  Google Scholar 

  15. Kalf JG, Borm GF, de Swart BJ, Bloem BR, Zwarts MJ, Munneke M. Reproducibility and validity of patient-rated assessment of speech, swallowing, and saliva control in Parkinson’s disease. Arch Phys Med Rehabil. 2011;92(7):1152–8.

    Article  PubMed  Google Scholar 

  16. Khaldoun E, Woisard V, Verin E. Validation in French of the SWAL-QOL scale in patients with oropharyngeal dysphagia. Gastroentérol Clin Biol. 2009;33(3):167–71.

    Article  CAS  PubMed  Google Scholar 

  17. List MA, Ritter-Sterr C, Lansky SB. A performance status scale for head and neck cancer patients. Cancer. 2006;66(3):564–9.

    Article  Google Scholar 

  18. 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(13):1917–21.

    Article  PubMed  Google Scholar 

  19. McHorney CA, Bricker DE, Kramer AE, Rosenbek JC, Chignell KA, Logemann JA, Clarke C. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia. 2000;15(3):115–21.

    Article  CAS  PubMed  Google Scholar 

  20. 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(2):97–114.

    Article  PubMed  Google Scholar 

  21. McHorney CA, Martin-Harris B, Robbins J, Rosenbek J. Clinical validity of the SWAL-QOL and SWAL-CARE outcome tools with respect to bolus flow measures. Dysphagia. 2006;21(3):141–8.

    Article  PubMed  Google Scholar 

  22. Power E, Anderson A, Togher L. Applying the WHO ICF framework to communication assessment and goal setting in Huntington’s disease: a case discussion. J Commun Disord. 2011;44(3):261–75.

  23. Prosiegel M, Schelling A, Wagner-Sonntag E. Dysphagia and multiple sclerosis. Int MS J. 2004;11(1):22–31.

    CAS  PubMed  Google Scholar 

  24. Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF. The dysphagia handicap index: development and validation. Dysphagia. 2012;27(1):46–52.

    Article  PubMed  Google Scholar 

  25. Stewart AL, Hays RD, Ware JE. The MOS short-form general health survey: reliability and validity in a patient population. Med care. 1988;26(7):724–35.

  26. Threats TT. Use of the ICF in dysphagia management. In: Ratner NB, editor. Seminars in speech and language, vol. 28. New York: Theime Medical Publishers Inc; 2007. p. 323.

    Google Scholar 

  27. Timmerman AA, Speyer R, Heijnen BJ, Klin-Zwijnenberg IR. Psychometric characteristics of health-related quality-of-life questionnaires in oropharyngeal dysphagia. Dysphagia. 2014;29(2):183–98.

    Article  PubMed  Google Scholar 

  28. Volonté MA, Porta M, Comi G. Clinical assessment of dysphagia in early phases of Parkinson’s disease. Neurol Sci. 2002;23(2):121–3.

    Article  Google Scholar 

  29. Wallace KL, Middleton S, Cook IJ. Development and validation of a self-report symptom inventory to assess the severity of oral–pharyngeal dysphagia. Gastroenterology. 2000;118(4):678–87.

    Article  CAS  PubMed  Google Scholar 

  30. Woisard V, Lepage B. The “Deglutition Handicap Index” a self-administered dysphagia-specific quality of life questionnaire: temporal reliability. Revue de Laryngologie-Otologie-Rhinologie. 2010;131(1):19–22.

    CAS  PubMed  Google Scholar 

  31. Woisard V, Andrieux MP, Puech M. Validation of a self-assessment questionnaire for swallowing disorders (Deglutition Handicap Index). Revue de Laryngologie-Otologie-Rhinologie. 2006;127(5):315–25.

    CAS  PubMed  Google Scholar 

  32. World Health Organization. International classification of functioning, disability, and health (ICF). Geneva: WHO; 2001.

    Google Scholar 

  33. Zraick RI, Atcherson SR, Ham BK. Readability of patient-reported outcome questionnaires for use with persons with swallowing disorders. Dysphagia. 2012;27(3):346–52.

    Article  PubMed  Google Scholar 

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Acknowledgments

APV and LC are funded by National Health and Medical Research Council of Australia (NHMRC) Early Career Fellowships. MK is an Australian Postgraduate Award recipient.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Speech Neuroscience Unit, The University of Melbourne, 550 Swanston Street, Melbourne, VIC, 3010, Australia

    Megan Keage & Adam Vogel

  2. Bruce Lefroy Centre for Genetic Health Research, Murdoch Childrens Research Institute, Flemington Road, Parkville, Melbourne, VIC, 3052, Australia

    Martin Delatycki & Louise Corben

Authors
  1. Megan Keage
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  2. Martin Delatycki
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  3. Louise Corben
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  4. Adam Vogel
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Corresponding author

Correspondence to Megan Keage.

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Keage, M., Delatycki, M., Corben, L. et al. A Systematic Review of Self-reported Swallowing Assessments in Progressive Neurological Disorders. Dysphagia 30, 27–46 (2015). https://doi.org/10.1007/s00455-014-9579-9

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  • DOI: https://doi.org/10.1007/s00455-014-9579-9

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