지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objective: To investigate whether patterns of dysphagia were associated with the location of the brainlesion and clinical factors in subacute stroke patients.
Method: One hundred and seventy-eight first-ever subacute stroke patients who underwentvideofluoroscopic swallowing study (VFSS) from January 2006 to April 2012 were enrolled in the presentstudy. Swallowing-related parameters were assessed by VFSS. The location of brain lesions wereclassified into the cortical, subcortical, and brain stem. The degree of cognitive impairment and theindependency of activities of daily living were assessed by the Korean version of mini-mental statusexamination and Korean version of modified Barthel index (K-MBI). Aphasia and hemineglect wereassessed by Korean version of Western aphasia battery and line bisection test. These data werecollected via retrospective chart review.
Results: A reduced laryngeal elevation and prolonged pharyngeal delay time were associated with brainstem lesion. Other swallowing parameters were not associated with lesion topology. Pyriform sinusresidue was associated with the presence of aphasia and low K-MBI scores. Prolonged pharyngealdelay time was associated with the patient's age, type of stroke and brain stem lesion.
Conclusion: Pyriform sinus residue was associated with clinical factors such as aphasia and K-MBIscores rather than with the location of brain lesion. However, reduced laryngeal elevation and prolongedpharyngeal delay time were predominant in brain stem lesions.
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참고문헌 (26)
참고문헌 신청
Achem SR / 2005 / Dysphagia in aging / J Clin Gastroenterol 39 : 357 ~ 371
Alberts MJ / 1992 / Aspiration after stroke: lesion analysis by brain MRI / Dysphagia 7 : 170 ~ 173
Broadley S / 2003 / Predictors of prolonged dysphagia following acute stroke / J Clin Neurosci 10 : 300 ~ 305
Daniels SK / 1999 / Lesion localization in acute stroke patients with risk of aspiration / J Neuroimaging 9 : 91 ~ 98
Falsetti P / 2009 / Oropharyngeal dysphagia after stroke:incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit / J Stroke Cerebrov
Alberts MJ / 1992 / Aspiration after stroke: lesion analysis by brain MRI / Dysphagia 7 : 170 ~ 173
Broadley S / 2003 / Predictors of prolonged dysphagia following acute stroke / J Clin Neurosci 10 : 300 ~ 305
Daniels SK / 1999 / Lesion localization in acute stroke patients with risk of aspiration / J Neuroimaging 9 : 91 ~ 98
Falsetti P / 2009 / Oropharyngeal dysphagia after stroke:incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit / J Stroke Cerebrov
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