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논문 기본 정보

자료유형
학술저널
저자정보
Kimberly P. Hreha (Dept. of Orthopaedic Surgery Occupational Therapy) Sarah Sheridan (Outpatient Speech Therapy Department Kessler Inst) Ickpyo Hong (Dept. of Occupational Therapy College of Software and Digital Healthcare Convergence Yonsei Univer) Grace J. Kim (Dept. of Occupational Therapy Steinhardt School of Culture Education and Human Development New Y)
저널정보
대한작업치료학회 대한작업치료학회지 대한작업치료학회지 제30권 제2호
발행연도
2022.6
수록면
31 - 40 (10page)

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초록· 키워드

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This prospective, observational study of acute stroke survivors was completed to report our clinical application ofthe Penetration-Aspiration Scale (PAS), an 8-point multidimensional assessment, used in conjunction with theVideo Fluoroscopic Swallow Study (VFSS). In addition, we were interested in determining the association of PASscores at admission, demographics and clinical characteristics with functional recovery (measured by theFunctional Independence Measure [FIM]) at discharge from an inpatient rehabilitation hospital. There werethirty-five patients that met inclusion and consented. Out of the 35, 34 (97%) were successfully assessed withthe PAS with VFSS. Multivariate regression model revealed that the PAS scores, sex, length of stay, andadmission FIM scores were significantly associated with functional recovery at hospital discharge (all p values <.05). We conclude that the PAS was feasible to administer with VFSS and implement in our inpatient setting. ThePAS provided information about the depth of the airway invasion, material remaining after the swallow, and theresponse to aspiration, which were not reported in a standardized way prior to this study. The associationbetween the PAS and functional recovery at discharge suggests that stroke survivors with swallowing impairmenthave less functional improvement noted at discharge than those with better swallowing scores. Therefore, peoplewith dysphagia may need additional services and care. Future research should determine if using the PAS canimprove clinical practice and ensure consistency across care transitions (expansion), as those with dysphagiamay need additional services and care.

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