Abstract:
:The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospective research design was used. Seventeen speech and language pathologists (SLPs) were recruited from an acute teaching hospital, Dublin (> 3 years' VFSS experience, n = 10) and from a postgraduate dysphagia programme in a university setting (< 3 years' VFSS experience; n = 7). During testing, participants viewed eight VFSS clips (5 with audio-recording). Each VFSS clip was independently rated using the DOSS scale. Four weeks later, the less experienced group attended a 1-h training session on DOSS rating after which DOSS IRR was re-tested. Cohen's kappa co-efficient was used to establish IRR. IRR of the DOSS presented only fair agreement (κ = 0.36, p < 0.05). DOSS IRR was significantly higher (κ = 0.342) within the more experienced SLP group, compared to the less experienced SLP group (κ = 0.298) (p < 0.05). DOSS IRR was significantly higher in VFSS clips with audio-recording (κ = 0.287) compared to VFSS clips without audio-recording (κ = - 0.0395) (p < 0.05). IRR of the DOSS pre-training (κ = 0.328) was significantly better comparing to post-training (κ = 0.218) (p < 0.05). Findings raise concerns as the DOSS is frequently used in clinical practice to capture dysphagia severity and to monitor changes.
journal_name
Dysphagiajournal_title
Dysphagiaauthors
Zarkada A,Regan Jdoi
10.1007/s00455-017-9857-4subject
Has Abstractpub_date
2018-06-01 00:00:00pages
329-336issue
3eissn
0179-051Xissn
1432-0460pii
10.1007/s00455-017-9857-4journal_volume
33pub_type
杂志文章相关文献
DYSPHAGIA文献大全abstract::Fatigable muscle weakness is the clinical hallmark of the human autoimmune disease myasthenia gravis (MG). Weakness of the oropharyngeal muscles produces dysphagia, which continues to be a major source of morbidity in MG. In this study we prospectively assessed 20 patients with myasthenia gravis who described difficul...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-001-0114-4
更新日期:2002-04-01 00:00:00
abstract::Dysphagia is common after stroke, leading to adverse outcome. The Effortful Swallow (ES) is recommended to improve swallowing but it is not known if dysphagic patients can increase muscle activity during the exercise or if age affects performance. Providing surface electromyographic (sEMG) biofeedback during dysphagia...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-020-10129-8
更新日期:2020-05-22 00:00:00
abstract::Coughing is an essential airway protective reflex. In healthy young adults, cough somatosensation changes when attention is divided (dual tasking). Whether the same is true in populations at risk of aspiration remains unknown. We present findings from a controlled study testing the effects of divided attention (via a ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-020-10223-x
更新日期:2021-01-02 00:00:00
abstract::Dysphagia is a symptom suggestive of severe underlying pathology, although its causes include organic and non-organic disorders. The epidemiology of dysphagia is, however, poorly understood. We evaluated the prevalence of dysphagia in outpatients in Japan, measured the proportion ultimately found to have an organic ca...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-016-9712-z
更新日期:2016-08-01 00:00:00
abstract::The present study was designed to examine age and gender differences with respect to the duration of laryngeal closure, the onset of laryngeal closure in relation to the first cricopharyngeal opening, and the duration of cricopharyngeal opening for six different groups: normal younger men and women (22-29 years), norm...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-009-9257-5
更新日期:2010-12-01 00:00:00
abstract::Aspiration pneumonia is a common cause of death in people with Parkinson's disease (PD). Dysfunctional swallowing occurs in the majority of people with PD, and research has shown that cough function is also impaired. Previous studies suggest that testing reflex cough by having participants inhale a cough-inducing stim...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-015-9659-5
更新日期:2016-02-01 00:00:00
abstract::The use of thickened liquids is a common compensatory strategy to improve swallow safety. The purpose of this study was to determine the optimal liquid viscosity to use to promote successful swallowing in a specific subset of dysphagic patients who swallow puree without aspiration but thin liquid with aspiration. A re...
journal_title:Dysphagia
pub_type: 临床试验,杂志文章
doi:10.1007/s00455-012-9412-2
更新日期:2013-03-01 00:00:00
abstract::Videofluoroscopy (VFS) is considered one of the gold-standard assessments of swallowing. Whilst guidelines for the application and conduct of VFS exist, their translation into clinical practice remain challenging. To build a greater understanding on how VFS clinics operate in the UK. A web-based survey was shared with...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-020-10130-1
更新日期:2020-05-16 00:00:00
abstract::Videofluoroscopy has become an increasingly important armament in the investigation and assessment of swallowing disorders. However, very little work has been published on the radiation dose used in such examinations and currently there is no national diagnostic reference level in the United Kingdom. Videofluoroscopy ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-006-9031-x
更新日期:2007-01-01 00:00:00
abstract::Oromotor and clinical swallow assessments are routinely performed by speech-language pathologists (SLPs) who see head and neck cancer (HNC) patients. However, the tools used to assess some of these variables vary. SLPs routinely identify and quantify abnormal functioning in order to rehabilitate the patient. However, ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-014-9520-2
更新日期:2014-06-01 00:00:00
abstract::Esophageal acid exposure induces sensory and motility changes in the upper gastrointestinal tract; however, the mechanisms involved and the effects on activity in the brain regions that control swallowing are unknown. The aim of this study was to examine functional changes in the cortical swallowing network as a resul...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-007-9114-3
更新日期:2008-06-01 00:00:00
abstract::Measurement of kinematic pharyngeal transit times, a new videofluoroscopy technique, provides useful quantitative data to supplement the qualitative data previously available from videofluoroscopy swallowing studies. Kinematic pharyngeal transit times have not previously been reported for subjects with myopathy. This ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF01351476
更新日期:1993-01-01 00:00:00
abstract::It is still difficult to decide on the treatment modalities for advanced esophageal carcinoma when the prognostic factors of T4 esophageal cancer are not fully understood. In this article, we report that among 71 patients with T4 thoracic esophageal cancer, 49 underwent esophagectomy, 9 had curative resection (R0 grou...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-002-0069-0
更新日期:2002-10-01 00:00:00
abstract::This study prospectively evaluated relationships between oral morbidities and swallowing ability in head/neck cancer patients following chemoradiation therapy (CRT) and at 3 months following CRT. Thirty patients with confirmed head/neck cancer undergoing chemoradiation were assessed with a battery of swallowing measur...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-018-9895-6
更新日期:2018-12-01 00:00:00
abstract::The benefit of water protocols for individuals with thin liquid aspiration remains controversial, with mixed findings from a small number of randomized controlled trials (RCTs). This study aimed to contribute to the evidence of the effectiveness of water protocols with a particular emphasis on health outcomes, especia...
journal_title:Dysphagia
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00455-016-9694-x
更新日期:2016-06-01 00:00:00
abstract::Agreement between self-reported dysphagic symptoms and actual swallowing physiology can vary widely across individuals. The Eating Assessment Tool-10 (EAT-10) is a self-report questionnaire commonly used to identify individuals with oropharyngeal dysphagia, but its interpretation for highly prevalent populations is po...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-021-10244-0
更新日期:2021-01-24 00:00:00
abstract::Term neonates must suck, swallow, and respire in a coordinated manner during successful oral feeding. When infants are born prematurely, these skills may not be fully mature. To stimulate sucking responses, premature infants are offered pacifiers under the premise that non-nutritive sucking experiences facilitate oral...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-006-9058-z
更新日期:2007-04-01 00:00:00
abstract::Fifty-one patients with systemic sclerosis (scleroderma) underwent videofluoroscopy during barium swallow to evaluate the incidence of oropharyngeal deglutition abnormalities and to correlate the radiologic patterns of esophageal motility abnormalities with patients' clinical features. Thirteen patients (26%) showed s...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF02493531
更新日期:1991-01-01 00:00:00
abstract::Swallowing is an act requiring complex sensorimotor integration. Using a variety of methods first used to study limb physiology, initial efforts to study swallowing have yielded information that multiple cortical and subcortical regions are active participants. Not surprisingly, the regions activated appear to overlap...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-009-9249-5
更新日期:2010-09-01 00:00:00
abstract::The 12-month clinical outcomes of nursing home patients who underwent videofluoroscopic swallowing evaluation was determined. A retrospective review of 40 patients in a teaching nursing home who had videofluoroscopic swallowing studies from 1987 through 1989 was performed. Clinical outcomes measured included feeding t...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF00341256
更新日期:1994-07-01 00:00:00
abstract::This study aimed to analyze quantitatively videofluoroscopic (VF) images of patients with Parkinson's disease (PD), to evaluate if the predicted factors of the oral phase of swallowing deteriorated with PD progression, and to demonstrate a relationship between the abnormal movements of the tongue and food transportati...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-010-9296-y
更新日期:2011-09-01 00:00:00
abstract::The purpose of this investigation was to determine what implications consistent presentation of food, delivered by an assistive feeding device at a position regarded as optimal, would have for the maintenance of food intake, duration of meals, and efficiency of eating. The trial employed an AB within-subjects design a...
journal_title:Dysphagia
pub_type: 临床试验,杂志文章
doi:10.1007/PL00009580
更新日期:1999-01-01 00:00:00
abstract::Vallecular cysts are formed when the duct of a mucous gland or lingual tonsillar crypt is dilated owing to obstruction from inflammation, irritation, or trauma. Small cysts are usually asymptomatic; however, cyst growth results in dysphagia, odynophagia, and acute airway complications. As complete transoral laser exci...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-017-9796-0
更新日期:2017-10-01 00:00:00
abstract::We tested the effect of effortful swallow combined with surface electrical stimulation used as a form of resistance training in post-stroke patients with dysphagia. Twenty post-stroke dysphagic patients were randomly divided into two groups: those who underwent effortful swallow with infrahyoid motor electrical stimul...
journal_title:Dysphagia
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00455-012-9403-3
更新日期:2012-12-01 00:00:00
abstract::Hypertonicity and spasticity of the cricopharyngeal muscle (CPM) often result in dysphagia characterized by difficulty passing a bolus through the upper esophageal sphincter. Past treatments for this problem have included mechanical dilation and endoscopic and transcervical cricopharyngeal myotomy. More recently, botu...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-001-0074-8
更新日期:2001-07-01 00:00:00
abstract::There have been a number of studies on the effect of bolus volume, consistency, texture, temperature and taste on the oropharyngeal swallowing physiology. However, its influence on the respiratory function associated with swallow is not well understood. This study aimed at systematically analysing and documenting the ...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-020-10103-4
更新日期:2020-12-01 00:00:00
abstract::Some stroke patients with a unilateral lesion demonstrate acute dysphagia characterized by a markedly prolonged swallowing time, making us think they are reluctant to swallow. In order to clarify the clinical characteristics and causative lesions of delayed swallowing, we conducted a retrospective analysis of 20 right...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-016-9716-8
更新日期:2016-08-01 00:00:00
abstract::The aims of this study were to evaluate and quantify the timing of events associated with the oral and pharyngeal phases of liquid swallows. For this purpose, we recorded 0-20 ml barium swallows in three groups of volunteers using videoradiographic, electromyographic, and manometric methods. The study findings indicat...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF02407397
更新日期:1989-01-01 00:00:00
abstract::Cervical orthosis is used to immobilize the neck in various disorders such as trauma and post-operation. However, it is still uncertain how cervical orthosis restricts the degree of movement of the cervical spine during swallowing and how they affect swallowing physiology. The purpose of this study was to evaluate the...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-015-9660-z
更新日期:2016-02-01 00:00:00
abstract::The purpose of this study was to determine the effect of oral sensorimotor treatment on oral-motor skills and measures of growth in moderately eating impaired children with cerebral palsy who were stratified by state of aspiration/nonaspiration. Twenty-seven children aged 2.5-10.0 years participated in this study (asp...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF00385801
更新日期:1996-01-01 00:00:00