Correlation between bulbar functionality and laryngeal penetration and/or laryngotracheal aspiration on motor neuron disease

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dc.contributor.authorBrandão, Bárbara Carolina
dc.contributor.authorGaldino, Alline de Sousa
dc.contributor.authorLourenção, Luciano Garcia
dc.contributor.authorTrindade, Glaucia Santana
dc.contributor.authorOrate, Magali Aparecida
dc.contributor.authorSilva, Menezes da
dc.contributor.authorSilva da, Roberta Gonçalves [UNESP]
dc.contributor.institutionFaculdade de Medicina de São José do Rio Preto - FAMERP
dc.contributor.institutionUniversidade Federal do Rio Grande - FURG
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-12-11T16:52:20Z
dc.date.available2018-12-11T16:52:20Z
dc.date.issued2018-01-01
dc.description.abstractObjective: Describe and correlate bulbar functionality with laryngeal penetration and/or laryngotracheal aspiration for different food consistencies in Motor Neuron Disease (MND). Methods: Study participants were 18 individuals diagnosed with MND regardless of the type and time of onset of disease. The Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised/BR (ALSFRS-R/BR) was applied, and only the bulbar parameter, which includes speech, salivation and swallowing, was analyzed, with scores raging from 0 (disability) to 12 (normal functionality). Swallowing videofluoroscopy was performed using the Penetration-Aspiration Scale (PAS) described by Rosenbek et al. (1996). The Pearson correlation test was used for data analysis. Results: According to food consistency, the PAS level ranged from 1 to 5 for puree consistency, 1 to 4 for thickened liquid, and 1 to 3 for liquid, and no laryngotracheal aspiration was observed. Negative correlation between bulbar functionality and laryngeal penetration was observed for all food consistencies (pasty: r=-0.487, p=0.041; thickened liquid: r=-0.442, p=0.076; liquid r=0.460, p=0.073), but statistically significant difference was found only for the puree consistency, that is, individuals with poor bulbar functionality presented higher levels of laryngeal penetration. Conclusion: Negative correlation was observed between bulbar functionality and laryngeal penetration in MND. The bulbar parameters of the ALSFRS-R/BR are significant for predicting risk of laryngotracheal aspiration for pasty consistency in MND.en
dc.description.affiliationFaculdade de Medicina de São José do Rio Preto - FAMERP
dc.description.affiliationUniversidade Federal do Rio Grande - FURG
dc.description.affiliationUniversidade Estadual Paulista Júlio de Mesquita Filho - UNESP
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho - UNESP
dc.identifierhttp://dx.doi.org/10.1590/2317-1782/20182017056
dc.identifier.citationCODAS, v. 30, n. 1, 2018.
dc.identifier.doi10.1590/2317-1782/20182017056
dc.identifier.fileS2317-17822018000100310.pdf
dc.identifier.issn2317-1782
dc.identifier.scieloS2317-17822018000100310
dc.identifier.scopus2-s2.0-85043398273
dc.identifier.urihttp://hdl.handle.net/11449/170763
dc.language.isoeng
dc.relation.ispartofCODAS
dc.relation.ispartofsjr0,267
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectDeglutition disorders
dc.subjectMotor neuron disease
dc.subjectVideofluoroscopy
dc.titleCorrelation between bulbar functionality and laryngeal penetration and/or laryngotracheal aspiration on motor neuron diseaseen
dc.typeArtigo

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