Tiina Ihalainen1,2, Teemu M Luoto3, Irina Rinta-Kiikka4, Antti Ronkainen3, Anna-Maija Korpijaakko-Huuhka5. 1. Department of Neurosciences and Rehabilitation, Tampere University Hospital, Tampere, Finland. tiina.ihalainen@pshp.fi. 2. Faculty of Social Sciences, University of Tampere, Tampere, Finland. tiina.ihalainen@pshp.fi. 3. Department of Neurosurgery, Tampere University Hospital, Tampere, Finland. 4. Department of Radiology, Medical Imaging Centre of Pirkanmaa Hospital District, Tampere University Hospital, Tampere, Finland. 5. Faculty of Social Sciences, University of Tampere, Tampere, Finland.
Abstract
STUDY DESIGN: Prospective cohort study. OBJECTIVES: This prospective cohort study aims to evaluate the recovery of penetration/aspiration and functional feeding outcome in patients with acute TCSCI. SETTING: Tampere University Hospital, Tampere, Finland METHODS: Forty-six patients with TCSCI were enrolled. All the patients received speech therapeutic interventions based on their clinical needs and were examined with a videofluoroscopic swallowing study (VFSS) at enrollment. The incidence of VFSS-verified laryngeal penetration/aspiration according to Rosenbek's Penetration-Aspiration Scale (PAS) served as the primary outcome. The secondary outcome was the level of functional oral intake (as per the Functional Oral Intake Scale; FOIS). Based on the PAS results, the patients were divided into two groups: (i) penetrator/aspirators (PAS score ≥3) and (ii) non-penetrator/aspirators (PAS score ≤2). Follow-up VFS studies were primarily conducted on the patients with penetration/aspiration in prior VFS studies. The follow-up VFS studies were scheduled on the basis of clinical demand. RESULTS: Of the 46 patients, 48% had penetration/aspiration in the first VFSS. The second VFSS was conducted on 20 patients, of whom 6 patients (30%) had penetration/aspiration. The third VFSS was conducted on 9 patients. Of these, only two (22%) patients were still penetrator/aspirators. The majority (n = 37, 88%) of the patients presented a total oral intake without restrictions at the time of the final follow-up. Only one patient (2%) was still tube-dependent with consistent oral intake. CONCLUSION: Swallowing physiology in patients with TCSCI improved during the first months after injury, and the number of penetrator/aspirators decreased progressively.
STUDY DESIGN: Prospective cohort study. OBJECTIVES: This prospective cohort study aims to evaluate the recovery of penetration/aspiration and functional feeding outcome in patients with acute TCSCI. SETTING: Tampere University Hospital, Tampere, Finland METHODS: Forty-six patients with TCSCI were enrolled. All the patients received speech therapeutic interventions based on their clinical needs and were examined with a videofluoroscopic swallowing study (VFSS) at enrollment. The incidence of VFSS-verified laryngeal penetration/aspiration according to Rosenbek's Penetration-Aspiration Scale (PAS) served as the primary outcome. The secondary outcome was the level of functional oral intake (as per the Functional Oral Intake Scale; FOIS). Based on the PAS results, the patients were divided into two groups: (i) penetrator/aspirators (PAS score ≥3) and (ii) non-penetrator/aspirators (PAS score ≤2). Follow-up VFS studies were primarily conducted on the patients with penetration/aspiration in prior VFS studies. The follow-up VFS studies were scheduled on the basis of clinical demand. RESULTS: Of the 46 patients, 48% had penetration/aspiration in the first VFSS. The second VFSS was conducted on 20 patients, of whom 6 patients (30%) had penetration/aspiration. The third VFSS was conducted on 9 patients. Of these, only two (22%) patients were still penetrator/aspirators. The majority (n = 37, 88%) of the patients presented a total oral intake without restrictions at the time of the final follow-up. Only one patient (2%) was still tube-dependent with consistent oral intake. CONCLUSION: Swallowing physiology in patients with TCSCI improved during the first months after injury, and the number of penetrator/aspirators decreased progressively.
Authors: Steven C Kirshblum; Stephen P Burns; Fin Biering-Sorensen; William Donovan; Daniel E Graves; Amitabh Jha; Mark Johansen; Linda Jones; Andrei Krassioukov; M J Mulcahey; Mary Schmidt-Read; William Waring Journal: J Spinal Cord Med Date: 2011-11 Impact factor: 1.985
Authors: T Ihalainen; I Rinta-Kiikka; T M Luoto; E A Koskinen; A-M Korpijaakko-Huuhka; A Ronkainen Journal: Spinal Cord Date: 2017-06-20 Impact factor: 2.772
Authors: Steven C Kirshblum; William Waring; Fin Biering-Sorensen; Stephen P Burns; Mark Johansen; Mary Schmidt-Read; William Donovan; Daniel Graves; Amit Jha; Linda Jones; M J Mulcahey; Andrei Krassioukov Journal: J Spinal Cord Med Date: 2011-11 Impact factor: 1.985
Authors: Teresa Pitts; Kimberly E Iceman; Alyssa Huff; M Nicholas Musselwhite; Michael L Frazure; Kellyanna C Young; Clinton L Greene; Dena R Howland Journal: J Neurophysiol Date: 2022-07-13 Impact factor: 2.974