Theresa Hopkins-Rossabi1, Kent E Armeson2, Steven G Zecker3, Bonnie Martin-Harris3. 1. Medical University of South Carolina, Speech-Language Pathology Program, Department of Rehabilitation Sciences, College of Health Professions, Charleston, South Carolina, United States. 2. Department of Public Health Sciences, Hollings Cancer Center Biostatistics Shared Resource, Medical University of South Carolina, Charleston, South Carolina, United States. 3. School of Communications, Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, United States.
Abstract
BACKGROUND: The aim of the study was to determine the link between frequency of optimal respiratory-swallow coordination, swallowing impairment, and airway invasion in head and neck cancer (HNC) patients. METHOD: A cross-sectional study of a heterogeneous group of HNC patients (49), precancer (N = 30) or postcancer treatment (N = 29), participated in a single Modified Barium Swallow Study (MBSS) with synchronized respiratory data. RESULTS: Spearman correlation coefficients revealed significant negative correlations between optimal respiratory-swallow phase pattern and objective measures of swallowing impairment: penetration-aspiration scale max, pharyngeal total, and oral total scores with Spearman correlation coefficients of -0.53 (z .001), -0.50 (P < .001), and -0.43 (P = .002), respectively. Optimal respiratory-swallow pattern was significantly decreased (P = .03) in patients after cancer treatment compared with another patient group before cancer treatment. CONCLUSION: These findings indicate that as the percentage of optimal respiratory-swallow phase patterns increase, swallowing impairment decreases in the HNC patient population.
BACKGROUND: The aim of the study was to determine the link between frequency of optimal respiratory-swallow coordination, swallowing impairment, and airway invasion in head and neck cancer (HNC) patients. METHOD: A cross-sectional study of a heterogeneous group of HNC patients (49), precancer (N = 30) or postcancer treatment (N = 29), participated in a single Modified Barium Swallow Study (MBSS) with synchronized respiratory data. RESULTS: Spearman correlation coefficients revealed significant negative correlations between optimal respiratory-swallow phase pattern and objective measures of swallowing impairment: penetration-aspiration scale max, pharyngeal total, and oral total scores with Spearman correlation coefficients of -0.53 (z .001), -0.50 (P < .001), and -0.43 (P = .002), respectively. Optimal respiratory-swallow pattern was significantly decreased (P = .03) in patients after cancer treatment compared with another patient group before cancer treatment. CONCLUSION: These findings indicate that as the percentage of optimal respiratory-swallow phase patterns increase, swallowing impairment decreases in the HNC patient population.
Authors: Bonnie Martin-Harris; Martin B Brodsky; Yvonne Michel; Carrie L Ford; Bobby Walters; John Heffner Journal: Arch Otolaryngol Head Neck Surg Date: 2005-09
Authors: C L Lazarus; J A Logemann; B R Pauloski; A W Rademaker; C R Larson; B B Mittal; M Pierce Journal: J Speech Lang Hear Res Date: 2000-08 Impact factor: 2.297
Authors: Cathy Lazarus; Jeri A Logemann; Barbara Roa Pauloski; Alfred W Rademaker; Irene B Helenowski; Edward F Vonesh; Ellen Maccracken; Bharat B Mittal; Everett E Vokes; Daniel J Haraf Journal: Head Neck Date: 2007-07 Impact factor: 3.147
Authors: Bonnie Martin-Harris; David McFarland; Elizabeth G Hill; Charlton B Strange; Kendrea L Focht; Zhuang Wan; Julie Blair; Katlyn McGrattan Journal: Arch Phys Med Rehabil Date: 2014-12-11 Impact factor: 3.966
Authors: P García-Peris; L Parón; C Velasco; C de la Cuerda; M Camblor; I Bretón; H Herencia; J Verdaguer; C Navarro; P Clave Journal: Clin Nutr Date: 2007-10-22 Impact factor: 7.324
Authors: C L Lazarus; J A Logemann; B R Pauloski; L A Colangelo; P J Kahrilas; B B Mittal; M Pierce Journal: Laryngoscope Date: 1996-09 Impact factor: 3.325