Effects of Cervical Kyphosis on Recovery From Dysphagia After Stroke
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Objective To determine the effects of cervical kyphosis on the recovery of swallowing function in subacute stroke patients.Methods Baseline and 1-month follow-up videofluoroscopic swallowing studies (VFSSs) of 51 stroke patients were retrospectively analyzed. The patients were divided into the cervical kyphosis (Cobb’s angle <20o, n=27) and control (n=24) groups. The penetration-aspiration scale (PAS), American Speech-Language-Hearing Association National Outcomes Measurement System swallowing scale (ASHA NOMS), and videofluoroscopic dysphagia scale (VDS) were used to determine the severity of dysphagia. Finally, the prevalence of abnormal VFSS findings was compared between the two groups.Results There were no significant differences in baseline PAS, ASHA NOMS, and VDS scores between the two groups. However, the follow-up VDS scores in the cervical kyphosis group were significantly higher than those in the control group (p=0.04), and a follow-up study showed a tendency towards worse ASHA NOMS scores (p=0.07) in the cervical kyphosis group. In addition, the cervical kyphosis group had a higher occurrence of pharyngeal wall coating in both baseline and follow-up studies, as well as increased aspiration in follow-up studies (p<0.05). Conclusion This study showed that stroke patients who had cervical kyphosis at the time of stroke might have impaired recovery from dysphagia after stroke.
Abstract
Objective To determine the effects of cervical kyphosis on the recovery of swallowing function in subacute stroke patients.Methods Baseline and 1-month follow-up videofluoroscopic swallowing studies (VFSSs) of 51 stroke patients were retrospectively analyzed. The patients were divided into the cervical kyphosis (Cobb’s angle <20o, n=27) and control (n=24) groups. The penetration-aspiration scale (PAS), American Speech-Language-Hearing Association National Outcomes Measurement System swallowing scale (ASHA NOMS), and videofluoroscopic dysphagia scale (VDS) were used to determine the severity of dysphagia. Finally, the prevalence of abnormal VFSS findings was compared between the two groups.Results There were no significant differences in baseline PAS, ASHA NOMS, and VDS scores between the two groups. However, the follow-up VDS scores in the cervical kyphosis group were significantly higher than those in the control group (p=0.04), and a follow-up study showed a tendency towards worse ASHA NOMS scores (p=0.07) in the cervical kyphosis group. In addition, the cervical kyphosis group had a higher occurrence of pharyngeal wall coating in both baseline and follow-up studies, as well as increased aspiration in follow-up studies (p<0.05). Conclusion This study showed that stroke patients who had cervical kyphosis at the time of stroke might have impaired recovery from dysphagia after stroke.
참고문헌 (27)
- Papadopoulou S, "Dysphagia associated with cervical spine and postural disorders", Dysphagia, 28, pp.469~480 (2013)
- Kauffman T, "Posture and age", Top Geriatr Rehabil, 2, pp.13~28 (1987)
- Han K, "Surgical treatment of cervical kyphosis", Eur Spine J, 20, pp.523~536 (2011)
- Rhee JM, "Iatrogenic cervical deformity", Semin Spine Surg, 23, pp.173~180 (2011)
- Goyal N, "Kyphosis, a rare cause of dysphagia", Age Ageing, 34, pp.521~522 (2005)
- Crary MA, "Dysphagia: clinical management in adults and children", pp.72~98 (2009), Mosby
- Veis SL, "Swallowing disorders in persons with cerebrovascular accident", Arch Phys Med Rehabil, 66, pp.372~375 (1985)
- Freeman III BL, "Campbell’s operative orthopaedics", pp.1751~1954 (2003), Mosby
- Harrison DE, "Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis", Spine (Phila Pa 1976), 25, pp.2072~2078 (2000)
- "Evaluation and treatment of swallowing disorders" (1998), Pro-Ed
- Rosenbek JC, "A penetration-aspiration scale", Dysphagia, 11, pp.93~98 (1996)
- American Speech-Language-Hearing Association, "National Outcomes Measurement System (NOMS): adult speech-language pathology user’s guide", American Speech-Language-Hearing Association, ~ (2003)
- 정세희, "비디오 투시 연하 검사에 근거한 연하곤란 임상 척도의 타당도 평가", Annals of Rehabilitation Medicine, 29(4), pp.343~350 (2005), 대한재활의학회
- Todd AG, "Cervical spine: degenerative conditions", Curr Rev Musculoskelet Med, 4, pp.168~174 (2011)
- Griegel-Morris P, "Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects", Phys Ther, 72, pp.425~431 (1992)
- Matz PG, "Management of cervical kyphotic deformity", Semin Neurosurg, 14, pp.55~60 (2003)
- Janda V, "Physical therapy of the cervical and thoracic spine", pp.182~199 (2002), Churchill Livingstone
- Watson DH, "Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance", Cephalalgia, 13, pp.272~284 (1993)
- Johnson J, "Postural correction" (2015), Human Kinetics
- Logemann JA, "A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study", Dysphagia, 24, pp.403~411 (2009)
- Mepani R, "Augmentation of deglutitive thyrohyoid muscle shortening by the Shaker Exercise", Dysphagia, 24, pp.26~31 (2009)
- Mishra A, "The recline exercise: comparisons with the head lift exercise in healthy adults", Dysphagia, 30, pp.730~737 (2015)
- Falla DL, "Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test", Spine (Phila Pa 1976), 29, pp.2108~2114 (2004)
- Cagnie B, "The use of functional MRI to evaluate cervical flexor activity during different cervical flexion exercises", J Appl Physiol (1985), 104, pp.230~235 (2008)
- Don Kim K, "Effects of neck exercises on swallowing function of patients with stroke", J Phys Ther Sci, 27, pp.1005~1008 (2015)
- Harrison DD, "The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study", J Manipulative Physiol Ther, 17, pp.454~464 (1994)
- Ferrantelli J, "BioPhysics insights: the Denneroll orthotic", Am J Clin Chiroprac, 20, pp.13~14 (2010)