https://scholars.lib.ntu.edu.tw/handle/123456789/554037
標題: | Comparison of disordered swallowing patterns in patients with recurrent cortical/subcortical stroke and first-time brainstem stroke | 作者: | DER-SHENG HAN YEUN-CHUNG CHANG Lu C.-H. TYNG-GUEY WANG |
公開日期: | 2005 | 卷: | 37 | 期: | 3 | 起(迄)頁: | 189-191 | 來源出版物: | Journal of Rehabilitation Medicine | 摘要: | Objective: To describe the disordered swallowing patterns in recurrent cortical/subcortical stroke and first-time brainstem stroke. Design: A retrospective study. Subjects: Forty-seven consecutive patients, 28 with recurrent cortical/subcortical stroke and 19 with first-time brainstem stroke, referred for dysphagic evaluation to the rehabilitation department of a medical centre. Methods: Thirty-five male and 12 female patients with a mean age of 62.0 ± 11.5 years were included. The median post-stroke duration was 17.0 days. The records of clinical examination and a videofluoroscopic study of swallowing were collected through chart review. The percentages of abnormalities seen at clinical examination and videofluoroscopic swallowing study between recurrent cortical/subcortical stroke and first-time brainstem stroke patients were compared using a chi-square test. Results: The recurrent cortical/subcortical patients suffered from a higher rate of impaired tongue movement, drooling and aphasia at clinical examination and a higher percentage of swallowing abnormalities in oral-preparatory and oral phases in the videofluoroscopic swallowing study. The abnormal videofluoroscopic findings in first-time brainstem stroke patients predominantly occurred in the pharyngeal phase. Both groups had more difficulties swallowing thin barium than they did swallowing the thick and paste barium. Conclusion: The recurrent cortical/subcortical stroke and first-time brainstem stroke patients show different manifestations in some parameters of both clinical examination and videofluoroscopic swallowing study. ? 2005 Taylor & Francis. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/554037 | ISSN: | 1650-1977 | DOI: | 10.1080/16501970410024163 | SDG/關鍵字: | adult; aged; aphasia; barium enema; chi square test; clinical article; clinical examination; controlled study; disease duration; dysphagia; female; fluoroscopy; human; hypersalivation; male; patient referral; retrospective study; review; stroke; tongue disease; Aged; Brain Stem Infarctions; Cerebral Cortex; Cerebrovascular Accident; Deglutition Disorders; Female; Fluoroscopy; Humans; Male; Middle Aged; Recurrence; Retrospective Studies; Video Recording |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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