The Effect of Nasogastric Tubes on Swallowing Function in Persons With Dysphagia Following Stroke
Journal
Archives of Physical Medicine and Rehabilitation
Journal Volume
87
Journal Issue
9
Pages
1270-1273
Date Issued
2006
Author(s)
Abstract
Wang T-G, Wu M-C, Chang Y-C, Hsiao T-Y, Lien I-N. The effect of nasogastric tubes on swallowing function in persons with dysphagia following stroke. Objective: To determine whether the use of a nasogastric tube influences swallowing function in stroke patients with dysphagia. Design: Before-after trial. Setting: Primary care center. Participants: A total of 22 patients with stroke (12 men, 10 women; mean age, 69.7y; range, 19-85y) participated in the study. Time from onset of stroke to time of assessment averaged 20.3 days (range, 14-38d). All participants continued to use a nasogastric tube for nutrition supply and had either minor or no aspiration of barium on videofluoroscopic examination of swallowing (VFES). Intervention: The swallowing function was evaluated by VFES with thin and thick bariums (5mL each) as a contrast medium. Main Outcome Measures: The oral transit, swallowing trigger, and pharyngeal transit times were measured and compared before and after the removal of the nasogastric tube. The patients were also observed for changes in velopharyngeal closure, pharyngeal contraction, epiglottic tilt, valleculae stasis, pyriform sinus stasis, penetration, and aspiration. Results: Transit times were reduced by 0.2 to 0.6 seconds after removal of the nasogastric tube, but the reduction was not statistically significant. These transit times were slightly longer with thick barium than with thin barium, but were without statistical significance. Similarly, most of the patients had no change in nontemporal assessment of swallowing function after the tube was removed. Conclusions: The placement of a nasogastric tube did not affect temporal and nontemporal measurement of swallowing in stroke patients with dysphagia with or without minor aspiration. ? 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.
Other Subjects
barium; adult; article; clinical article; clinical assessment; controlled study; dysphagia; female; fluoroscopy; human; male; nasogastric tube; nutritional assessment; onset age; pharynx examination; stroke; swallowing; Adult; Aged; Aged, 80 and over; Cerebrovascular Accident; Deglutition; Deglutition Disorders; Female; Fluoroscopy; Humans; Intubation, Gastrointestinal; Male; Middle Aged
Type
journal article