Acoustic analysis of swallowing as an auxiliary method for assessing dysphagia in Parkinson's disease
DOI:
https://doi.org/10.33448/rsd-v10i16.23298Keywords:
Swallowing; Swallowing Disorders; Parkinson's disease; Doppler effect; Speech-language pathology.Abstract
Objective: To measure the accuracy of DeglutiSom as an auxiliary method to assess swallowing in patients with Parkinson's disease (PD). Methodology: Accuracy study. Among 248 individuals, 91 participants met the inclusion criteria, with a mean age of 64.9 years (SD 7.7), 53.8% male and 46.2% female, with a mean disease duration of 12.6 years (SD 3.8 years). Two instrumental studies were performed: An acoustic analysis with Sonar Doppler via the DeglutiSom Software, and a videofluoroscopic swallow study. Three judges analyzed the swallowing sounds in the DeglutiSom software and the instrumental examination findings. Results: The inter-rater reliability was 90.1%, with 4.4% degree of partial agreement and 5.5% disagreement. Sensitivity resulted in 90.0% and specificity in 90.0%. A sensitivity of 97.0% and specificity of 91.0% are indicators of a high validity for the dysphagia screening method, with predictive value (+) of 97.0% and predictive value (-) of 91.0%, with an accuracy method of 96.0%. The validity indicator values for screening aspiration were also high, with a sensitivity of 90.0%, specificity of 90.0%, predictive value (+) of 82.0%, predictive value (-) of 95% , 0% and 90.0% accuracy. Conclusion: The method proposed is considered appropriate for oropharyngeal dysphagia and tracheal aspiration screening in patients with Parkinson's Disease.
References
Almeida, S. T. (2013). Análise Acústica da deglutição e do segmento pós- deglutição de crianças com disfagia orofaríngea e aspiração traqueal. Tese (Doutorado em Ciências em Gastroenterologia e Hepatologia) – Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Porto Alegre, 2013.
Almeida, T. M., Cola, P. C., Pernambuco, D. A., Junior, H. V. M. M., Magnoni, C. D., & Silva, R. G. D. (2017). Screening tool for oropharyngeal dysphagia in Stroke - Part I: evidence of validity based on the content and response processes. CoDAS. 29(4): e20170009. 10.1590/2317-1782/20172017009.
American Dietetic Association. (2017). Food and nutrition misinformation: position of ADA. J Am Diet Assoc. 102:260-66.
American Speech-language-hearing Association (ASHA). Preferred practice patterns for the profession of speech-language pathology. Rockville: ASHA, 2004.
Edmiaston, J., Connor, L. T., Steger-May, K., & Ford, A. L. (2013). A simple bedside stroke dysphagia screen, validated against videofluoroscopy, detects dysphagia and aspiration with high sensitivity. J Cerebrovasc Dis Stroke. 23:712-16.
Enz, V. C. Q., Vaz, A. R. C., Nunes, M. C. A., Rosa, M. O., Nunes, J. A., Marques, J. M., & Santos, R. S. (2021). Accuracy of Acoustic Evaluation of Swallowing as a Diagnostic Method of Dysphagia in Individuals Affected by Stroke: Preliminary Analysis. Dysphagia https://doi.org/10.1007/s00455-021-10358-5
Feerrucci, J. L., Mangilli, L. D., Sassi, F. C., Limongi, S. C. O., & Andrade, C. R. F. (2013). Sons da deglutição na prática fonoaudiológica: análise crítica da literatura. Einstein. 11:535-39.
Goulart, B. N. G., & Chiari, B. M. (2007). Testes de rastreamento x testes de diagnóstico: atualidades no contexto da atuação fonoaudiológica. Pró-Fono R. Atual. 19:223-32.
Hamlet, S. L., Penney, D. G., & Formolo, J. (1994). Stethoscope acoustics and cervical auscultation of swallowing. Dysphagia.9:63-8.
Hoehn, M. M., & Yahr, M. D. (1967) Parkinsonism: onset, progression and mortality. Neurology.,17:427-42.
Kim, Y. H., Oh, B. M., Jung, I. Y., Lee, J. C., Lee, G. J., & Han, T. R. (2015). Spatiotemporal characteristics of swallowing in Parkinson's disease. Laryngoscope. 125:389-95.
Linch, C. D. S. (2008) Análise da fisiologia da deglutição por meio da ultra-sonografia. 2008. 142 f. Tese (Doutorado em Ciências) – Faculdade de Medicina. Universidade de São Paulo.
Luchesi, K. F., Kitamura, S., & Mourão, L. F. (2015). Progressão e tratamento da disfagia na doença de Parkinson: estudo observacional. Braz J Otorhinolaryngol. 81:24-30.
Madalozzo, B., Aoki, M. C. S., Soria, A. F., Santos, S. R., & Furkim, A. M. (2017). Análise acústica do tempo de deglutição através do Sonar Doppler. Rev. CEFAC. 19:350-59.
Marik, P. E., & Zaloga, G. P. Early enteral nutrition in acutely ill patients: a systematic review. Crit. Care Med. 2001,29:2264-70.
Menezes, P. R., &Nascimento, A. F. Validade e confiabilidade das escalas de avaliação em psiquiatria. Em: Gorenstein C, Andradelhs, Zuardiaw. Escalas de avaliação clínica em psiquiatria e psicofarmacologia. Lemos editorial, 2000:23-8.
Menezes, P. R., Nascimento, A. F. Validade e confiabilidade das escalas de avaliação em psiquiatria. Em: Gorenstein C, Andrade LHS, Zuardi AW. Escalas de avaliação clínica em psiquiatria e psicofarmacologia. Lemos editorial, 2000:23-8.
Menezes, P. R. Validade e confiabilidade das escalas de avaliação em psiquiatria. Rev. psiquiatr. clín. 1998,25:214-16.
Ott, D., Hodge, R. G., Pikna, L. A., Chen, M. Y., & Gelfand, D. W. Modified barium swallow: clinical and radiographic correlation and relation to feeding recommendations. Dysphagia. 1996,11:93-8.
Pflug, C., Bihler, M., Emich, K., Niessen, A., Nienstedt, J. C., Flugel, T., et al. Critical dysphagia is common in Parkinson disease and occurs even in early stages: a prospective cohort study. Dysphagia. 2018,33:41-50.
Potvin, L., Gendron, S., Bilodeau, S., & Chabot, P. Integrating social theory into public health practice. Am J Public Health. 2005,95:591-95.
Santos, R. S., & Macedo Filho, E. D. Sonar Doppler como instrumento de avaliação da deglutição. Int. Arch. Otorhinolaryngol. 2006,10:182-91.
Sebbena, C., Zartb, P., Ardenghic, L. G., Varellad, A. C. D. O., Paimd, E. D., Matosd, M. S., et al. Achados videofluoroscópicos na deglutição de pacientes com doença de Parkinson. Rev Esp Geriatr Gerontol. 2013,7:292-97.
Soria, F. S., Silva, R. G., & Furkim, A. M. Análise acústica da deglutição orofaríngea utilizando Sonar Doppler. Braz J Otorhinolaryngol. 2016,82:39-46.
Souza, C. F. M., Almeida, H. C. P., Sousa, J. B., Costa, P. H., Silveira, Y. S. S., & Bezerra, J. C. L. A doença de Parkinson e o processo de envelhecimento motor: uma revisão de literatura. Rev Neurocienc. 2011,19:718-23.
Takahashi, K., Groher, M. E., Michi, K. (1994). Methodology for detecting swallowing sounds. Springer. 9:54-96.
Taveira, K. V. M., Santos, R. S., Leão, B. L. C., Stechman Neto, J., Pernambuco, L., Silva, L. K. D., et al. (2018). Diagnostic validity of methods for assessment of swallowing sounds: a systematic review. Braz J Otorhinolaryngol. 84:638-52.
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Copyright (c) 2021 Glauce Souza da Silva; Ana Clara Gonçalves de Figueiredo; Bianca Simone Zeigelboim ; Cristiano Miranda de Araújo ; José Stechmann Neto; Rosane Sampaio Santos
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