Comparison of two methods for measuring tongue pressure during swallowing in people with head and neck cancer
Comparison of two methods for measuring tongue pressure during swallowing in people with head and neck cancer
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DOI：
10.1007/s00455-005-9008-1
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发表时间：
2006-01-01
期刊：
影响因子：
2.6
通讯作者：
Perry, Alison
中科院分区：
文献类型：
--
作者：
Ball, Sarah;Idel, Olga;Perry, Alison
可靠的测量工具对于吞咽困难研究的严谨性至关重要。为了在头颈部癌症人群中准确测量舌压，需要随着时间的推移捕获功能的变化，需要可靠的工具。评估吞咽评估工具的可靠性一直是吞咽困难研究的一个被忽视的领域。本文评估并比较了Kay吞咽工作站（KSW）三灯泡硅舌压阵列（手持式和固定位置）的两种变体在用于捕获两组被诊断患有头颈部疾病的参与者的口腔舌压时的可靠性。尚未开始癌症治疗的癌症。当参与者吞下一定量的液体和布丁时，舌压数据和视频荧光图像被收集并同时记录在KSW上。提取峰值幅度舌压并用于分析。系统和非系统的变异性进行了检查，分别使用方差分析和组内相关系数。固定位置阵列表现出更好的可靠性比手持方法。这应该用更大的参与者样本进行进一步调查。
Reliable measurement tools are essential to achieve rigor in dysphagia research. In order for tongue pressure to be measured accurately in the head and neck cancer population, where change in function needs to be captured over time, a reliable tool is required. Assessing the reliability of tools that are used in swallowing evaluation has been a neglected area of dysphagia research. This article evaluates and compares the reliability of two variants of the Kay Swallowing Workstation (KSW) three-bulb silicon tongue pressure array (hand-held and fixed-position) when used to capture oral tongue pressures in two groups of participants diagnosed with head and neck cancer who had not yet commenced cancer treatment. Tongue pressure data and videofluoroscopic images were collected and recorded simultaneously onto the KSW while participants swallowed set quantities of liquid and pudding boluses. Peak amplitude tongue pressures were extracted and used in analyses. Systematic and nonsystematic variability were examined using analysis of variance and intraclass correlation coefficients, respectively. The fixed-position array demonstrated better reliability than did the hand-held method. This should be further investigated with a larger participant sample.