Viscosity in Infant Dysphagia Management: Comparison of Viscosity of Thickened Liquids Used in Assessment and Thickened Liquids Used in Treatment
Viscosity in Infant Dysphagia Management: Comparison of Viscosity of Thickened Liquids Used in Assessment and Thickened Liquids Used in Treatment
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DOI：
10.1007/s00455-009-9219-y
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发表时间：
2009-12-01
期刊：
影响因子：
2.6
通讯作者：
Motz, Johanna M.
中科院分区：
文献类型：
--
作者：
Stuart, Sheela;Motz, Johanna M.
本研究的目的是调查用于评估和治疗吞咽困难婴儿的液体粘度的可比性。本研究的目的如下：（1）为（a）不同厚度的商业钡评估液体和（B）用不同增稠剂增稠的临床典型婴儿配方奶粉建立基线粘度值。(2)比较各种液体的基线粘度，以确定值的相关性。我们试图模拟真实世界的情况，并重新创建临床评估和治疗条件。我们还确定并尽一切努力控制典型的临床变量，例如，混合器和混合程序、产品品牌和液体温度。测量方法基于流变学原理，并使用Brookfield Engineering LVDV II + Pro锥/板粘度计，在主轴和速度组合下使剪切速率最大化，与吞咽一致。从统计学上讲，无论使用何种增稠剂，钡和配方混合物之间都没有可比性。这些研究结果的影响和需要制定一个标准化的手段增稠公式的粘度相媲美的评估材料进行了讨论。
The purpose of this study was to investigate comparability of viscosity of liquids used in assessment and treatment of infants with dysphagia. Goals of this study were as follows: (1) Establish baseline viscosity values for (a) the commercial barium assessment liquids of varying thicknesses and (b) clinically typical infant formula thickened with varied thickeners. (2) Compare the baseline viscosities of the various liquids for correlation of values. We attempted to mimic real-world situations and recreate clinical assessment and treatment conditions. We also identified and made every effort to control typical clinical variables, e.g., mixer and mixing procedure, brand of product, and temperature of liquid. The method of measurement was based on rheologic principles and used a Brookfield Engineering LVDV II + Pro Cone/Plate Viscometer at spindle and speed combinations to maximize shear rates consistent with swallowing. Statistically, there was no comparability between barium and formula mixtures, regardless of thickener utilized. The implications of these findings and the need to develop a standardized means of thickening formula to a viscosity comparable to the assessment materials are discussed.