@article{ART001913252},
author={Hong Deok Gi and Lee Jaeshin and Yoo DooHan and Choi Seong-Youl},
title={Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia},
journal={Korean Journal of Occupational Therapy},
issn={1226-0134},
year={2014},
volume={22},
number={3},
pages={25-36},
doi={10.14519/jksot.2014.22.3.03}
TY - JOUR
AU - Hong Deok Gi
AU - Lee Jaeshin
AU - Yoo DooHan
AU - Choi Seong-Youl
TI - Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia
JO - Korean Journal of Occupational Therapy
PY - 2014
VL - 22
IS - 3
PB - Korean Society Of Occupational Therapy
SP - 25
EP - 36
SN - 1226-0134
AB - Objective : The purpose of this study was to verify the predictive validity of the aspiration capability in strokepatients with dysphagia based on a Swallowing Function Test (SFT).
Methods : The subjects of this study included 90 stroke patients with problems of dysphagia. The data collectedusing Videofluoroscopy Swallowing Studies (VFSS), Swallowing Function Test (SFT), Penetration-AspirationScale (PAS), and American Speech-Language-Hearing Association National Outcome Measurement System(ASHA NOMS) for the 90 stroke patients were analyzed based on a Receiver Operating Characteristic curve (ROCcurve) to determine the cutoff score of the aspiration Area Under the Curve (AUC), and the sensitivity andspecificity of the SFT. In addition, the data were analysed based on the positive and negative predictive values fora prediction of the aspiration capability. The items used for the validity of the SFT were analyzed based on theAUC value. In addition, The SFT was analyzed using a Pearson’s correlation analysis with ASHA NOMS andPAS.
Results : The cutoff score of the SFT was 36 points, and that of the AUC was .94. In addition, the sensitivity andspecificity of the SFT were 94.3% and 90.9%, respectively. The five best items of the SFT for predicting theaspiration capability were ‘voluntary cough,’ ‘laryngeal elevation,’ ‘swallowing before/during/after coughing,’ ‘voicechanges,’ and ‘the appearance of throat clearing.’ In addition, ASHA NOMS and PAS were significantly correlatedusing the SFT.
Conclusion : The SFT for stroke patients with dysphagia has been proven to be a useful test. It is expected thatthe SFT will be used as a predictive tool of aspiration capability and will offer intervention guidelines fordysphagia rehabilitation.
KW - Dysphagia;Predictive validity;Stroke;Swallowing Function Test
DO - 10.14519/jksot.2014.22.3.03
ER -
Hong Deok Gi, Lee Jaeshin, Yoo DooHan and Choi Seong-Youl. (2014). Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia. Korean Journal of Occupational Therapy, 22(3), 25-36.
Hong Deok Gi, Lee Jaeshin, Yoo DooHan and Choi Seong-Youl. 2014, "Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia", Korean Journal of Occupational Therapy, vol.22, no.3 pp.25-36. Available from: doi:10.14519/jksot.2014.22.3.03
Hong Deok Gi, Lee Jaeshin, Yoo DooHan, Choi Seong-Youl "Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia" Korean Journal of Occupational Therapy 22.3 pp.25-36 (2014) : 25.
Hong Deok Gi, Lee Jaeshin, Yoo DooHan, Choi Seong-Youl. Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia. 2014; 22(3), 25-36. Available from: doi:10.14519/jksot.2014.22.3.03
Hong Deok Gi, Lee Jaeshin, Yoo DooHan and Choi Seong-Youl. "Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia" Korean Journal of Occupational Therapy 22, no.3 (2014) : 25-36.doi: 10.14519/jksot.2014.22.3.03
Hong Deok Gi; Lee Jaeshin; Yoo DooHan; Choi Seong-Youl. Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia. Korean Journal of Occupational Therapy, 22(3), 25-36. doi: 10.14519/jksot.2014.22.3.03
Hong Deok Gi; Lee Jaeshin; Yoo DooHan; Choi Seong-Youl. Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia. Korean Journal of Occupational Therapy. 2014; 22(3) 25-36. doi: 10.14519/jksot.2014.22.3.03
Hong Deok Gi, Lee Jaeshin, Yoo DooHan, Choi Seong-Youl. Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia. 2014; 22(3), 25-36. Available from: doi:10.14519/jksot.2014.22.3.03
Hong Deok Gi, Lee Jaeshin, Yoo DooHan and Choi Seong-Youl. "Predictive Validity of Aspiration Based on a Swallowing Function Test in Stroke Patients With Dysphagia" Korean Journal of Occupational Therapy 22, no.3 (2014) : 25-36.doi: 10.14519/jksot.2014.22.3.03