Abstract
Many studies include functional swallowing ability and quality of life information to indicate a response to a specific swallowing intervention or to describe the natural history of dysphagia across diseases and conditions. Study results are difficult to interpret because the association between these factors and actual swallowing impairment is not understood. We set out to test the associations between components of physiologic swallowing impairment, functional swallowing ability, and swallow-specific quality of life using standardized and validated measurement tools: Modified Barium Swallow Impairment Profile (MBSImP), Functional Oral Intake Scale (FOIS), Eating Assessment Tool (EAT-10), and Dysphagia Handicap Index (DHI). We specifically aimed to understand which factors may contribute to the overall relationships between these measurement tools when analyzed using total scores and item-level scores. This study included a heterogeneous cohort of 273 outpatients who underwent a modified barium swallow study (MBSS). We found significant correlations between MBSImP total scores and FOIS scores and DHI total scores, but not between MBSImP total scores and EAT-10 total scores. Significant correlations were also found between MBSImP item-level component scores and FOIS scores, EAT-10 total scores, and DHI total scores. Detailed item-level analyses revealed the MBSImP components of bolus transport/lingual motion, oral residue, and tongue base retraction were correlated with EAT-10 item-level scores and DHI item-level scores. The clinically modest associations between physiologic swallowing impairment, functional swallowing ability, and swallow-specific quality of life reveal different factors that uniquely contribute to patients’ overall dysphagic profile, emphasizing the clinical impact of a comprehensive swallowing assessment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1106-1116 |
| Number of pages | 11 |
| Journal | Dysphagia |
| Volume | 38 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 2023 |
Funding
Dr. R. Jordan Hazelwood: Salary from Appalachian State University; ASHFoundation Researcher-Clinician Collaboration Grant; Appalachian State University Research Council Grant. Mr. Kent E. Armeson: Salary from the Medical University of South Carolina. Dr. Elizabeth G. Hill: Salary from the Medical University of South Carolina. Dr. Heather Shaw Bonilha: Salary from the Medical University of South Carolina; Bracco Diagnostics consultant. Dr. Bonnie Martin-Harris: Salary from Northwestern University; NIH/NIDCD K23DC005764 grant; NIH/NIDCD 2K24DC012801-0; VA Merit Review Award 5101RX002352; Bracco Diagnostics fellowship; royalties from Northern Speech Services through Medical University of South Carolina Foundation for Research Development; MBSImP Royalty recipient from the Medical University of South Carolina owner and license guarantor to Northern Speech Services; Bracco Diagnostics consultant. NIH/NIDCD 1K23DC005764 grant, NIH/NIDCD 1K24DC1280104 grant, NIH/NIDCD T32DC0014435 grant, NIH/NCI P30CA138313 grant, and the Global Investigator-Initiated Research Grant from Bracco Diagnostics, Inc. supported this work.
Keywords
- Assessment
- Deglutition
- Deglutition disorders
- Dysphagia
- Dysphagia Handicap Index
- Eating Assessment Tool-10
- Functional Oral Intake Scale
- Modified Barium Swallow Impairment Profile
- Quality of life
ASJC Scopus subject areas
- Otorhinolaryngology
- Gastroenterology
- Speech and Hearing