Dysphagia in amyotrophic lateral sclerosis: Quantification of bulbar motor dysfunction.

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Tytuł:: Dysphagia in amyotrophic lateral sclerosis: Quantification of bulbar motor dysfunction.
Autorzy:: Adamske D; Department of Oral and Maxillofacial Surgery, Charité - University Medical Center Berlin, Berlin, Germany.
Heyduck A; Phoniatrics and Pedaudiology, Department of Otorhinolaryngology, University Medical Center Göttingen, Göttingen, Germany.
Weidenmüller M; Phoniatrics and Pedaudiology, Department of Otorhinolaryngology, University Medical Center Göttingen, Göttingen, Germany.
Göricke B; Department of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Frank T; Department of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Olthoff A; Phoniatrics and Pedaudiology, Department of Otorhinolaryngology, University Medical Center Göttingen, Göttingen, Germany.
Źródło:: Journal of oral rehabilitation [J Oral Rehabil] 2021 Sep; Vol. 48 (9), pp. 1044-1049. Date of Electronic Publication: 2021 Jul 07.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford, Blackwell Scientific Publications.
MeSH Terms:: Amyotrophic Lateral Sclerosis*/complications
Deglutition Disorders*/diagnosis
Deglutition Disorders*/etiology
Deglutition ; Humans ; Prospective Studies
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Contributed Indexing:: Keywords: amyotrophic lateral sclerosis; bulbar motor dysfunction; deglutition; dysphagia; motor neuron disease; swallowing
Entry Date(s):: Date Created: 20210629 Date Completed: 20210816 Latest Revision: 20210816
Update Code:: 20240105
DOI:: 10.1111/joor.13220
PMID:: 34185922
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Background: Dysphagia as a sequel and possible early sign of amyotrophic lateral sclerosis (ALS) is caused by progressive impaired bulbar motor function.
Objective: To evaluate bulbar motor dysfunction in patients suffering from ALS compared to a healthy reference group.
Methods: A clinical study and prospective group comparison was designed. Patients and healthy volunteers were examined in the outpatient clinic of our university medical center. Ten patients with ALS and 20 healthy volunteers were included. All participants underwent a flexible endoscopic evaluation of swallowing (FEES) and a manometric measurement of the maximal sub-palatal atmospheric pressure generated by suction as well as of the prevalent pressure during swallowing. Additionally, the Sydney Swallow Questionnaire (SSQ) was completed by all participants to score the self-rated extent of dysphagia.
Results: Comparing maximal suction pressures, the group of patients showed significantly lower values (p < .001). There was a significant correlation between reduced pressures and the degree of dysphagia (SSQ score) (r = -0.73).
Conclusions: As the oral cavity is an easily accessible compartment of the upper digestive tract, manometric measurements might serve as a simple instrument in order to detect or to monitor bulbar motor dysfunction. Oral manometry may facilitate early detection and monitoring of dysphagia in ALS. Larger studies are required to confirm our findings.
(© 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.)

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