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ERIC Number: EJ1355711
Record Type: Journal
Publication Date: 2022-Jul
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1092-4388
EISSN: EISSN-1558-9102
Available Date: N/A
Comparison of Validated Videofluoroscopic Outcomes of Pharyngeal Residue: Concordance between a Perceptual, Ordinal, and Bolus-Based Rating Scale and a Normalized Pixel-Based Quantitative Outcome
Donohue, Cara; Robison, Raele; DiBiase, Lauren; Anderson, Amber; Vasilopoulos, Terrie; Plowman, Emily K.
Journal of Speech, Language, and Hearing Research, v65 n7 p2510-2517 Jul 2022
Purpose: This study compared the concordance between two validated videofluoroscopic pharyngeal residue outcome scales used in clinical and research settings: the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) and the Analysis of Swallowing Physiology: Events, Kinematics and Timing (ASPEKT) percent residue metric. Method: Two trained raters completed independent and blinded videofluoroscopic ratings of both DIGEST efficiency and ASPEKT percent pharyngeal residue outcomes for bolus trials of 5 cc Varibar thin liquid (n = 223), thin liquid comfortable cup sips (n = 223), and 5 cc Varibar thin honey (n = 223). Spearman's rho and Kruskal-Wallis analyses were performed for each bolus type. Results: Significant associations between DIGEST and ASPEKT pharyngeal residue outcomes were noted for 5 cc thin (r = 0.54, p < 0.001), cup sip thin (r = 0.41, p < 0.001), and 5 cc thin honey (r = 0.60, p < 0.001) bolus trials. ASPEKT percent residue increased across worsening DIGEST efficiency ordinal scale levels, with a main effect for each bolus type. Post hoc analysis revealed significant differences in the ASPEKT percent residue values between each DIGEST pairwise comparison for the thin cup sip bolus trial and for each pairwise comparison except between the moderate-to-severe (less than half vs. majority) ordinal levels for the 5 cc thin and 5 cc honey bolus trials, p < 0.05. Conclusions: Perceptual, ordinal (DIGEST) and quantitative, pixel-based (ASPEKT) videofluoroscopic pharyngeal residue outcomes were associated in this data set of 669 bolus trials. Future research is warranted to confirm these results.
American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute of Neurological Disorders and Stroke (NINDS) (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: 1R01NS100859; R01NS10085905S1
Author Affiliations: N/A