Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

被引:10
作者
Krasnodebska, Paulina [1 ]
Jarzynska-Bucko, Agnieszka [1 ]
Szkielkowska, Agata [1 ,2 ]
Bartosik, Jedrzej [3 ]
机构
[1] Inst Physiol & Pathol Hearing, Audiol & Phoniatr Clin, PL-02042 Warsaw, Poland
[2] Fryderyk Chopin Univ Mus, Audiol & Phoniatr Fac, PL-00368 Warsaw, Poland
[3] Inst Physiol & Pathol Hearing, Otorhinolaryngol Clin, PL-02042 Warsaw, Poland
关键词
dysphagia; dysphonia; muscle tension dysphagia; swallowing; muscle tension dysphonia; electromyography; LARYNGEAL ELECTROMYOGRAPHY; 440; ADULTS; SURFACE ELECTROMYOGRAPHY; QUANTITATIVE DATA; GUIDELINES;
D O I
10.3390/audiolres11020015
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Introduction: Over the past few years, attention has been paid to the coexistence of dysphonia with dysphagia, in the context of functional disorders. The aim of this work was to objectify logopaedic examination of dysphonic patients with coexisting swallowing difficulties by surface electromyography. Methods: The material of the work included 58 patients with muscle tension dysphonia (MTD). Each patient underwent otolaryngologic, phoniatric and logopaedic examination. We collected information about medical history and asked patients to fill out Reflux Symptom Index (RSI), Eating Assessment Tool (EAT-10), Dysphagia Handicap Index (DHI) and Swallowing Disorder Scale (SDS). The algorithm of dysphagia diagnostics in our clinic assumes parallel surface electromyography (SEMG) during Functional Endoscopic Evaluation of Swallowing. Results: In comparison to patients suffering from atypical swallowing, patients with muscle tension dysphagia (MTDg) obtained higher values from almost all questionnaires. Logopaedic evaluation revealed abnormalities in the structure and efficiency of the articulatory organs and in the assessment of primary functions. Patients with more abnormalities in logopaedic examination had significantly higher infrahyoid muscle activity during swallowing observed in EMG. Patients with non-normative swallowing pattern had significantly greater asymmetry of the average and maximum amplitude of masseters, as well as submental muscles. Patients with higher percent of muscles asymmetry gained higher scores in questionnaires. Conclusions: Surface electromyography objectifies logopaedic examination of patients with swallowing difficulties. The results of this work showed that, apart from longer swallows, patients with MTDg differ from patients with non-normative swallowing patterns in the muscle activity measured by SEMG, abnormalities in logopaedic evaluation and the severity of complaints reported by patients.
引用
收藏
页码:167 / 178
页数:12
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