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Correlation Between Laryngeal Sensitivity and Penetration/Aspiration After Stroke

Overview of attention for article published in Dysphagia, January 2014
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Title
Correlation Between Laryngeal Sensitivity and Penetration/Aspiration After Stroke
Published in
Dysphagia, January 2014
DOI 10.1007/s00455-013-9504-7
Pubmed ID
Authors

Suely Mayumi Motonaga Onofri, Paula Cristina Cola, Larissa Cristina Berti, Roberta Gonçalves da Silva, Roberto Oliveira Dantas

Abstract

Stroke is the most common neurological disease in adults that is associated with deglutition disorders. The presence of laryngeal sensitivity is very important in developing safe swallowing without risk of pulmonary complications. The aim of this study was to correlate laryngeal sensitivity with laryngeal penetration and tracheal aspiration after swallows of three food consistencies (puree, thickened liquid, and liquid) in poststroke individuals in the late phase. A cross-sectional clinical study was performed with 91 post-ischemic stroke individuals, with oropharyngeal dysphagia, who were in rehabilitation center treatment from 2009 to 2011. They had a mean age of 68.1 years and average time since injury was 22.6 months; 39 had injury to the right hemisphere and 52 had injury to the left hemisphere. All underwent fiberoptic endoscopic evaluation of swallowing and evaluation of laryngeal sensitivity by touching the tip of the endoscope to the arytenoids and aryepiglottic folds. The linear correlation coefficient of Spearman was applied to evaluate the correlation between laryngeal penetration and tracheal aspiration and the presence/absence of laryngeal sensitivity. There was a negative correlation between the observation of penetration and tracheal aspiration and laryngeal sensitivity, with all bolus consistencies (p < 0.001 for aspiration and p ≤ 0.01 for penetration). The absence of laryngeal sensitivity determines the more frequent findings of penetration and tracheal aspiration. This sensory stimulus in the mucosa of the pharynx and larynx is an essential element for safe swallowing and its deficiency associated with altered motor activity can cause laryngeal penetration and aspiration in poststroke individuals regardless of food consistency.

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Geographical breakdown

Country Count As %
United Kingdom 2 2%
Unknown 93 98%

Demographic breakdown

Readers by professional status Count As %
Other 12 13%
Student > Ph. D. Student 11 12%
Researcher 9 9%
Student > Master 9 9%
Student > Bachelor 9 9%
Other 16 17%
Unknown 29 31%
Readers by discipline Count As %
Medicine and Dentistry 28 29%
Nursing and Health Professions 16 17%
Psychology 5 5%
Agricultural and Biological Sciences 4 4%
Neuroscience 4 4%
Other 6 6%
Unknown 32 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 February 2014.
All research outputs
#16,060,819
of 23,839,820 outputs
Outputs from Dysphagia
#1,062
of 1,327 outputs
Outputs of similar age
#194,196
of 310,755 outputs
Outputs of similar age from Dysphagia
#35
of 43 outputs
Altmetric has tracked 23,839,820 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,327 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.8. This one is in the 14th percentile – i.e., 14% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 310,755 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 43 others from the same source and published within six weeks on either side of this one. This one is in the 11th percentile – i.e., 11% of its contemporaries scored the same or lower than it.