Dysphagia in duchenne muscular dystrophy versus myotonic dystrophy type 1

Introduction: In this study we aimed to demonstrate the distinctive features of dysphagia in patients with myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD). Methods: Diet‐type score (DTS) and maximum tongue pressure (MTP) were measured in 20 DM1 and 24 DMD patients; all patients...

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Veröffentlicht in:Muscle & nerve 2012-10, Vol.46 (4), p.490-495
Hauptverfasser: Umemoto, George, Furuya, Hirokazu, Kitashima, Akio, Sakai, Mitsuaki, Arahata, Hajime, Kikuta, Toshihiro
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container_end_page 495
container_issue 4
container_start_page 490
container_title Muscle & nerve
container_volume 46
creator Umemoto, George
Furuya, Hirokazu
Kitashima, Akio
Sakai, Mitsuaki
Arahata, Hajime
Kikuta, Toshihiro
description Introduction: In this study we aimed to demonstrate the distinctive features of dysphagia in patients with myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD). Methods: Diet‐type score (DTS) and maximum tongue pressure (MTP) were measured in 20 DM1 and 24 DMD patients; all patients were also examined by videofluoroscopy (VF). We used VF to measure the range of hyoid bone excursion (RHBE) during pharyngeal transit time and the area of pharyngeal residue (APR) after the first swallow. Results: RHBE and APR values for DM1 patients were significantly greater than those for DMD patients. DTS and MTP did not differ between patients. A significant correlation was observed between DTS, MTP, and RHBE in DMD patients, but not in DM1 patients. Conclusions: Our findings reveal the differences in the distinctive features of dysphagia in DM1 and DMD. Adjustments in the diet of DMD patients in accordance with swallowing ability could be useful. Muscle Nerve 46: 490–495, 2012
doi_str_mv 10.1002/mus.23364
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Methods: Diet‐type score (DTS) and maximum tongue pressure (MTP) were measured in 20 DM1 and 24 DMD patients; all patients were also examined by videofluoroscopy (VF). We used VF to measure the range of hyoid bone excursion (RHBE) during pharyngeal transit time and the area of pharyngeal residue (APR) after the first swallow. Results: RHBE and APR values for DM1 patients were significantly greater than those for DMD patients. DTS and MTP did not differ between patients. A significant correlation was observed between DTS, MTP, and RHBE in DMD patients, but not in DM1 patients. Conclusions: Our findings reveal the differences in the distinctive features of dysphagia in DM1 and DMD. Adjustments in the diet of DMD patients in accordance with swallowing ability could be useful. 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Neuromuscular diseases ; Duchenne muscular dystrophy ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Female ; Humans ; hyoid bone excursion ; Male ; Medical sciences ; Middle Aged ; Muscular Dystrophy, Duchenne - complications ; Muscular Dystrophy, Duchenne - physiopathology ; Myotonic Dystrophy - complications ; Myotonic Dystrophy - physiopathology ; myotonic dystrophy type 1 ; Neurology ; Non tumoral diseases ; Otorhinolaryngology. 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Methods: Diet‐type score (DTS) and maximum tongue pressure (MTP) were measured in 20 DM1 and 24 DMD patients; all patients were also examined by videofluoroscopy (VF). We used VF to measure the range of hyoid bone excursion (RHBE) during pharyngeal transit time and the area of pharyngeal residue (APR) after the first swallow. Results: RHBE and APR values for DM1 patients were significantly greater than those for DMD patients. DTS and MTP did not differ between patients. A significant correlation was observed between DTS, MTP, and RHBE in DMD patients, but not in DM1 patients. Conclusions: Our findings reveal the differences in the distinctive features of dysphagia in DM1 and DMD. Adjustments in the diet of DMD patients in accordance with swallowing ability could be useful. 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Neuromuscular diseases</subject><subject>Duchenne muscular dystrophy</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Female</subject><subject>Humans</subject><subject>hyoid bone excursion</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscular Dystrophy, Duchenne - complications</subject><subject>Muscular Dystrophy, Duchenne - physiopathology</subject><subject>Myotonic Dystrophy - complications</subject><subject>Myotonic Dystrophy - physiopathology</subject><subject>myotonic dystrophy type 1</subject><subject>Neurology</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. 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subjects Adult
Biological and medical sciences
Deglutition Disorders - diagnostic imaging
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Diseases of striated muscles. Neuromuscular diseases
Duchenne muscular dystrophy
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Female
Humans
hyoid bone excursion
Male
Medical sciences
Middle Aged
Muscular Dystrophy, Duchenne - complications
Muscular Dystrophy, Duchenne - physiopathology
Myotonic Dystrophy - complications
Myotonic Dystrophy - physiopathology
myotonic dystrophy type 1
Neurology
Non tumoral diseases
Otorhinolaryngology. Stomatology
pharyngeal residue
Radiography
tongue pressure
Young Adult
title Dysphagia in duchenne muscular dystrophy versus myotonic dystrophy type 1
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