Electrophysiological Evaluation of Dysphagia in the Mild or Moderate Patients with Multiple Sclerosis: A Concept of Subclinical Dysphagia
Swallowing mechanism and neurogenic dysphagia in MS have been rarely studied by electromyographical (EMG) methods. This study aims to evaluate the presence of subclinical dysphagia in patients with mild multiple sclerosis (MS) using electrophysiological methods. A prospective study of 51 patients wi...
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Veröffentlicht in: | Dysphagia 2015-06, Vol.30 (3), p.296-303 |
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description | Swallowing mechanism and neurogenic dysphagia in MS have been rarely studied by electromyographical (EMG) methods. This study aims to evaluate the presence of subclinical dysphagia in patients with mild multiple sclerosis (MS) using electrophysiological methods. A prospective study of 51 patients with relapsing remitting multiple sclerosis and 18 age-matched healthy adults was investigated. We used electromyography to measure the activity of the submental muscles during swallowing. Electrophysiological recordings of patients were obtained during relapse, after relapse, and at any time in remission period. Clinical dysphagia was found in 12 % of MS patients, while electrophysiological swallowing abnormalities were encountered in 33 % of patients. Subclinical dysphagia was determined in 35 % of patients during an MS relapse, in 20 % of patients after a relapse, and in 25 % of all 51 patients in the remission period based on EMG findings. Duration of swallowing signal of submental muscles in all MS patients was found to be longer than in normal subjects (
p
= 0.001). During swallowing of 50 ml of sequential water, the compensatory respiratory cycles occurred more often in MS patients than normal subjects, especially during a relapse (
p
= 0.005). This is the first study investigating swallowing abnormalities and subclinical dysphagia from the electrophysiological aspect in MS patients with mild disability. The electrophysiological tests described in this study are useful to uncover subclinical dysphagia since they have the advantage of being rapid, easy to apply, non-invasive, and without risk for the patients. |
doi_str_mv | 10.1007/s00455-015-9598-1 |
format | Article |
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p
= 0.001). During swallowing of 50 ml of sequential water, the compensatory respiratory cycles occurred more often in MS patients than normal subjects, especially during a relapse (
p
= 0.005). This is the first study investigating swallowing abnormalities and subclinical dysphagia from the electrophysiological aspect in MS patients with mild disability. The electrophysiological tests described in this study are useful to uncover subclinical dysphagia since they have the advantage of being rapid, easy to apply, non-invasive, and without risk for the patients.</description><identifier>ISSN: 0179-051X</identifier><identifier>EISSN: 1432-0460</identifier><identifier>DOI: 10.1007/s00455-015-9598-1</identifier><identifier>PMID: 25687968</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Aged ; Analysis ; Deglutition ; Deglutition disorders ; Deglutition Disorders - etiology ; Deglutition Disorders - physiopathology ; Drinking Water ; Electromyography - methods ; Female ; Gastroenterology ; Hepatology ; Humans ; Imaging ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis - complications ; Original Article ; Otorhinolaryngology ; Radiology ; Young Adult</subject><ispartof>Dysphagia, 2015-06, Vol.30 (3), p.296-303</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>COPYRIGHT 2015 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-a4cd73fdd9d1f81e4bcd696668548a28dfd74eb0c60bcb5aee8062fab853b1bd3</citedby><cites>FETCH-LOGICAL-c509t-a4cd73fdd9d1f81e4bcd696668548a28dfd74eb0c60bcb5aee8062fab853b1bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00455-015-9598-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00455-015-9598-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25687968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beckmann, Yesim</creatorcontrib><creatorcontrib>Gürgör, Nevin</creatorcontrib><creatorcontrib>Çakır, Ahmet</creatorcontrib><creatorcontrib>Arıcı, Şehnaz</creatorcontrib><creatorcontrib>İncesu, Tülay Kurt</creatorcontrib><creatorcontrib>Seçil, Yaprak</creatorcontrib><creatorcontrib>Ertekin, Cumhur</creatorcontrib><title>Electrophysiological Evaluation of Dysphagia in the Mild or Moderate Patients with Multiple Sclerosis: A Concept of Subclinical Dysphagia</title><title>Dysphagia</title><addtitle>Dysphagia</addtitle><addtitle>Dysphagia</addtitle><description>Swallowing mechanism and neurogenic dysphagia in MS have been rarely studied by electromyographical (EMG) methods. This study aims to evaluate the presence of subclinical dysphagia in patients with mild multiple sclerosis (MS) using electrophysiological methods. A prospective study of 51 patients with relapsing remitting multiple sclerosis and 18 age-matched healthy adults was investigated. We used electromyography to measure the activity of the submental muscles during swallowing. Electrophysiological recordings of patients were obtained during relapse, after relapse, and at any time in remission period. Clinical dysphagia was found in 12 % of MS patients, while electrophysiological swallowing abnormalities were encountered in 33 % of patients. Subclinical dysphagia was determined in 35 % of patients during an MS relapse, in 20 % of patients after a relapse, and in 25 % of all 51 patients in the remission period based on EMG findings. Duration of swallowing signal of submental muscles in all MS patients was found to be longer than in normal subjects (
p
= 0.001). During swallowing of 50 ml of sequential water, the compensatory respiratory cycles occurred more often in MS patients than normal subjects, especially during a relapse (
p
= 0.005). This is the first study investigating swallowing abnormalities and subclinical dysphagia from the electrophysiological aspect in MS patients with mild disability. The electrophysiological tests described in this study are useful to uncover subclinical dysphagia since they have the advantage of being rapid, easy to apply, non-invasive, and without risk for the patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Deglutition</subject><subject>Deglutition disorders</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Drinking Water</subject><subject>Electromyography - methods</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - complications</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Radiology</subject><subject>Young Adult</subject><issn>0179-051X</issn><issn>1432-0460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc2OFCEUhStG47SjD-DGkLhxUyNUFRS467TtTzIdTUYTd4SCW91MaCiB0vQj-NbS9jj-RHMXJJfvHC73VNVjgi8Ixv3zhHFHaY0JrQUVvCZ3qgXp2qbGHcN3qwUmvagxJZ_OqgcpXWNMGsHa-9VZQxnvBeOL6tvagc4xTLtDssGFrdXKofUX5WaVbfAojOjlIU07tbUKWY_yDtDGOoNCRJtgIKoM6H1hweeEvtq8Q5vZZTs5QFfaQQzJphdoiVbBa5jy0fBqHrSz_sdTt-YPq3ujcgke3Zzn1cdX6w-rN_Xlu9dvV8vLWlMscq06bfp2NEYYMnIC3aANE4wxTjuuGm5G03cwYM3woAeqADhmzagGTtuBDKY9r56dfKcYPs-QstzbpME55SHMSRLGBSNcNKKgT_9Cr8McfZnuSPGuZbzjv6itciCtH0OOSh9N5bIvG6eCUVaoi39QpQzsrQ4eRlv6fwjISaDLClOEUU7R7lU8SILlMX55il-W-OUxfkmK5snNwPOwB3Or-Jl3AZoTkMqV30L87Uf_df0OFeW7qg</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Beckmann, Yesim</creator><creator>Gürgör, Nevin</creator><creator>Çakır, Ahmet</creator><creator>Arıcı, Şehnaz</creator><creator>İncesu, Tülay Kurt</creator><creator>Seçil, Yaprak</creator><creator>Ertekin, Cumhur</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Electrophysiological Evaluation of Dysphagia in the Mild or Moderate Patients with Multiple Sclerosis: A Concept of Subclinical Dysphagia</title><author>Beckmann, Yesim ; Gürgör, Nevin ; Çakır, Ahmet ; Arıcı, Şehnaz ; İncesu, Tülay Kurt ; Seçil, Yaprak ; Ertekin, Cumhur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-a4cd73fdd9d1f81e4bcd696668548a28dfd74eb0c60bcb5aee8062fab853b1bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Deglutition</topic><topic>Deglutition disorders</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Drinking Water</topic><topic>Electromyography - methods</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - complications</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Radiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beckmann, Yesim</creatorcontrib><creatorcontrib>Gürgör, Nevin</creatorcontrib><creatorcontrib>Çakır, Ahmet</creatorcontrib><creatorcontrib>Arıcı, Şehnaz</creatorcontrib><creatorcontrib>İncesu, Tülay Kurt</creatorcontrib><creatorcontrib>Seçil, Yaprak</creatorcontrib><creatorcontrib>Ertekin, Cumhur</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Dysphagia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beckmann, Yesim</au><au>Gürgör, Nevin</au><au>Çakır, Ahmet</au><au>Arıcı, Şehnaz</au><au>İncesu, Tülay Kurt</au><au>Seçil, Yaprak</au><au>Ertekin, Cumhur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrophysiological Evaluation of Dysphagia in the Mild or Moderate Patients with Multiple Sclerosis: A Concept of Subclinical Dysphagia</atitle><jtitle>Dysphagia</jtitle><stitle>Dysphagia</stitle><addtitle>Dysphagia</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>30</volume><issue>3</issue><spage>296</spage><epage>303</epage><pages>296-303</pages><issn>0179-051X</issn><eissn>1432-0460</eissn><abstract>Swallowing mechanism and neurogenic dysphagia in MS have been rarely studied by electromyographical (EMG) methods. This study aims to evaluate the presence of subclinical dysphagia in patients with mild multiple sclerosis (MS) using electrophysiological methods. A prospective study of 51 patients with relapsing remitting multiple sclerosis and 18 age-matched healthy adults was investigated. We used electromyography to measure the activity of the submental muscles during swallowing. Electrophysiological recordings of patients were obtained during relapse, after relapse, and at any time in remission period. Clinical dysphagia was found in 12 % of MS patients, while electrophysiological swallowing abnormalities were encountered in 33 % of patients. Subclinical dysphagia was determined in 35 % of patients during an MS relapse, in 20 % of patients after a relapse, and in 25 % of all 51 patients in the remission period based on EMG findings. Duration of swallowing signal of submental muscles in all MS patients was found to be longer than in normal subjects (
p
= 0.001). During swallowing of 50 ml of sequential water, the compensatory respiratory cycles occurred more often in MS patients than normal subjects, especially during a relapse (
p
= 0.005). This is the first study investigating swallowing abnormalities and subclinical dysphagia from the electrophysiological aspect in MS patients with mild disability. The electrophysiological tests described in this study are useful to uncover subclinical dysphagia since they have the advantage of being rapid, easy to apply, non-invasive, and without risk for the patients.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25687968</pmid><doi>10.1007/s00455-015-9598-1</doi><tpages>8</tpages></addata></record> |
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subjects | Adolescent Adult Aged Analysis Deglutition Deglutition disorders Deglutition Disorders - etiology Deglutition Disorders - physiopathology Drinking Water Electromyography - methods Female Gastroenterology Hepatology Humans Imaging Male Medical research Medicine Medicine & Public Health Medicine, Experimental Middle Aged Multiple sclerosis Multiple Sclerosis - complications Original Article Otorhinolaryngology Radiology Young Adult |
title | Electrophysiological Evaluation of Dysphagia in the Mild or Moderate Patients with Multiple Sclerosis: A Concept of Subclinical Dysphagia |
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