Introduction. Dysphagia affects 29% to 81% of patients in the acute stage after stroke1 and it exposes patients to poor prognosis2. Oropharyngeal motor and sensory deficits are considered an important cause of swallowing disorder after stroke3. However, the influence of buccofacial apraxia in swallowing recovery after stroke is not reported in literature. The aim of the study is to evaluate the influence of oral apraxia in the recovery of dysphagia in patients after stroke. Materials and methods. 36 patients with dysphagia after stroke, cooperating, receiving total nutrition via nose-gastric tube feeding and who had undergone fiberoptic laryngoscope were enrolled in the study. The outcome measures were: the Dysphagia Outcome and Severity Scale (DOSS) at the admission and discharge, the Schröter-Morasch classification of aspiration severity and the number of days of artificial feeding in the first 3 months after stroke. Multiple linear regression analysis was done to clarify the prognostic role of motor and sensory deficit and buccofacial apraxia on the aspiration and the artificial feeding duration. Results. Buccofacial apraxia correlates with lower DOSS score at the discharge and with longer artificial feeding duration. Oropharyngeal motor and sensory dysfunction correlates with aspiration at the fibrolaryngoscopic assessment. Conclusion. Buccofacial apraxia in patients with acute stroke is a negative prognostic factor for swallowing recovery after stroke.

Influence of oral apraxia in dysphagia recovery: study on 36 patients with stroke

GANDOLFI, MariaLuisa;PICELLI, Alessandro;SMANIA, Nicola
2010-01-01

Abstract

Introduction. Dysphagia affects 29% to 81% of patients in the acute stage after stroke1 and it exposes patients to poor prognosis2. Oropharyngeal motor and sensory deficits are considered an important cause of swallowing disorder after stroke3. However, the influence of buccofacial apraxia in swallowing recovery after stroke is not reported in literature. The aim of the study is to evaluate the influence of oral apraxia in the recovery of dysphagia in patients after stroke. Materials and methods. 36 patients with dysphagia after stroke, cooperating, receiving total nutrition via nose-gastric tube feeding and who had undergone fiberoptic laryngoscope were enrolled in the study. The outcome measures were: the Dysphagia Outcome and Severity Scale (DOSS) at the admission and discharge, the Schröter-Morasch classification of aspiration severity and the number of days of artificial feeding in the first 3 months after stroke. Multiple linear regression analysis was done to clarify the prognostic role of motor and sensory deficit and buccofacial apraxia on the aspiration and the artificial feeding duration. Results. Buccofacial apraxia correlates with lower DOSS score at the discharge and with longer artificial feeding duration. Oropharyngeal motor and sensory dysfunction correlates with aspiration at the fibrolaryngoscopic assessment. Conclusion. Buccofacial apraxia in patients with acute stroke is a negative prognostic factor for swallowing recovery after stroke.
2010
Apraxia, dysphagia, rehabilitation, stroke
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/953543
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