Oropharyngeal dysphagia in patients with multiple sclerosis: do the disease classification scales reflect dysphagia severity?

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dc.contributor.authorFerre Fernandes, Alessandro Murano
dc.contributor.authorDuprat, Andre de Campos
dc.contributor.authorEckley, Claudia Alessandra
dc.contributor.authorSilva, Leonardo da
dc.contributor.authorFerreira, Roberta Busch [UNIFESP]
dc.contributor.authorTilbery, Charles Peter
dc.contributor.institutionSanta Casa São Paulo
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:31:55Z
dc.date.available2016-01-24T14:31:55Z
dc.date.issued2013-07-01
dc.description.abstractMultiple sclerosis is a neurological disease that involves swallowing disorders. Many studies have shown an association between neurological and swallowing performance, but results have been conflicting.Objective: To identify the frequency of dysphagia in patients with multiple sclerosis and neurological indicators that can represent the performance of swallowing.Method: in this study (cross-sectional) 120 Multiple Sclerosis patients underwent Functional Assessment of Swallowing by flexible nasal-pharyngo-laryngoscopy and the results were compared with the scores of the rating scales: (Clinical Evolving Forms of Disease, Functional Disability Scale for and Scale Systems Extended Functional Disability [Kurtzke Expanded Disability Status Scale]).Results: Dysphagia was found in 90% of patients. Among the clinical forms of the disease, the progressive forms (primary progressive and secondary progressive) were more frequently associated with severe dysphagia, while the relapsing-remitting form presented more often mild and moderate dysphagia. Regarding the Disability Scale for Functional Systems, cerebellar function, brainstem function and mental health were associated with dysphagia, especially in the severe form. Regarding the Extended Functional Disability Scale, higher scores were associated with severe dysphagia.Conclusion: Dysphagia is common in MS patients, especially in those with greater impairment of neurological functions.en
dc.description.affiliationSanta Casa São Paulo, Dept Otorhinolaryngol, São Paulo, Brazil
dc.description.affiliationSanta Casa São Paulo, Sch Med Sci, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Paulista Sch Med, São Paulo, Brazil
dc.description.affiliationSanta Casa São Paulo, Dept Neurol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Paulista Sch Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent460-465
dc.identifierhttp://dx.doi.org/10.5935/1808-8694.20130082
dc.identifier.citationBrazilian Journal of Otorhinolaryngology. São Paulo: Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, v. 79, n. 4, p. 460-465, 2013.
dc.identifier.doi10.5935/1808-8694.20130082
dc.identifier.fileS1808-86942013000400011.pdf
dc.identifier.issn1808-8694
dc.identifier.scieloS1808-86942013000400011
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36466
dc.identifier.wosWOS:000323297600011
dc.language.isoeng
dc.publisherAssoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial
dc.relation.ispartofBrazilian Journal of Otorhinolaryngology
dc.rightsAcesso aberto
dc.subjectimpairment assessmenten
dc.subjectmultiple sclerosisen
dc.subjectswallowing disordersen
dc.titleOropharyngeal dysphagia in patients with multiple sclerosis: do the disease classification scales reflect dysphagia severity?en
dc.title.alternativeDisfagia orofaríngea em pacientes com esclerose múltipla: as escalas de classificação da doença refletem a gravidade da disfagia?pt
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