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neuroreha 2021; 13(03): 135-141
DOI: 10.1055/a-1531-8354
Aus der Praxis

Dysphagie – instrumentelle Diagnostik im sprachtherapeutischen Arbeitsfeld

Petra Pluschinski
,
Andrea Hofmayer
,
Sina Peter
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Die instrumentelle Diagnostik bei Patienten und Patientinnen mit Dysphagie ist die tragende Säule innerhalb des komplexen Dysphagiemanagements. Die Autorinnen vermitteln einen Überblick über den aktuellen Stand der Wissenschaft und beleuchten die klinische Relevanz, wobei die Stärken und Schwächen der einzelnen Verfahren (etablierte und innovativere) skizziert werden.



Publication History

Article published online:
13 September 2021

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  • Literatur

  • 1 Martino R, Foley N, Bhogal S. et al. Dysphagia after stroke: Incidence, diagnosis, and pulmonary complications. Stroke 2005; 36 (12) 2756-2763
    CrossrefPubMedGoogle Scholar
  • 2 Foley NC, Martin RE, Salter KL. et al. A review of the relationship between dysphagia and malnutrition following stroke. J Rehabil Med 2009; 41 (09) 707-713
    CrossrefPubMedGoogle Scholar
  • 3 Crary MA, Humphrey JL, Carnaby-Mann G. et al. Dysphagia, nutrition, and hydration in ischemic stroke patients at admission and discharge from acute care. Dysphagia 2013; 28 (01) 69-76
    CrossrefPubMedGoogle Scholar
  • 4 Ekberg O, Hamdy S, Woisard V. et al. Social and psychological burden of dysphagia: Its impact on diagnosis and treatment. Dysphagia 2002; 17 (02) 139-146
    CrossrefPubMedGoogle Scholar
  • 5 Hofmayer A, Duchac S, Pluschinski P. Dysphagiediagnostik. In: Frank. et al, Hrsg. FAQ Dysphagie. München: Elsevier GmbH; 2021
    CrossrefGoogle Scholar
  • 6 Speyer R, Cordier R, Farneti D. et al. White paper by the European Society for Swallowing Disorders: Screening and non-instrumental assessment for dysphagia in adults. Dysphagia 2021; 1-17
    PubMedGoogle Scholar
  • 7 Leder SB, Suiter DM, Warner HL. Answering orientation questions and following single-step verbal commands: Effect on aspiration status. Dysphagia 2009; 24 (03) 290-295
    CrossrefPubMedGoogle Scholar
  • 8 Langmore SE, Terpenning MS, Schork A. et al. Predictors of aspiration pneumonia: How important is dysphagia?. Dysphagia 1998; 13: 69-81
    CrossrefPubMedGoogle Scholar
  • 9 Langmore SE, Skarupski KA, Park PS. et al. Predictors of aspiration pneumonia in nursing home residents. Dysphagia 2002; 17 (04) 298-307
    CrossrefPubMedGoogle Scholar
  • 10 Sellars C, Bowie L, Bagg J. et al. Risk factors for chest infection in acute stroke: A prospective cohort study. Stroke 2007; 38: 2284-2291
    CrossrefPubMedGoogle Scholar
  • 11 Duchac S, Hofmayer A, Lücking C. et al. Videofluoroskopie des Schluckaktes. Ein sprachtherapeutisches Tutorial. Idstein: Schulz-Kirchner-Verlag; 2021
    Google Scholar
  • 12 Dziewas R, Pflug C. et al. Neurogene Dysphagie, S1-Leitlinie, 2020. In: Deutsche Gesellschaft für Neurologie, Hrsg. Leitlinien für Diagnostik und Therapie in der Neurologie. www.dgn.org/leitlinien Stand: 14.07.2021
    Google Scholar
  • 13 Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed.. Texas: Pro-Ed; 1998
    Google Scholar
  • 14 Bonilha HS, Wilmskoetter J, Tipnis S. et al. Relationships between radiation exposure dose, time, and projection in videofluoroscopic swallowing studies. American Journal of Speech-Language Pathology 2019; 28 (03) 1053-1059
    CrossrefPubMedGoogle Scholar
  • 15 Stanschus S. Videofluoroskopie in der Untersuchung von oropharyngealen Dysphagien: Zur Methode des sprachtherapeutischen Aufgabenteiles. In: Stanschus S. Hrsg. Methoden in der Klinischen Dysphagiologie. 2. Aufl.. Idstein: Schulz-Kirchner; 2003: 44-104
    Google Scholar
  • 16 Martin-Harris B, Brodsky MB. Michel. et al. MBS measurement tool for swallow impairment – MBSImp: Establishing a standard. Dysphagia. 2008 DOI: 10.1007/s00455-008-9185-9
    CrossrefPubMedGoogle Scholar
  • 17 Hofmayer A, Huckabee ML. The New Zealand Index for the Multidisciplinary Evaluation of Swallowing (NZIMES): Interrater reliability of the translated German version. DysphagiEforum 2013; 2: 3-11
    Google Scholar
  • 18 Lösche AF. Testing the interrater reliability of the Karlsbader Videofluoroskopy Index. DysphagiEforum 2012; 2: 14-24
    Google Scholar
  • 19 Langmore SE, Kenneth SM, Olsen N. Fiberoptic endoscopic examination of swallowing safety: A new procedure. Dysphagia 1988; 2 (04) 216-219
    CrossrefPubMedGoogle Scholar
  • 20 Pluschinski P, Zaretsky Y, Almahameed A. et al. Sekretbeurteilungsskala nach Murray et al. für FEES® . Der Nervenarzt 2014; 85 (12) 1582-1587
    CrossrefPubMedGoogle Scholar
  • 21 Hey C, Pluschinski P, Zaretsky Y. et al. Penetrations-Aspirations-Skala nach Rosenbek: Validierung der deutschen Version für die endoskopische Dysphagiediagnostik (Originalien). HNO 2014; 62 (04) 276-281
    CrossrefPubMedGoogle Scholar
  • 22 Gerschke M, Schöttker-Königer T, Förster A. et al. Validation of the German version of the Yale pharyngeal residue severity rating scale. Dysphagia 2018; 34 (03) 308-314
    CrossrefPubMedGoogle Scholar
  • 23 Baijens LW, Speyer R, Pilz W. et al. FEES protocol derived estimates of sensitivity: Aspiration in dysphagic patients. Dysphagia 2014; 29 (05) 583-590
    CrossrefPubMedGoogle Scholar
  • 24 Dziewas R, Glahn J, Helfer C. et al. Flexible endoscopic evaluation of swallowing (FEES) for neurogenic dysphagia: Training curriculum of the German Society of Neurology and the German stroke society. BMC Medical Education 2016; 16 (01) 1-9
    CrossrefPubMedGoogle Scholar
  • 25 Dziewas R, auf dem Brinke M, Birkmann U. et al. Safety and clinical impact of FEES – Results of the FEES-registry. Neurological Research and Practice 2019; 1 (01) 1-8
    CrossrefPubMedGoogle Scholar
  • 26 Mäder I, Bonnet R, Riedel C. Subglottische Trachealstenose nach Tracheotomie: Daran denken und endoskopisch beseitigen!. Pneumologie 2006; 60 (Suppl. 01) P330
    Google Scholar
  • 27 Dziewas R, Warnecke T, Ölenberg S. et al. Towards a basic endoscopic assessment of swallowing in acute stroke – Development and evaluation of a simple dysphagia score. Cerebrovascular Diseases 2008; 26 (01) 41-47
    CrossrefPubMedGoogle Scholar
  • 28 Warnecke T, Ritter MA, Kröger B. et al. Fiberoptic endoscopic dysphagia severity scale predicts outcome after acute stroke. Cerebrovascular Diseases 2009; 28 (03) 283-289
    CrossrefPubMedGoogle Scholar
  • 29 Warnecke T, Teismann I, Zimmermann J. et al. Fiberoptic endoscopic evaluation of swallowing with simultaneous Tensilon application in diagnosis and therapy of myasthenia gravis. Journal of Neurology 2008; 255 (02) 224-230
    CrossrefPubMedGoogle Scholar
  • 30 Warnecke T, Hamacher C, Oelenberg S. et al. Off and on state assessment of swallowing function in Parkinson’s disease. Parkinsonism & related disorders 2014; 20 (09) 1033-1034
    CrossrefPubMedGoogle Scholar
  • 31 Warnecke T, Oelenberg S, Teismann I. et al. Endoscopic characteristics and levodopa responsiveness of swallowing function in progressive supranuclear palsy. Movement disorders 2010; 25 (09) 1239-1245
    CrossrefPubMedGoogle Scholar
  • 32 Folland JP, Williams AG. Morphological and neurological contributions to increased strength. Sports Medicine 2007; 37 (02) 145-168
    CrossrefPubMedGoogle Scholar
  • 33 Macrae PR, Doeltgen SH, Jones RD. et al. Intra-and inter-rater reliability for analysis of hyoid displacement measured with sonography. Journal of Clinical Ultrasound 2012; 40 (02) 74-78
    CrossrefPubMedGoogle Scholar
  • 34 Macrae PR, Jones RD, Myall DJ. et al. Cross-sectional area of the anterior belly of the digastric muscle: Comparison of MRI and ultrasound measures. Dysphagia 2013; 28 (03) 375-380
    CrossrefPubMedGoogle Scholar
  • 35 Huckabee ML, Macrae P, Lamvik K. Expanding instrumental options for dysphagia diagnosis and research: Ultrasound and manometry. Folia Phoniatrica et Logopaedica 2015; 67 (06) 269-284
    CrossrefPubMedGoogle Scholar
  • 36 Suttrup I, Warnecke T. Dysphagia in Parkinson’s disease. Dysphagia 2016; 31 (01) 24-32 https://doi.org/10.1007/s00455–015–9671–9 Stand: 16.07.2021
    CrossrefPubMedGoogle Scholar
  • 37 Saitoh E, Pongpipatpaiboon K, Inamoto Y. et al. Dysphagia evaluation and treatment. New York: Springer; 2018
    CrossrefGoogle Scholar
  • 38 Butler SG, Stuart A, Castell D. et al. Effects of age, gender, bolus condition, viscosity, and volume on pharyngeal and upper esophageal sphincter pressure and temporal measurements during swallowing. Journal of Speech, Language, and Hearing Research 2009; 52: 240-253
    CrossrefPubMedGoogle Scholar
  • 39 Lamvik K, Macrae P, Doeltgen S. et al. Normative data for pharyngeal pressure generation during saliva, bolus, and effortful saliva swallowing across age and gender. Speech, Language and Hearing 2014; 17 (04) 210-215
    CrossrefGoogle Scholar
  • 40 Al-Toubi AK, Doeltgen SH, Daniels SK. et al. Pharyngeal pressure differences between four types of swallowing in healthy participants. Physiology & Behavior 2015; 140: 132-138
    CrossrefPubMedGoogle Scholar
  • 41 Pauloski BR, Rademaker AW, Lazarus C. et al. Relationship between manometric and videofluoroscopic measures of swallow function in healthy adults and patients treated for head and neck cancer with various modalities. Dysphagia 2009; 24 (02) 196-203
    CrossrefPubMedGoogle Scholar
  • 42 Jungheim M, Schubert C, Miller S. et al. Normwerte für die Hochauflösungsmanometrie von Pharynx und oberem Ösophagussphinkter. Laryngo-Rhino-Otologie 2015; 94 (09) 601-608
    Article in Thieme ConnectPubMedGoogle Scholar
  • 43 Takasaki K, Umeki H, Enatsu K. et al. Investigation of pharyngeal swallowing function using high-resolution manometry. The Laryngoscope 2008; 118 (10) 1729-1732
    CrossrefPubMedGoogle Scholar
  • 44 Hoffman MR, Mielens JD, Ciucci MR. et al. High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the Mendelsohn maneuver. Dysphagia 2012; 27 (03) 418-426
    CrossrefPubMedGoogle Scholar
  • 45 McCulloch TM, Hoffman MR, Ciucci MR. High-resolution manometry of pharyngeal swallow pressure events associated with head turn and chin tuck. Annals of Otology, Rhinology & Laryngology 2010; 119 (06) 369-376
    CrossrefPubMedGoogle Scholar
  • 46 Miles A, Moore S, McFarlane M. et al. Comparison of cough reflex test against instrumental assessment of aspiration. Physiology & Behavior 2013; 118: 25-31
    CrossrefPubMedGoogle Scholar
  • 47 Perry SE, Miles A, Fink JN. et al. The Dysphagia in Stroke Protocol reduces aspiration pneumonia in patients with dysphagia following acute stroke: A clinical audit. Translational Stroke Research 2019; 10 (01) 36-43
    CrossrefPubMedGoogle Scholar
  • 48 Dicpinigaitis PV, Tibb AS, Ramsey DL. et al. Stability of cough reflex sensitivity during viral upper respiratory tract infection (common cold). Pulmonary Pharmacology & Therapeutics 2014; 28 (02) 154-157
    CrossrefPubMedGoogle Scholar
  • 49 Morice AH, Fontana GA, Belvisi MG. et al. ERS guidelines on the assessment of cough. European Respiratory Journal 2007; 29 (06) 1256-1276
    CrossrefPubMedGoogle Scholar
  • 50 Morice AH, Kastelik JA, Thompson R. Cough challenge in the assessment of cough reflex. British Journal of Clinical Pharmacology 2001; 52 (04) 365
    CrossrefPubMedGoogle Scholar
  • 51 Miles A, Zeng ISL, McLauchlan H. et al. Cough reflex testing in dysphagia following stroke: A randomized controlled trial. Journal of Clinical Medicine Research 2013; 5 (03) 222
    PubMedGoogle Scholar
  • 52 Kallesen M, Psirides A, Huckabee ML. Comparison of cough reflex testing with videoendoscopy in recently extubated intensive care unit patients. Journal of Critical Care 2016; 33: 90-94
    CrossrefPubMedGoogle Scholar
  • 53 Langmore SE. Endoscopic evaluation and treatment of swallowing disorders. Stuttgart: Thieme; 2001
    Google Scholar
  • 54 Hey C, Pluschinski P, Stanschus S. et al. A documentation system to save time and ensure proper application of the fiberoptic endoscopic evaluation of swallowing (FEES®). Folia Phoniatrica et Logopaedica 2011; 63 (04) 201-208
    CrossrefPubMedGoogle Scholar
  • 55 Duchac S, Peter S, Hofmayer A. et al. Dysphagietherapie: Grundlagen der Planung und Duchführung. In: Frank. et al., Hrsg. FAQ Dysphagie. München: Elsevier GmbH; 2021
    Google Scholar