دورية أكاديمية
أعرض في EDS

Tongue pressure is a strong predictor of recommendation for gastrostomy in amyotrophic lateral sclerosis.

التفاصيل البيبلوغرافية
العنوان: Tongue pressure is a strong predictor of recommendation for gastrostomy in amyotrophic lateral sclerosis.
المؤلفون: Mendes AE; Speech-Language Pathology Department, University of São Paulo, São Paulo, Brazil., Silva GD; Neurology Department, University of São Paulo, São Paulo, Brazil., Jorge FMH; Neurology Department, University of São Paulo, São Paulo, Brazil., Callegaro D; Neurology Department, University of São Paulo, São Paulo, Brazil.
المصدر: Muscle & nerve [Muscle Nerve] 2024 Sep; Vol. 70 (3), pp. 409-412. Date of Electronic Publication: 2024 Jun 18.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 7803146 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4598 (Electronic) Linking ISSN: 0148639X NLM ISO Abbreviation: Muscle Nerve Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken, NJ : John Wiley & Sons
Original Publication: New York, NY : John Wiley & Sons
مواضيع طبية MeSH: Amyotrophic Lateral Sclerosis*/physiopathology , Amyotrophic Lateral Sclerosis*/therapy , Gastrostomy* , Tongue*/physiopathology, Humans ; Female ; Male ; Middle Aged ; Aged ; Prospective Studies ; Pressure ; ROC Curve ; Follow-Up Studies
مستخلص: Introduction/aims: Objective and practical biomarkers to determine the need for gastrostomy in patients with amyotrophic lateral sclerosis (ALS) are lacking. Tongue pressure (TP) is a promising biomarker because it is associated with bulbar dysfunction. The aims of this study were to evaluate the association of TP with the need for gastrostomy, and to determine its optimal cut-off value.
Methods: This prospective observational study included participants with ALS taking nutrition orally. TP was evaluated using the Iowa Oral Performance Instrument. Need for gastrostomy as determined by a multidisciplinary team during a 12-month follow up period was recorded. Associations between TP and need for gastrostomy placement were performed. ROC curve analysis determined the optimal cut-off value of TP to predict gastrostomy.
Results: Of 208 screened participants, 119 were included. Gastrostomy was indicated in 45% (53), in a 12-month follow up period. TP of ≤20 kPA was a strong predictor of gastrostomy indication (OR 11.8, CI 95% [4.61, 34.7], p < .001). The association persisted even after adjustment for weight loss, pneumonia, prolonged feeding duration, Revised ALS Functional Rating Scale score, and American Speech-Language-Hearing Association scale score (OR 4.51, CI 95% [1.50, 14.9], p = .009). By receiver operating characteristic curve analysis, 20 kPA represented the optimal cut-off value (sensitivity 0.75, specificity 0.89).
Discussion: TP is a strong independent predictor of gastrostomy indication in the subsequent 12 months in patients with ALS, with good sensitivity and specificity at a cutoff value of ≤20 kPA, suggesting that it may be a promising biomarker in clinical practice.
(© 2024 Wiley Periodicals LLC.)
References: Hillel AD, Miller RM, Yorkston K, McDonald E, Norris FH, Konikow N. Amyotrophic lateral sclerosis severity scale. Neuroepidemiology. 1989;8:142‐150.
Oliver D. The quality of care and symptom control—the effects on the terminal phase of ALS/MND. J Neurol Sci. 1996;139:134‐136.
Körner S, Hendricks M, Kollewe K, et al. Weight loss, dysphagia and supplement intake in patients with amyotrophic lateral sclerosis (ALS): impact on quality of life and therapeutic options. BMC Neurol. 2013;13:84.
Conde B, Martins N, Rodrigues I, Pimenta AC, Winck JC. Functional and endoscopic indicators for percutaneous endoscopic gastrostomy (PEG) in amyotrophic lateral sclerosis patients. J Clin Med Res. 2018;7(10):352.
Mariani L, Ruoppolo G, Cilfone A, et al. Progression of oropharyngeal dysphagia in amyotrophic lateral sclerosis: a retrospective cohort study. Dysphagia. 2022;37:868‐878.
Donohue C, Tabor Gray L, Chapin J, et al. Discriminant ability of the 3‐ounce water swallow test to detect aspiration in amyotrophic lateral sclerosis. Neurogastroenterol Motil. 2022;34(7):e14310.
Plowman EK, Tabor LC, Robison R, et al. Discriminant ability of the eating assessment Tool‐10 to detect aspiration in individuals with amyotrophic lateral sclerosis. Neurogastroenterol Motil. 2016;28(1):85‐90.
Kao TH, Perry BJ. The current state and future directions of swallowing care in amyotrophic lateral sclerosis. Curr Phys Med Rehabil Rep. 2023;11:199‐211.
Murdoch BE, Spencer TJ, Theodoros DG, Thompson EC. Lip and tongue function in multiple sclerosis: a physiological analysis. Motor Control. 1998;2:148‐160.
Gandhi P, Plowman EK, Steele CM. Comparison of lingual pressure generation capacity in Parkinson disease, amyotrophic lateral sclerosis, and healthy aging. Am J Speech Lang Pathol. 2022;31:1845‐1853.
Hiraoka A, Yoshikawa M, Nakamori M, et al. Maximum tongue pressure is associated with swallowing dysfunction in ALS patients. Dysphagia. 2017;32:542‐547.
Brooks BR, Miller RG, Swash M, Munsat TL, World Federation of Neurology Research Group on Motor Neuron Diseases. El Escorial Revisited: Revised Criteria for the Diagnosis of ALS. A Consensus Conference Held at Airlie House. Worrenton; 1998.
Guedes K, Pereira C, Pavan K, Valério BC. Cross‐cultural adaptation and validation of als functional rating scale‐revised in Portuguese language. Arq Neuropsiquiatr. 2010;68(1):44‐47.
Rockville MD. American Speech‐Language‐Hearing Association National Outcome Measurement System (NOMS). Adult Speech‐Language Pathology training manual. ASHA.
IOPI Medical LLC. Iowa Oral Performance Instrument: Users Manual. 2008. IOPIMedical LLC. Available from: https://iopimedical.com/.
Miller RG, Jackson CE, Kasarskis EJ, et al. Practice parameter update: the care of the patient with amyotrophic lateral sclerosis: multidisciplinary care, symptom management, and cognitive/behavioral impairment (an evidence‐based review): report of the quality standards Subcommittee of the American Academy of neurology. Neurology. 2009;73:1227‐1233.
فهرسة مساهمة: Keywords: amyotrophic lateral sclerosis; dysphagia; gastrostomy; swallowing disorders; tongue pressure
تواريخ الأحداث: Date Created: 20240618 Date Completed: 20240814 Latest Revision: 20240814
رمز التحديث: 20240814
DOI: 10.1002/mus.28174
PMID: 38887944
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-4598
DOI:10.1002/mus.28174