title: Accuracy of clinical judgment of the chin-down posture for dysphagia during the clinical/bedside assessment as corroborated by videofluoroscopy in adults with acute stroke.
abstract: Speech-language pathologists tend to rely on the noninstrumental swallowing evaluation in making recommendations about a patient's diet and management plan. The present study was designed to examine the sensitivity and specificity of the accuracy of using the chin-down posture during the clinical/bedside swallowing assessment. In 15 patients with acute stroke and clinically suspected oropharyngeal dysphagia, the correlation between clinical and videofluoroscopic findings was examined. Results identified that there is a difference in outcome prediction using the chin-down posture during the clinical/bedside assessment of swallowing compared to assessment by videofluoroscopy. Results are discussed relative to statistical and clinical perspectives, including site of lesion and factors to be considered in the design of an overall treatment plan for a patient with disordered swallowing.
authors.affiliation: Department of Communication Disorders, Peninsula Hospital Center, Far Rockaway, NY 11691, USA. zamisk8t@yahoo.com
authors.forename: Hope E
authors.initials: HE
authors.lastname: Baylow
authors.forename: Robert
authors.initials: R
authors.lastname: Goldfarb
authors.forename: Christy H
authors.initials: CH
authors.lastname: Taveira
authors.forename: Richard S
authors.initials: RS
authors.lastname: Steinberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002680:Chin; D002983:Clinical Competence; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000175:diagnosis / Q000209:etiology; D016013:Likelihood Functions; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D019095:Point-of-Care Systems; D011187:Posture; D012680:Sensitivity and Specificity; D020521:Stroke / Q000150:complications*; D014741:Video Recording