Article

OBJECTIVE: To assess the jaw-opening force test (JOFT)
for dysphagia screening.
DESIGN: Criterion standard. SETTING: University dental hospital. PARTICIPANTS:
Patients complaining of dysphagia (N=95) and with symptoms of dysphagia with
chronic underlying causes (mean age +/- SD, 79.3+/-9.61y; range, 50-94y; men:
n=49; mean age +/- SD, 77.03+/-9.81y; range, 50-94y; women: n=46; mean age +/-
SD, 75.42+/-9.73y; range, 51-93y) admitted for treatment between May 2011 and
December 2012 were included. INTERVENTIONS: None. MAIN OUTCOME MEASURES: All
patients were administered the JOFT and underwent fiberoptic endoscopic
evaluation of swallowing (FEES). The mean jaw-opening strength was compared with
aspiration (ASP) and pharyngeal residue observations of the FEES, which was used
as the criterion standard. RESULTS: A receiver operating characteristic (ROC)
curve analysis was performed. Forces of </=3.2kg for men and </=4kg for women
were appropriate cutoff values for predicting ASP with a sensitivity and
specificity of .57 and .79 for men and .93 and .52 for women, respectively. Based
on the ROC analyses for predicting pharyngeal residue, forces of </=5.3kg in men
and </=3.9kg in women were appropriate cutoff values, with a sensitivity and
specificity of .80 and .88 for men and .83 and .81 for women, respectively.
CONCLUSIONS: The JOFT could be a useful screening tool for predicting pharyngeal
residue and could provide useful information to aid in the referral of patients
for further diagnostic imaging testing. However, given its low sensitivity to ASP
the JOFT should be paired with other screening tests that predict ASP.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS