Relationship between tongue pressure and dysphagia diet in patients with acute stroke

A dysphagia diet is important for patients with stroke to help manage their nutritional state and prevent aspiration pneumonia. Tongue pressure measurement is a simple, non-invasive, and objective method for diagnosing dysphagia. We hypothesized that tongue pressure may be useful in making a choice...

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Bibliographic Details
Published in:PloS one 2021-06, Vol.16 (6), p.e0252837
Main Authors: Nakamori, Masahiro, Ishikawa, Kenichi, Imamura, Eiji, Yamamoto, Haruna, Kimura, Keiko, Ayukawa, Tomoko, Mizoue, Tatsuya, Wakabayashi, Shinichi
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biology and Life Sciences
Complications and side effects
Deglutition
Deglutition disorders
Deglutition Disorders - diagnosis
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Diet
Female
Humans
Male
Medicine and Health Sciences
Middle Aged
Physiological aspects
Pressure
ROC Curve
Stroke (Disease)
Stroke - complications
Stroke - physiopathology
Stroke patients
Tongue - physiopathology
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Summary:A dysphagia diet is important for patients with stroke to help manage their nutritional state and prevent aspiration pneumonia. Tongue pressure measurement is a simple, non-invasive, and objective method for diagnosing dysphagia. We hypothesized that tongue pressure may be useful in making a choice of diet for patients with acute stroke. Using balloon-type equipment, tongue pressure was measured in 80 patients with acute stroke. On admission, a multidisciplinary swallowing team including doctors, nurses, speech therapists, and management dietitians evaluated and decided on the possibility of oral intake and diet form; the tongue pressure was unknown to the team. Diet form was defined and classified as dysphagia diet Codes 0 to 4 and normal form (Code 5 in this study) according to the 2013 Japanese Dysphagia Diet Criteria. In multivariate analysis, only tongue pressure was significantly associated with the dysphagia diet form (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0252837