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Muscle Tension Dysphagia: An Expanded Investigation of Clinical Presentations and Swallowing Kinematics.

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Title: Muscle Tension Dysphagia: An Expanded Investigation of Clinical Presentations and Swallowing Kinematics.
Authors: Buckley, Daniel P.1,2,3 buckleyd@bu.edu, Borders, James C.4, Pisegna, Jessica M.1,2,3
Source: American Journal of Speech-Language Pathology. Jul2024, Vol. 33 Issue 4, p1802-1810. 9p.
Subject Terms: *Retrospective studies, *Quality of life, *Inter-observer reliability, Reference values, Laryngeal muscles, Kinematics, Questionnaires, Research evaluation, Descriptive statistics, Muscle tone, Laryngoscopy, Medical records, Acquisition of data, Hyoid bone, Intraclass correlation, Deglutition, Health outcome assessment, Confidence intervals, Data analysis software, Deglutition disorders, Symptoms
Abstract: Purpose: This study retrospectively examined patient-reported symptoms, quality of life, and swallowing kinematics in individuals with presumed muscle tension dysphagia (MTDg). Method: Twenty-six individuals met the inclusion criteria. Data were gathered from patient-reported outcome measures (PROs), symptomology, clinician reports of palpation, and hyolaryngeal and hyoid movements measured on a 20-ml thin liquid bolus during videofluoroscopic swallowing studies. Results: All PROs were outside of typical limits, except for the Voice Handicap Index-10. Mean hyoid excursion was 1.52 cm (SD = 0.46, range: 0.76-2.43), and hyolaryngeal excursion was 0.77 cm (SD = 0.44, range: -0.42-1.68). A minority of participants (4%-19%) demonstrated atypical hyoid and/or hyolaryngeal excursion compared to the available normative reference value sets. Conclusions: Individuals demonstrated abnormalities in the clinical evaluation of the areas of palpation and reported perilaryngeal discomfort and symptoms of laryngeal hyperresponsiveness, with a negative impact on their quality of life across various PROs. Atypical hyoid and/or hyolaryngeal excursion during swallowing was rare when compared to available normative reference values. The clinical evaluation of MTDg may be enhanced by including components related to muscle tension and laryngeal hyperresponsiveness in order to differentiate MTDg from idiopathic functional dysphagia and lead the patient to the otolaryngology/speech-language pathology clinic for intervention and management. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Muscle Tension Dysphagia: An Expanded Investigation of Clinical Presentations and Swallowing Kinematics.
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  Data: <searchLink fieldCode="AR" term="%22Buckley%2C+Daniel+P%2E%22">Buckley, Daniel P.</searchLink><relatesTo>1,2,3</relatesTo><i> buckleyd@bu.edu</i><br /><searchLink fieldCode="AR" term="%22Borders%2C+James+C%2E%22">Borders, James C.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Pisegna%2C+Jessica+M%2E%22">Pisegna, Jessica M.</searchLink><relatesTo>1,2,3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Jul2024, Vol. 33 Issue 4, p1802-1810. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br />*<searchLink fieldCode="DE" term="%22Inter-observer+reliability%22">Inter-observer reliability</searchLink><br /><searchLink fieldCode="DE" term="%22Reference+values%22">Reference values</searchLink><br /><searchLink fieldCode="DE" term="%22Laryngeal+muscles%22">Laryngeal muscles</searchLink><br /><searchLink fieldCode="DE" term="%22Kinematics%22">Kinematics</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+tone%22">Muscle tone</searchLink><br /><searchLink fieldCode="DE" term="%22Laryngoscopy%22">Laryngoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Hyoid+bone%22">Hyoid bone</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition%22">Deglutition</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition+disorders%22">Deglutition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: This study retrospectively examined patient-reported symptoms, quality of life, and swallowing kinematics in individuals with presumed muscle tension dysphagia (MTDg). Method: Twenty-six individuals met the inclusion criteria. Data were gathered from patient-reported outcome measures (PROs), symptomology, clinician reports of palpation, and hyolaryngeal and hyoid movements measured on a 20-ml thin liquid bolus during videofluoroscopic swallowing studies. Results: All PROs were outside of typical limits, except for the Voice Handicap Index-10. Mean hyoid excursion was 1.52 cm (SD = 0.46, range: 0.76-2.43), and hyolaryngeal excursion was 0.77 cm (SD = 0.44, range: -0.42-1.68). A minority of participants (4%-19%) demonstrated atypical hyoid and/or hyolaryngeal excursion compared to the available normative reference value sets. Conclusions: Individuals demonstrated abnormalities in the clinical evaluation of the areas of palpation and reported perilaryngeal discomfort and symptoms of laryngeal hyperresponsiveness, with a negative impact on their quality of life across various PROs. Atypical hyoid and/or hyolaryngeal excursion during swallowing was rare when compared to available normative reference values. The clinical evaluation of MTDg may be enhanced by including components related to muscle tension and laryngeal hyperresponsiveness in order to differentiate MTDg from idiopathic functional dysphagia and lead the patient to the otolaryngology/speech-language pathology clinic for intervention and management. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1044/2024_AJSLP-23-00415
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 1802
    Subjects:
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Inter-observer reliability
        Type: general
      – SubjectFull: Reference values
        Type: general
      – SubjectFull: Laryngeal muscles
        Type: general
      – SubjectFull: Kinematics
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Muscle tone
        Type: general
      – SubjectFull: Laryngoscopy
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
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      – SubjectFull: Hyoid bone
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      – SubjectFull: Intraclass correlation
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      – SubjectFull: Deglutition
        Type: general
      – SubjectFull: Health outcome assessment
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Deglutition disorders
        Type: general
      – SubjectFull: Symptoms
        Type: general
    Titles:
      – TitleFull: Muscle Tension Dysphagia: An Expanded Investigation of Clinical Presentations and Swallowing Kinematics.
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            NameFull: Buckley, Daniel P.
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              Text: Jul2024
              Type: published
              Y: 2024
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