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https://codas.org.br/article/doi/10.1590/2317-1782/20232022002en
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Systematic Review

Quantitative approach to analyze hyoid bone movement during swallowing by ultrasound: an integrative review

Abordagem quantitativa por ultrassonografia para análise do movimento do osso hioide durante a deglutição: revisão integrativa

Desiré Dominique Diniz de Magalhães; Jayne de Freitas Bandeira; Leandro Pernambuco

http://dx.doi.org/10.1590/2317-1782/20232022002en CoDAS, vol.35, n4, e20220002, 2023
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Abstract

Purpose

To synthesize the scientific knowledge on which measurements of hyoid bone movement during swallowing are obtained by ultrasonography and how to extract these measures.

Research strategies

The PECO question and combinations of descriptors and keywords were formulated in the electronic databases Medline/PubMed, EMBASE, Web of Science, Scopus and Lilacs.

Selection criteria

Articles that used ultrasonography to analyze measurements of hyoid bone movement during swallowing were included, regardless of language, year of publication, or presence of deglutition disorders.

Data analysis

The included articles were analyzed for: year, study site, study design, population, sample size, equipment used, transducer positioning, measurements obtained, method of extraction, and reliability of measurements.

Results

Twenty-six articles met the eligibility criteria. The most frequent measurement was hyoid movement maximum amplitude, followed by time and velocity. There was great variability in the study population, equipment used, positioning of the transducer and method of extraction of the measurements. Thus, it was not possible to find a standard model to extract the measures. The level of reliability was investigated in only eight articles.

Conclusion

Amplitude, time and velocity are the measures of hyoid bone movement during swallowing that can be obtained by ultrasonography. There is no standardization on how to extract these measurements.

Keywords

Deglutition; Deglutition Disorders; Ultrasonography; Hyoid Bone; Movement

Resumo

Objetivo

Sintetizar o estado do conhecimento científico sobre quais medidas do movimento do osso hioide durante a deglutição são obtidas pela ultrassonografia e como extraí-las.

Estratégia de pesquisa

A pergunta PECO e as combinações de descritores e palavras-chave foram formuladas nas bases de dados eletrônicas Medline/PubMed, EMBASE, Web of Science, Scopus and Lilacs.

Critérios de seleção

Foram incluídos os artigos que utilizaram a ultrassonografia para analisar as medidas de movimento do osso hioide durante a deglutição, independentemente do idioma, ano de publicação ou presença de alteração na deglutição.

Análise dos dados

Os artigos incluídos foram analisados quanto: ano, local do estudo, desenho do estudo, população, tamanho da amostra, equipamento utilizado, posicionamento do transdutor, medidas obtidas, método de extração e confiabilidade das medidas.

Resultados

Vinte e seis artigos cumpriram os critérios de elegibilidade. A medida mais frequente foi a de amplitude máxima do movimento, seguida de tempo e velocidade. Houve grande variabilidade quanto à população de estudo, equipamentos utilizados, posicionamento do transdutor e método de extração das medidas, não sendo possível estabelecer padronização. O nível de confiabilidade foi investigado em apenas oito artigos.

Conclusão

Amplitude, tempo e velocidade são as medidas do movimento do osso hioide durante a deglutição que podem ser obtidas por ultrassonografia. Não há padronização dos métodos de extração dessas medidas.

Palavras-chave

Deglutição; Transtornos de Deglutição; Ultrassonografia; Osso Hioide; Movimento

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