Variabilidade dos desfechos quantitativos nas avaliações instrumentais da deglutição em adultos: uma revisão de escopo
Variability in quantitative outcomes of instrumental swallowing assessments in adults: a scoping review
Jayne de Freitas Bandeira; Desiré Dominique Diniz de Magalhães; Leandro Pernambuco
Resumo
Palavras-chave
Abstract
Purpose To map scientific evidence on the variability of quantitative parameters extracted by instrumental swallowing assessment tests in adults, using the coefficient of variation.
Research strategies The methodological procedures recommended by the Joanna Briggs Institute and the extension for scoping reviews of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA-ScR) were followed.
Selection criteria The search was carried out in the Pubmed/Medline, Lilacs, Cochrane Library, Embase, Web of Science, Scopus and CINAHL databases, as well as in Google Scholar to consult the gray literature.
Data analysis Two blind and independent reviewers screened the articles by title and abstract. Subsequently, the articles were read in full and selected according to the eligibility criteria. Data were extracted according to a standardized instrument.
Results 363 studies were found, 13 of which were eligible. Most studies had a sample size of less than 30 participants and were made up of healthy individuals. The instrumental exams used were diverse: videofluoroscopy, electrical impedance tomography, laryngeal sensors, high-resolution manometry and surface electromyography. The studies searched for intra-individual variability and the coefficient of variation ranged from low to high variability, as the instruments, parameters and collection procedures were very heterogeneous and non-standardized.
Conclusion Intra-individual variability of the quantitative outcomes of instrumental swallowing assessments in adults ranged from low to high according to the exam, outcome, presence or absence of underlying disease, consistency and volume of the bolus.
Keywords
Referências
1 Pansarini AC, Sassi FC, Mangilli LD, Fortunato-Tavares T, Limongi SCO, Andrade CRF. Deglutition of pasty and solid food: a critical review of the literature. Rev Soc Bras Fonoaudiol. 2012;17(3):357-62.
2 Cheng I, Takahashi K, Miller A, Hamdy S. Cerebral control of swallowing: an update on neurobehavioral evidence. J Neurol Sci. 2022;442:120434.
3 Padovani AR, Moraes DP, Sassi FC, Andrade CRF. Clinical swallowing assessment in intensive care unit. CoDAS. 2013;25(1):1-7.
4 Chen YC, Hsiao MY, Wang YC, Fu CP, Wang TG. Reliability of ultrasonography in evaluating hyoid bone movement. J Med Ultrasound. 2017;25(2):90-5.
5 Sordi M, Mourão LF, Silva AA, Flosi LCL. Interdisciplinary evaluation of dysphagia: clinical swallowing evaluation and videoendoscopy of swallowing. Rev Bras Otorrinolaringol. 2009;75(6):776-87.
6 Jones CA, Ciucci MR. Multimodal swallowing evaluation with high-resolution manometry reveals subtle swallowing changes in early and mid-stage Parkinson disease. J Parkinsons Dis. 2016;6(1):197-208.
7 Anéas GCG, Dantas RO. A videofluoroscopia da deglutição na investigação da disfagia oral e faringeana. GE J Port Gastrenterol. 2014;21(1):21-5.
8 Balbinot J, Machado GC, Hübner LS, Real CS, Signorini AV, Dornelles S. Protocolos de avaliação da deglutição: norteadores e limitações. Clin Biomed Res. 2018;38(4):339-47.
9 Martin-Harris B, Jones B. The videofluorographic swallowing study. Phys Med Rehabil Clin N Am. 2008;19(4):769-85, viii.
10 Santoro PP, Tsuji DH, Lorenzi MC, Ricci F. A utilização da videoendoscopia da deglutição para a avaliação quantitativa da duração das fases oral e faríngea da deglutição na população geriátrica. Int Arch Otorhinolaryngol. 2003;7(3):181-7.
11 Chaves RD, Mangilli LD, Sassi FC, Jayanthi SK, Zilberstein B, Andrade CRF. Two-dimensional perceptual videofluoroscopic swallowing analysis of the pharyngeal phase in patients older than 50 years. Arq Bras Cir Dig. 2013;26(4):274-9.
12 Taveira KVM, Santos RS, Leão BLC, Stechman J No, Pernambuco L, Silva LK, et al. Diagnostic validity of methods for assessment of swallowing sounds: a systematic review. Rev Bras Otorrinolaringol. 2018;84(5):638-52.
13 Logemann JA, Larsen K. Oropharyngeal dysphagia: pathophysiology and diagnosis for the anniversary issue of Diseases of the Esophagus. Dis Esophagus. 2012;25(4):299-304.
14 Jaffer NM, Ng E, Au FW, Steele CM. Fluoroscopic evaluation of oropharyngeal dysphagia: anatomic, technical, and common etiologic factor. AJR Am J Roentgenol. 2015;204(1):49-58.
15 Panebianco M, Marchese-Ragona R, Masiero S, Restivo DA. Dysphagia in neurological diseases: a literature review. Neurol Sci. 2020;41(11):3067-73.
16 Prikladnicki A, Santana MG, Cardoso MC. Protocolos e procedimentos de avaliação em endoscopia da deglutição: uma revisão sistemática atualizada. Rev Bras Otorrinolaringol. 2022;88(3):445-70.
17 Leite KKA, Mangilli LD, Sassi FC, Limongi SCO, Andrade CRF. Ultrasonography and swallowing: a critical review of the literature. Audiol Commun Res. 2014;19(4):412-20.
18 Potente P, Stella AB, Vidotto M, Passerini M, Furlanis G, Naccarato M, et al. Application of ultrasonography in neurogenic dysphagia: a systematic review. Dysphagia. 2023;38(1):65-75.
19 Hsiao M, Wu C, Wang T. Emerging role of ultrasound in dysphagia assessment and intervention: a narrative review. Front Rehabil Sci. 2021;2:708102.
20 Miura Y, Tamai N, Kitamura A, Yoshida M, Takahashi T, Mugita Y, et al. Diagnostic accuracy of ultrasound examination in detecting aspiration and pharyngeal residue in patients with dysphagia: a systematic review and meta-analysis. Jpn J Nurs Sci. 2021;18(2):e12396.
21 Langmore SE. History of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: changes over the years. Dysphagia. 2017;32(1):27-38.
22 Andrade RA, Coriolano MGWS, Souza ELH, Silva JHC, Cunha MD, Pernambuco L, et al. Reliability of ultrasound examination of hyoid bone displacement amplitude: a systematic review and meta-analysis. Dysphagia. 2022;37(6):1375-85.
23 Costa BOI, Machado LS, Augusto MM, Alves TC, Pernambuco L. Training for fiberoptic endoscopic evaluation of swallowing parameter analysis: a scoping review protocol. CEFAC. 2022;24(1):e11021.
24 Diaz K, Stegemöller EEL. Electromyographic measures of asymmetric muscle control of swallowing in Parkinson’s disease. PLoS One. 2022;17(2):e0262424.
25 Silva AF, Velo MMAC, Pereira AC. Importância da reprodutibilidadedos métodos para diagnóstico em odontologia. Rev Fac Odontol. 2016;21(1):115-20.
26 Balasubramanian G, Sharma T, Kern M, Mei L, Sanvanson P, Shaker R. Characterization of pharyngeal peristaltic pressure variability during volitional swallowing in healthy individuals. Neurogastroenterol Motil. 2017;29(11):1-19.
27 Vieira S. Estatística básica [Internet]. 2ª ed. rev. ampl. São Paulo: Cengage Learning Brasil; 2018 [citado em 2022 Ago 4]. Disponível em:
28 Stokes M. Reliability and repeatability of methods for measuring muscle in physiotherapy. Physiotherapy Practice. 1985;1(2):71-6.
29 Costa GGO. Curso de estatística básica. 2ª ed. São Paulo: Atlas; 2015 [citado em 2022 Ago 4]. Disponível em:
30 Ohmori N, Watanabe S, Momose H, Endo H, Chikai M, Ino S. Investigation of variation factors in EMG measurement of swallowing: instruction can improve EMG reproducibility. Med Biol Eng Comput. 2022;60(10):2825-40.
31 Park MW, Lee D, Seo HG, Han TR, Lee JC, Kim HC, et al. Reliability of suprahyoid and infrahyoid electromyographic measurements during swallowing in healthy subjects. J Korean Dysphagia Soc. 2021;11(2):128-36.
32 Molfenter SM, Steele CM. Physiological variability in the deglutition literature: hyoid and laryngeal kinematics. Dysphagia. 2011;26(1):67-74.
33 Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid-Based Healthc. 2015;13(3):141-6.
34 Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73.
35 Bandeira JF, Magalhães DDD, Pernambuco LA. Variability in quantitative parameters of instrumental swallowing assessments: a scoping review protocol. Rev CEFAC. 2022;24(6):e7022.
36 Lof GL, Robbins J. Test-retest variability in normal swallowing. Dysphagia. 1990;4(4):236-42.
37 Takahashi K, Groher ME, Michi K. Symmetry and reproducibility of swallowing sounds. Dysphagia. 1994;9(3):168-73.
38 Kjellin O, Ekberg O, Olsson R, Nilsson H. Quantitative assessment of swallowing in dysphagic patients: a pilot study. Scand J Logop Phoniatr. 1994;19(3):113-6.
39 Hughes TAT, Liu P, Griffiths H, Wiles CM. The repeatability and variability of electrical impedance tomography indices of pharyngeal transit time in normal adults. Physiol Meas. 1995;16(3, Suppl A):A79-86.
40 Hughes TAT, Liuf P, Griffithst H, Wilest CM. Repeatability of indices of swallowing in healthy adults: electrical impedance tomography compared with a simple timed test of swallowing. Med Biol Eng Comput. 1996;34(5):366-8.
41 Nilsson H, Ekberg O, Olsson R, Kjellin O, Hindfelt B. Quantitative assessment of swallowing in healthy adults. Dysphagia. 1996;11(2):110-6.
42 Hedström J, Tuomi L, Andersson M, Dotevall H, Osbeck H, Finizia C. Within-Bolus variability of the penetration-aspiration scale across two subsequent swallows in patients with head and neck cancer. Dysphagia. 2017;32(5):683-90.
43 Jones CA, Hoffman MR, Lin L, Abdelhalim S, Jiang JJ, McCulloch TM. Identification of swallowing disorders in early and mid-stage Parkinson’s disease using pattern recognition of pharyngeal high-resolution manometry data. Neurogastroenterol Motil. 208;30(4):e13236.
44 Shechtman O. The coefficient of variation as an index of measurement reliability. In: Doi S, Williams G, editores. Methods of clinical epidemiology. Berlin: Springer; 2013. Springer Series on Epidemiology and Public Health.
Submetido em:
01/03/2024
Aceito em:
02/05/2024
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