Utvärdering av cervikal auskultation som komplement till klinisk bedömning av sväljningsförmåga – en pilotstudie

Detta är en Magister-uppsats från Göteborgs universitet/Institutionen för neurovetenskap och fysiologi

Sammanfattning: This pilot study examines cervical auscultation as a complement to the clinical swallow examination. Nine speech and language pathologists (SLPs) with at least two years dysphagia experience, who attended a two-day course in cervical auscultation (CA) and regularly use CA, assessed the swallowing sounds of different consistencies recorded from 10 patients. Sound clips were recorded during fiberendoscopic examination of swallowing at Norra Älvsborg Hospital, Trollhättan. Statistical analyses included descriptive statistics, Intra-class Correlation Coefficient (ICC), Cohen's Kappa, sensitivity and specificity. Intra-rater reliability results were K = 0.59 > 0.78 and ICC = 0.82. Inter-rater reliability results were ICC = 0.88 > 0.94. The results of the SLPs were variably consistent with the FUS result. It is not possible to draw strong conclusions from this study due to few participants and a small data set, however the study provides suggestions for future improvements regarding more participants, more sound clips and administration.

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