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Teramoto S, Fukuchi Y. Detection of aspiration and swallowing disorder in older stroke patients: simple swallowing provocation test versus water swallowing test.
Objective: To assess the sensitivity and specificity of a simple swallowing provocation test (SPT) and a water swallowing test (WST) in detecting aspiration pneumonia in elderly patients with stroke.
Pharyngolaryngeal examination on decannulation comprises sequential assessments of salivary stasis and silent inhalation, spontaneous swallowing, and laryngeal sensitivity, before considering a swallowing test using paste and then liquid.
Other changes in the specifications included replacing GCS with the Barthel score post initial stroke, omitting the swallowing test variable, dropping additional control variables (hypertension, myocardial infraction and medication therapy), and including observations on patients with subarachnoid haemorrhage in the analysis.
The water swallowing test [ 26] is a simple bed-side test and resembles the water swallowing test proposed by Smithard and coworkers [ 21].
Our study subjects showed no apparent signs of dysphagia, because they could eat and drink without coughing, thus passing the Bedside Swallow Assessment and water swallowing test.
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Allison: Yeah, I think my first memory was the speech therapist and greeting me with some meat slurry, like, doing swallowing tests for me.
Since clinical records indicated that Terri Schiavo was not responsive to swallowing tests and required a feeding tube, Judge Greer ruled that she was not capable of orally ingesting sufficient nutrition and hydration to sustain life, and denied the request.
The following day, Greer denied the first motion as well, citing that an affiant doctor for Michael cautioned that fMRI was an experimental procedure that should be conducted in an academic setting, because Schiavo had already undergone swallowing tests and failed, and because VitalStim had only been performed on patients who were not in a PVS.
In addition, we carried out water swallowing tests or videoendoscopy for the purpose of swallowing function evaluation in suspected cases.
The subjects were asked not to swallow test solutions and rinse their mouth between two solutions with distilled water.
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