Annals of Rehabilitation Medicine, 2021 · DOI: https://doi.org/10.5535/arm.21161 · Published: December 31, 2021
This study aimed to determine if lung function could predict swallowing difficulties (dysphagia) in people with cervical spinal cord injuries (CSCIs). The researchers reviewed medical records of 78 individuals with CSCIs, assessing lung function with spirometry and peak flow meters, and swallowing function via videofluoroscopic swallowing studies. The study found that lower values of peak cough flow (PCF) and forced expiratory volume in 1 second (FEV1) were associated with a higher risk of dysphagia in individuals with CSCIs.
Pulmonary function tests, already routinely performed in CSCI patients, can be used to identify individuals at higher risk for dysphagia.
Individuals with low PCF and FEV1 values should undergo thorough swallowing assessments (VFSS) to confirm dysphagia and initiate appropriate management.
Rehabilitation programs should address both respiratory and swallowing function in CSCI patients to improve outcomes and prevent complications like aspiration pneumonia.