Inter-And Intrajudge Reliability Of A Clinical Examination Of Swallowing In Adults

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Gary McCullough Ph.D , Associate Dean (Creator)
Appalachian State University (ASU )
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Abstract: This study investigates inter-and intrajudge reliability of a clinical examination of swallowing in adults. Several investigations have sought correlations between clinical indicators of dysphagia and the actual presence of dysphagia as determined by videofluoros- copy. Whereas some investigations have reported inter- judge reliability for the videofluoroscopic measures employed, none have reported reliability for clinical measures. Without established reliability for rating clinical measures, conclusions drawn regarding the utility of a measure for detecting aspiration can be called into question. Results of the present study indicate that fewer than 50% of the measures clinicians typically employ are rated with sufficient inter- and intrajudge reliability. Measures of vocal quality and oral motor function were rated more reliably than were history measures or measures taken during trial swallows. There is a need to define more clearly the measures employed in clinical examinations and to be consistent in reporting reliability for clinical measures of swallowing function in future research

Additional Information

Gary H. McCullough, Robert T. Wertz, John C. Rosenbek, Russell H. Mills, Katherine B. Ross and John R. Ashford (2000) "Inter-And Intrajudge Reliability Of A Clinical Examination Of Swallowing In Adults" Dysphagia #15: pp.58–67 Version of Record available @At [DOI: 10.1007/s004550010002]
Language: English
Date: 2000
dysphagia, clinical examination, reliability, adults, deglutition, deglutition disorders

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