EBRU KARACA UMAY
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
İbrahim GÜNDOĞDU
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
EDA GÜRÇAY
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Erhan ÖZTÜRK
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Volkan YILMAZ
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Özgür KARAAHMET
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Yasemin EREN
(Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Ankara, Türkiye)
GÜLESER SAYLAM
(Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi Kliniği, Ankara)
Aytül ÇAKCI
(Sağlık Bakanlığı Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Yıl: 2018Cilt: 48Sayı: 6ISSN: 1300-0144 / 1303-6165Sayfa Aralığı: 1153 - 1161İngilizce

69 2
The psychometric evaluation of the Turkish version of the Mann Assessment of Swallowing Ability in patients in the early period after stroke
Background/aim: The Mann Assessment of Swallowing Ability (MASA) is an efficient tool that allows physicians to determine the alertness, cooperation, and respiration of patients, which are important factors when assessing swallowing. This study aimed to translate the MASA into Turkish (T-MASA) and to assess its reliability and validity in patients during the early period after a stroke. Materials and methods: The scale was administered to 141 patients in the early period after a stroke. For reliability, both internal consistency (Cronbach’s alpha and corrected item-to-total correlations) and interrater reliability were analyzed. The procedures were scored by two blinded independent expert observers. The validity was assessed using the convergent validity. The cut-off value of the T-MASA for dysphagia was accepted as 169 points. The correlation between the MASA and endoscopic evaluation was evaluated. Results: The T-MASA showed good internal consistency using Cronbach’s alpha (0.899–0.901) and corrected item-to-total correlations. In addition, the intraclass correlation coefficient scores indicated excellent agreement. A significant moderate negative correlation was found between endoscopic evaluation and the T-MASA in terms of the presence of dysphagia (r: –0.324, r: –0.302, respectively, and both P = 0.001) Conclusion: Our results suggest that the Turkish version of the MASA is a valid and reliable instrument when determining dysphagia in patients in the early period after a stroke.
Fen > Tıp > Cerrahi
DergiAraştırma MakalesiErişime Açık
  • Cook IJ, Kahrilas PJ. AGA technical review on management of oropharyngeal dysphagia. Gastroenterology 1999; 116: 455- 478.
  • Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis and pulmonary complications. Stroke 2005; 36: 2756-2763.
  • Daniels SK, Ballo LA, Mahoney MC, Foundas AL. Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients. Arch Phys Med Rehabil 2000; 81: 1030- 1033.
  • Carnaby-Mann G, Lenius K, Crary MA. Update on assessment and management of dysphagia post stroke. Northeast Florida Medicine 2000; 58: 1-14.
  • Umay EK, Unlu E, Saylam GK, Cakcı A, Korkmaz H. Evaluation of dysphagia in early stroke patients by bedside, endoscopic and electrophysiological methods. Dysphagia 2013; 28: 395-403.
  • González-Fernández M, Ottenstein L, Atanelov L, Christian AB. Dysphagia after stroke: an overview. Curr Phys Med Rehabil Rep 2013; 1: 187-196.
  • Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, Bayley M, Dowlatshahi D, Dukelow S, Garnhum M et al. Canadian stroke best practice recommendations: stroke rehabilitation practice guidelines, update 2015. Int J Stroke 2016; 11: 459-484.
  • Li L, Zhang L, Xu W, Hu J. Risk assessment of ischemic stroke associated pneumonia. World Emerg Med 2014; 5: 209-213.
  • Donovan NJ, Daniels SK, Edmiaston J, Weinhardt J, Summers D, Mitchell PH; American Heart Association Council on Cardiovascular Nursing and Stroke Council. Dysphagia screening: state of the art: invitational conference proceeding from the State-of-the-Art Nursing Symposium, International Stroke Conference 2012. Stroke 2013; 44: e24-31.
  • Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: validity and reliability issues. J Res Med Sci 2014; 19: 776e85.
  • Bours GJ, Speyer R, Lemmens J, Limburg M, de Wit R. Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review. J Adv Nurs 2009; 65: 477e93.
  • Teasell R, Foley N, Martino R, Bhogal S, Speechley M. Dysphagia and aspiration post stroke. In: Evidence-Based Review of Stroke Rehabilitation. London, Canada: EBRSR; 2011. pp. 1-60.
  • Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis 2000; 10: 380-386.
  • Mann G. MASA: The Mann Assessment of Swallowing Ability. Clifton, NY, USA: Thomson Learning, Inc.; 2002.
  • González-Fernández M, Sein MT, Palmer JB. Clinical experience using the Mann assessment of swallowing ability for identification of patients at risk for aspiration in a mixeddisease population. Am J Speech Lang Pathol 2011; 20: 331- 336.
  • Carnaby GD, Crary MA. Development and validation of a cancer-specific swallowing assessment tool: MASA-C. Support Care Cancer 2014; 22: 595-602.
  • Antonios N, Carnaby-Mann G, Crary M, Miller L, Hubbard H, Hood K, Sambandam R, Xavier A, Silliman S. Analysis of a physician tool for evaluating dysphagia on an inpatient stroke unit: the modified Mann Assessment of Swallowing Ability. J Stroke Cerebrovasc Dis 2010; 19: 49-57.
  • Vanderwegen J, Guns C, Van Nuffelen G, Carnaby GD. The reliability of the MASA dysphagia screening protocol compared to FEES for patients in an acute stroke unit. Dysphagia 2006; 1: 327.
  • Oh JC, Park JH, Jung MY, Yoo EY, Chang KY, Lee TY. Relationship between quantified instrumental swallowing examination and comprehensive clinical swallowing examination. Occup Ther Int 2016; 23: 3-10.
  • Ozturk Y, Demir C, Gursoy K, Koselerli R. Analysis of stroke statistics in Turkey. Value in Health 2015; 18: 402.
  • Bahceci K, Umay E, Gundogdu I, Gurcay E, Ozturk E, Alicura S. The effect of swallowing rehabilitation on quality of life of the dysphagic patients with cortical ischemic stroke. Iran J Neurol 2017; 16: 178-184.
  • Karaca Umay E, Yaylaci A, Saylam G, Gundogdu I, Gurcay E, Akcapinar D, Kirac Z. The effect of sensory-level electrical stimulation of the masseter muscle in early stroke patients with dysphagia: a randomized controlled study. Neurol India 2017; 64: 734-742.
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25: 3186-3191.
  • Dziewas R. Towards a basic endoscopic evaluation of swallowing in acute stroke–identification of salient findings by the inexperienced examiner. BMC Med Educ 2009; 9: 1-7.
  • Bowling A. Quality of Life: Measures and Meanings in Social Care Research. London, UK: NIHR School for Social Care Research; 2014. pp. 13-16.
  • Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 8476: 307-331.
  • Dawson B, Trapp RG. Basic and Clinical Biostatistics. 4th ed. New York, NY, USA: Lange Medical Books/McGraw-Hill; 2004.
  • American Speech-Language-Hearing Association. Preferred Practice Patterns for the Profession of Speech-Language Pathology. Rockville, MD, USA: American Speech-LanguageHearing Association; 2004.
  • Carnaby-Mann G, Lenius K. The bedside examination in dysphagia. Phys Med Rehabil Clin N Am 2008; 19: 747-768.
  • Leeflang MM, Rutjes AW, Reitsma JB, Hooft L, Bossuyt PM. Variation of a test’s sensitivity and specificity with disease prevalence. Can Med Assoc J 2013;6; 185: E537-544.
  • Smithard DG, O’Neill PA, Park C, England R, Renwick DS, Wyatt R, Morris J, Martin DF; North West Dysphagia Group. Can bedside assessment reliably exclude aspiration following acute stroke? Age Ageing 1998; 7: 99-106.
  • Logemann JA, Veis S, Colangelo L. A screening procedure for oropharyngeal dysphagia. Dysphagia 1999; 14: 44-51.
  • Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care 2010; 19: 357-364.

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