Reliability, validity and normative data of the timed water swallow test accompanied by sEMG

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dc.authorscopusidSerkan Bengisu / 57572283400
dc.authorscopusidEyüp Sezer / 59249337700
dc.authorscopusidYakup Krespi / 7005049488
dc.authorwosidSerkan Bengisu / AGI-6067-2022
dc.authorwosidEyüp Sezer / LCN-5572-2024
dc.authorwosidYakup Krespi / GOF-4129-2022
dc.contributor.authorSelen Akil, Dilan
dc.contributor.authorBengisu, Serkan
dc.contributor.authorSezer, Eyüp
dc.contributor.authorKrespi, Yakup
dc.contributor.authorTopbaş, Saime Seyhun
dc.date.accessioned2025-04-18T10:27:32Z
dc.date.available2025-04-18T10:27:32Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Sağlık Bilimleri Fakültesi, Dil ve Konuşma Terapisi Bölümü
dc.description.abstractPurpose Swallowing disorders are highly interrelated with increased morbidity and mortality rates; therefore, early detection is crucial. Most screening tools rely on subjective observation, thus making objective assessment tools more vital. Timed Water Swallowing Test (TWST) is a screening tool used in the field providing quantitative data. This study aimed to investigate the swallowing parameters in a wide age range by using TWST and to expand the already existing normative data pool accordingly. It is also aimed to examine the reliability of the TWST and assess its validity in stroke survivors. Materials and methods This study had a cross-sectional design. TWST carried out simultaneously along with surface EMG and laryngeal sensor on 196 healthy subjects aged 10 to 80 for normative data. Also, TWST carried out 30 patients having a history of recent stroke. Test-retest and inter-rater scoring analysis were used for reliability purposes, while Gugging Swallowing Screen (GUSS) test was used for validity purposes. Additionally, the correlations between the participants' TWST scores and GUSS scores were examined using the Spearman correlation coefficient. Results The normative TWST data of healthy participants are tabulated and presented and their average swallowing capacity was found 13.73 ml/s. Furthermore, the mean swallowing capacity of stroke survivors was found 4.61 ml/s. As a result of validity analyses, a statistically strong and significant relationship was found between GUSS and TWST parameters (r = 0.775, p < 0.001). Intraclass correlation coefficient (ICC) and correlation values were found between moderate to good agreement between test-retest measurement (ICC = 0.563 to 0.891, p < 0.05). Also, the agreement between the raters was found to be significant (ICC = 0.949 to 0.995, p < 0.05). Conclusion TWST is a valid and reliable screening tool to evaluate dysphagia on given population. Although the test's performance on healthy individuals is adequate, more research is still needed to confirm that it can be used as a screening tool for stroke.
dc.description.sponsorshipIstanbul Atlas University
dc.identifier.citationSelen Akıl, D., Bengisu, S., Sezer, E., Krespi, Y., & Topbaş, S. S. (2024). Reliability, validity and normative data of the timed water swallow test accompanied by sEMG. European Archives of Oto-Rhino-Laryngology, 281(11), 5885-5897.
dc.identifier.doi10.1007/s00405-024-08884-7
dc.identifier.endpage5897
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue11
dc.identifier.pmid39107548
dc.identifier.scopus2-s2.0-85200609832
dc.identifier.scopusqualityQ1
dc.identifier.startpage5885
dc.identifier.urihttp://dx.doi.org/10.1007/s00405-024-08884-7
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7077
dc.identifier.volume281
dc.identifier.wosWOS:001285260200004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBengisu, Serkan
dc.institutionauthorSezer, Eyüp
dc.institutionauthorKrespi, Yakup
dc.institutionauthoridSerkan Bengisu / 0000-0002-6580-1189
dc.institutionauthoridYakup Krespi / 0000-0001-5246-5908
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean archives of oto-rhino-laryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSwallowing
dc.subjectDysphagia
dc.subjectTimed Water Swallowing Test
dc.subjectElectrophysiological Evaluation
dc.titleReliability, validity and normative data of the timed water swallow test accompanied by sEMG
dc.typeArticle

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