ISSN: 2476-2490
Correlation of Dysfunction and Clinical Recovery in Ischemic Stroke
Authors:
Nunes MCA*, Zetola VF, Lange MC, Santos RS, Furkim AM, Bazan R, Ferreira CH, Petterle R and Zeigelboim BS
Objective: To correlate the neurological scales National Institutes of Health Stroke Scale (NIHSS) and the Modified Rankim Scale (MRS) with speech therapy scales Functional Oral Intake Scale (FOIS®) and the Severity Scale: Penetration and Aspiration (ROSENBEK) in the acute phase, after 30 and 90 days of ischemic stroke.
Methods: A prospective cohort study in 60 patients, 24 (40.0%) females and 36 (60.0%) were male. All they performed in the first 24 hours of ischemic stroke neurological evaluation through the scales NIHS and the MRS, functional clinical evaluation of swallowing with the application FOIS® and up to 72 hours of ischemic stroke nasolaringofibroscópica the evaluation of swallowing with ROSENBEK. Spearman's correlation test was used and the non-parametric Wilcoxon test, Mann-Whitney.
Results: There was in 37.0% of patients in the acute phase, 30.0% after 30 days and 20.0% after 90 days of ischemic stroke. There was moderate correlation between neurological scales NIH and ERm, weak correlation between neurological scales with speech therapy scales and strong correlation between FOIS® and ROSENBEK scales in the acute phase.
Conclusions: Moderate correlation between neurologic scales in the acute phase, after 30 and 90 days suggesting that can be used according to availability and experience of each service. Weak correlation of neurological scales with speech therapy scales is not possible isolated use of only one of the assessments. And a strong correlation between the scales speech therapy in the acute phase may facilitate the clinical assessment in services that do not have the instrumental
Keywords:
Stroke; Deglutition; Neurologic Examination; Speech, Language and Hearing Sciences; Deglutition Disorders
