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International standardisation of the test of masticating and swallowing solids in children.
Frank, Ulrike; van den Engel-Hoek, Lenie; Nogueira, Dália; Schindler, Antonio; Adams, Sasha; Curry, Morgan; Huckabee, Maggie-Lee.
Afiliación
  • Frank U; Linguistic Department, Swallowing Research Lab, University of Potsdam, Potsdam, Germany.
  • van den Engel-Hoek L; Department of Rehabilitation, Donders Institute for Brain, Cognition, and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Nogueira D; Business Research Unit, Instituto Universitário de Lisboa (ISCTE-IUL), Lisboa, Portugal.
  • Schindler A; Santa Casa da Misericórdia de Lisboa, Lisboa, Portugal.
  • Adams S; Phoniatric Unit, Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, Milan, Italy.
  • Curry M; Department of Communication Disorders, The Rose Centre for Stroke Recovery and Research, The University of Canterbury, Christchurch, New Zealand.
  • Huckabee ML; Department of Communication Disorders, The Rose Centre for Stroke Recovery and Research, The University of Canterbury, Christchurch, New Zealand.
J Oral Rehabil ; 46(2): 161-169, 2019 Feb.
Article en En | MEDLINE | ID: mdl-30307651
The Test of Masticating and Swallowing Solids (TOMASS) is a validated assessment tool measuring the efficiency of solid bolus intake by four quantitative parameters: discrete bites, masticatory cycles, swallows and time to ingest a single cracker. A normative database for adults (20-80+ years) has previously been established. The objective of this study was to investigate the applicability and reliability of the TOMASS in children and adolescents (TOMASS-C) and to establish the normative database for this younger population. We collected data from 638 participants (male: 311, female: 327) in five age groups (4-18 years) with five different but very similar test crackers in four countries. Significant effects of bolus type (cracker), age group and gender on the TOMASS parameters were identified, requiring stratification of the TOMASS-C database by these variables. Intra-rater reliability was excellent (ICC > 0.94) for all parameters; inter-rater reliability was moderate for "number of swallows" (ICC = 0.54), good for "bites" (ICC = 0.78) and "time" (ICC = 0.82), and excellent for "masticatory cycles" (ICC = 0.96). The "Test of Masticating and Swallowing Solids in Children (TOMASS-C)" was identified to be a reliable diagnostic tool for the comprehensive measurement of discrete oral stage components of solid bolus ingestion, standardised by a large normative database that covers age groups from preschoolers to young adults. While differences between gender groups were less pronounced than in the adult population, previous results relating to changes in masticatory and swallowing as a function of age are confirmed by our data.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tamaño de la Partícula / Deglución / Técnicas de Diagnóstico del Sistema Digestivo / Alimentos / Masticación Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Europa / Oceania Idioma: En Revista: J Oral Rehabil Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tamaño de la Partícula / Deglución / Técnicas de Diagnóstico del Sistema Digestivo / Alimentos / Masticación Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Europa / Oceania Idioma: En Revista: J Oral Rehabil Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido