RISK FACTOR ANALYSIS OF CHEWING AND SWALLOWING PERFORMANCE IN GERIATRICS
NCT Number: NCT06491407
Status: RECRUITING
Study Type: OBSERVATIONAL
Conditions: Swallowing Disorder|Chewing Problem|Geriatrics
Interventions: DIAGNOSTIC_TEST: Chewing and swallowing performance assessment and related factors
Sponsor: Atılım University
Collaborators: Hacettepe University
Sex: ALL
Age: OLDER_ADULT
Enrollment: 240
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-02-01
Completion Date: 2024-10-01
Locations: Atılım Uiveristy, Ankara, Incek, 06830, Turkey

Summary:
Various structural and functional problems in neural, sensory and perceptual, cardiovascular, pulmonary, gastrointestinal, endocrine, and musculoskeletal systems occur in geriatrics not associated with a specific disease. One of the problems observed in geriatrics is chewing and swallowing disorders. Failure to detect changes in chewing and swallowing performance in elderly individuals at an early stage may lead to chewing and swallowing disorders and serious complications in later stages. Therefore, it is necessary to comprehensively and systematically address the possible factors affecting chewing and swallowing performance in geriatric individuals.

The first aim of the study is to analyze the factors affecting chewing and swallowing performance in geriatric individuals within the scope of the International Classification of Functioning, Disability, and Health (ICF). The second aim of the study is to create a dysphagia risk prediction model for geriatric individuals based on the results of the analyses to be conducted.

In the study, the dependent variables, chewing performance, will be evaluated with the Chewing and Swallowing Test of Solids, and swallowing performance will be assessed with the Repetitive Saliva Swallowing Test and Dysphagia Limit. Independent variables affecting chewing and swallowing performance have been considered within the scope of the ICF, and all possible factors determined for both geriatrics and swallowing have been listed, and the evaluation parameters and assessment tools have been decided. The evaluation parameters have been categorized under ICF headings such as personal factors, body structures, body functions, activity and participation, and environmental factors, and the evaluations to be conducted have been divided into two groups: geriatric and physiotherapy evaluations. The geriatric evaluations are part of routine geriatric assessment and do not include any specific evaluation for the study. Physiotherapy evaluations will be applied in a certain order to use time efficiently and will take approximately 35-45 minutes. Through geriatric and physiotherapy evaluations, a holistic assessment of participants within the scope of ICF will be ensured.

Primary Outcome Measures: Chewing performance, 1 day|Swallowing performance, 1 day
Secondary Outcome Measures: Deccriptive informations, 1 day|Fragility Assessment, 1 day|posture assessment, 1 day|oral structure assessment, 1 day|cognitive assessment, 1 day|emotional status assessment, 1 day|appetite assessment, 1 day|sleep assessment, 1 day|hearing and vision assessment, 1 day|taste and smell assessment, 1 day|intraoral sensation assessment, 1 day|Temporomandibular pain assessment, 1 day|fonation assessment, 1 day|articulation assessment, 1 day|Respiratory assessment, 1 day|exercise tolerance assessment, 1 day|Feeding and oral intake assessment, 1 day|Laryngeopharyngeal reflux assessment, 1 day|oral health assessment, 1 day|oral dryness assessment, 1 day|swallow problems assessment, 1 day|Temporomandibular joint range of motion, 1 day|jaw openin force, 1 day|hand grip, 1 day|5 repetetion sit to stand test, 1 day|Timed up and go, 1 day|basic functional independance assessment, 1 day|enstrümental functional independance assessment, 1 day|social support assessment, 1 day