Page 77 - Functional impairment and cues for rehabilitation of head and neck cancer patients -

Table 3 Outcomes of the SPEAD-test by degree of dysphagia according to speech language pathologist.
The SPEAD-test to objectify swallowing capacity
Patient group (N = 38) Median (range)
Healthy group (N = 40) Median (range)
Mann-Whitney U testa or Chi- square testb
P value
|Effect size|
Thin liquid (N performed)
N = 30
N = 40
Ingestion speed (g/s)
Duration (s)
Grams swallowed
Number of swallows
Average swallow volume (g/swallow)
6 (1-25)
16 (4-150) 100 (10-100) 6 (1-31)
14 (3-50)
11 (37)
19 (63)
2 (0-11)
35 (9-89) 100 (25-100) 6 (3-16)
13 (4-25)
10 (27)
27 (73)
10 (26)
28 (74)
0.04 (0.01-0.15) 75 (21-156) 100 (20-100)
4 (1-7)
1 (0-3)
69 (28-194) 7 (25)
21 (75)
3 (11)
25 (89)
2 (0-10)
11 (3-20)
9 (5-35)
100 (100-100) 5 (2-9)
20 (11-50)
0 (0)
40 (100)
6 (2-14)
17 (7-50)
100 (100-100) 6 (3-11)
17 (9-33)
0 (0)
40 (100)
0 (0)
40 (100)
0.11 (0.05-0.24) 29 (13-63)
100 (100-100) 2 (1-4)
2 (1-3)
32 (15-69) 0 (0)
40 (100)
0 (0)
40 (100)
6 (2-11)
< .001a 0.44 < .001a 0.42 .018a 0.28 .003a 0.36 <.001a 0.45 <.001b
<.001a 0.57 <.001a 0.54 <.001a 0.40 .477a 0.08 .004a 0.33 <.001b
<.001b
< .001a 0.65 < .001a 0.65 .042a 0.25 < .001a 0.44 < .001a 0.50 < .001a 0.64 .001b
.036b
<.001a 0.56
3
Coughed N (%)
Yes No
Thick liquid (N performed)
N = 37
N = 40
Ingestion speed (g/s)
Duration (s)
Grams swallowed
Number of swallows
Average swallow volume (g/swallow)
Coughed N (%) Used spoon N (%)
Yes No Yes No
Solid (N performed)
N = 28
N = 40
Ingestion speed (g/s)
Duration (s)
Percentage swallowed
Number of swallows
Average swallow volume (g/swallow) Number of chews
Coughed N (%) Used water N (%)
SPEAD-rate (g/s)
Yes No Yes No
All consistencies
Abbreviations: N = number of participants.
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