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KMID : 0361420110350040477
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 4 p.477 ~ p.484
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Clinical Usefulness of Schedule for Oral-Motor Assessment (SOMA) in Children with Dysphagia
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Ko Moon-Ju
Kang Min-Jae
Ko Kil-Jun
Ki Young-Ok
Kwon Jeong-Yi
Chang Hyun-Jung
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Abstract
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Objective: To investigate the clinical usefulness of the Schedule for Oral-Motor Assessment (SOMA) in children with dysphagia by comparing findings of SOMA with those of the videofluoroscopic swallowing study (VFSS).
Method: Both SOMA and VFSS were performed in 33 children with dysphagia (21 boys and 12 girls; mean age 17.3±12.1 months) who were referred for oropharyngeal evaluation. Ratings of oral-motor functions indicated by SOMA were based upon the cutting score of each specifi c texture of food (puree, semi-solids, solids, cracker, liquid-bottle, and liquid-cup). Abnormalities of either the oral phase, or the pharyngeal phase as indicated by VFSS were assessed by a physician and a speech-language pathologist.
Results: Th ere was signifi cant consistency between the fi ndings of SOMA and the oral phase evaluation by VFSS (Kappa=0.419, p=0.023). SOMA reached 87.5% sensitivity, 66.6% specificity, and 95.4% positive predictive value when compared with the oral phase of the VFSS. We were able to evaluate oral-motor function by using SOMA in 6 children who were unable to complete the oral phase evaluation by VFSS, due to fear and crying during the study. The findings of SOMA failed to show any consistency with the pharyngeal phase evaluation by VFSS (Kappa=?.105, p=0.509).
Conclusion: Th ese results suggest that SOMA is a reliable method for evaluation of oral-motor function in children with dysphagia. In particular, SOMA is recommended for children that were unable to complete the oral phase evaluation by VFSS due to poor cooperation.
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KEYWORD
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Dysphagia, Oral-motor dysfunction, Schedule for Oral-Motor Assessment (SOMA), Videofl uoroscopic swallowing study (VFSS)
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