ORIGINAL ARTICLE
THE SWALLOWING DISORDER SCALE (SDS) AS A NEW POLISH-LANGUAGE QUESTIONNAIRE IN OTOLARYNGOLOGY-PHONIATRIC PRACTICE
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Audiology and Phoniatric Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Submission date: 2024-08-15
 
 
Final revision date: 2025-02-17
 
 
Acceptance date: 2025-03-13
 
 
Online publication date: 2025-03-31
 
 
Publication date: 2025-03-31
 
 
Corresponding author
Paulina Krasnodębska   

Audiology and Phoniatric Clinic, Institute of Physiology and Pathology of Hearing, Mochnackiego 10, 02-042 Warsaw, Poland
 
 
J Hear Sci 2025;15(1):30-42
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Assessment of swallowing function raises several multidisciplinary issues. In otolaryngology and phoniatrics practice, dysphagia often coexists with other laryngeal dysfunctions. The condition is often trivialised due to mild symptoms and the dominance of other dysfunctions. However, patient discomfort calls for screening and accurate diagnostic tools to determine the risk of further adverse effects. The aim of this study was to show the basic psychometric values of a new Swallowing Disorder Scale (SDS) questionnaire.

Material and methods:
The study included 208 patients with functional voice disorders coexisting with dysphagia who attended a specialist for audiological-phoniatric consultations between 2021 and 2023. The diagnostic procedure included an interview, otolaryngological-phoniatric examination, functional endoscopic evaluation of swallowing, and surface electromyography of selected head and neck muscles. In addition, patients completed five Polish-language swallowing assessment questionnaires: the Visual Analogue Scale, the Dysphagia Handicap Index (DHI), the Eating Assessment Tool (EAT-10), the Reflux Symptom Index (RSI), and the authors’ new Swallowing Disorder Scale (SDS).

Results:
Results for the following instruments are reported: VAS, EAT-10, DHI, RSI, and SDS. The basic psychometric values of the SDS questionnaire was determined on a sample of 87 patients (56 females and 31 males). The results of the SDS questionnaire correlated significantly with the severity of dysphagia as rated by DSRS+ (r = 0.61; p < 0.01) and with SRS (r = –0.74, p < 0.01). No significant relationship was found between SDS questions 1–3 and the severity of dysphagia. Significant relationships were found for questions 4–6 of SDS (r = 0.68, p < 0.01) and 7–10 (r = 0.77, p < 0.01). Weak negative correlations with the SRS scale were observed also for the sum of SDS questions 1–3 (r = –0.37, p < 0.05).

Conclusions:
The article has reviewed five Polish-language questionnaires and assessed their clinical value in diagnosing swallowing disorders. The review clearly demonstrates the need for tools to differentiate and make a preliminarily assessment of functional dysphagia. The SDS questionnaire appears to be a satisfactory tool for screening and differentiating patients with functional dysphagia. The SDS questionnaire allows the severity of swallowing disorders to be assessed.
FUNDING
This research and article did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
REFERENCES (26)
1.
Mata M, Molleda M, Sánchez-Migallón J, Viña C, Pollán C. Integral management oropharyngeal dysphagia. Ann Phys Reh Med 2018; 1: e506–e507. https://doi.org/10.1016/j.reha....
 
2.
Jarzyńska-Bućko A, Szkiełkowska A, Mularzuk M. [Logopedic procedure in dysphagia]. Now Audiofonol, 2018; 7(4): 47–50 [in Polish]. https://doi.org/10.17431/10032....
 
3.
Warnecke T, Dziwas R, Langmore S. Neurogenic dysphagia. New York: Spinger; 2021, 8.
 
4.
Wolf U, Eckert S, Walte G, Wienke A, Barte S. Prevalence of oropharyngeal dysphagia in geriatric patients and real-life associations. Sci Rep, 2021; 11: 21955. https://doi.org/10.1038/s41598....
 
5.
Carucci LR, Turner MA. Dysphagia revisited: common and unusual causes. RadioGraphics, 2015; 35(1): 105–22. https://doi.org/10.1148/rg.351....
 
6.
Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia, 2002; 17(2): 139–46. https://doi.org/10.1007/s00455....
 
7.
Sobol M, Kober AM, Sielska-Badurek EM. The Dysphagia Handicap Index (DHI) – normative values. Systematic review and meta-analysis. Dysphagia, 2021; 36(6): 1005–9. https://doi.org/10.1007/s00455....
 
8.
Milewska M, Jamróz B, Chmielewska J, Clave P. Application of Volume-Viscosity Screening Test as a screening tool in swallowing disorders diagnosis. Pol Otorhinolaryngol Rev, 2018; 7(2): 21–4. https://doi.org/10.5604/01.300....
 
9.
Orlandoni P, Jukic P. Health-related quality of life and functional health status questionnaires in oropharyngeal dysphagia. J Aging Res Clin Pract, 2016; 5(1): 31–7. https://doi.org/10.14283/jarcp....
 
10.
Dwivedi R, Rose S, Roe J, Khan A, Pepper C. Validation of the Sydney Swallow Questionnaire (SSQ) in a cohort of head and neck cancer patients. Oral Oncol, 2010; 46(4): e10–4. https://doi.org/10.1016/j.oral....
 
11.
Krasnodębska P, Jarzyńska-Bućko A, Szkiełkowska A, Miaśkiewicz B, Skarżyński H. Diagnosis in muscle tension dysphagia. Pol J Otolaryngol, 2021; 75(1): 16–22. https://doi.org/10.5604/01.300....
 
12.
Baijens L, Clavé P, Cras P, Ekberg O, Forster A, Kolb G, et al. European Society for Swallowing Disorders – European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging, 2016; 11: 1403–28. https://doi.org/10.2147/CIA.S1....
 
13.
Krasnodębska P, Szkiełkowska A, Jarzyńska-Bućko A, Włodarczyk E, Miaśkiewicz B. Characteristics of swallowing disorders in patients with dysphonia. Pol J Otorhinolaryngol, 2019; 74(2): 17–22. https://doi.org/10.5604/01.300....
 
14.
Jalil A, Katzka D, Castell D. Approach to the patient with dysphagia. Am J Med, 2015; 128(10): 1138.e17–23. https://doi.org/10.1016/j.amjm....
 
15.
Kang C, Hentz J, Lott D. Muscle tension dysphagia: symptomatology and theoretical framework. Otolaryngol Head Neck Surg, 2016; 155(5): 837–42. https://doi.org/10.1177/019459....
 
16.
Krasnodębska P, Jarzyńska-Bućko A, Szkiełkowska A, Bartosik J. Clinical and electromyographic assessment of swallowing in individuals with functional dysphonia associated with dysphagia due to muscle tension or atypical swallowing. Audiol Res, 2021;11(2): 167–78. https://doi.org/10.3390/audiol....
 
17.
Cordier R, Speyer R, Martinez M, Parsons, L. Reliability and validity of non-instrumental clinical assessments for adults with oropharyngeal dysphagia: a systematic review. J Clin Med, 2023; 12(2): 721. https://doi.org/10.3390/jcm120....
 
18.
Salvioni C, Oda A, Orsini M, Pauli M, Frabasile L, Alves P, et al. Association between body composition and dysphagia in patients with amyotrophic lateral sclerosis. Neurol Int, 2021; 13(3): 315–27. https://doi.org/10.3390/neurol....
 
19.
Sielska-Badurek E, Sobol M, Chmilewska-Walczak J, Jamróz B, Niemczyk K. Translation and validation of the Dysphagia Handicap Index in Polish-speaking patients. Dysphagia, 2023; 38(4): 1200–11. https://doi.org/10.1007/s00455....
 
20.
Belafsky P, Mouadeb D, Rees C, Pryor J, Postma G. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol, 2008; 117(12): 919–24. https://doi.org/10.1177/000348....
 
21.
Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF. The dysphagia handicap index: development and validation. Dysphagia, 2012; 27(1): 46–52. https://doi.org/10.1007/s00455....
 
22.
Shapira-Galitz Y, Drendel M, Yousovich-Ulriech R, Shtreiffler-Moskovich L, Wolf M, Lahav Y. Translation and validation of the Dysphagia Handicap Index in Hebrew-speaking patients. Dysphagia, 2019; 34(1): 63–72. https://doi.org/10.1007/s00455....
 
23.
Włodarczyk E, Miaśkiewicz B, Szkiełkowska A, Skarżyński P, Skarżyński H. The use of RSI and RFS questionnaires in the Polish language version. Pol J Otolaryngol, 2019; 73(1): 17–21. https://doi.org/10.5604/01.300....
 
24.
Włodarczyk E, Skarżyński H. [The application of 24-hour pharyngeal pH-monitoring in the diagnosis of patients with pharyngeal and laryngeal complaints]. Now Audiofonol, 2021; 10(1): 43–7 [in Polish]. https://doi.org/10.17431/10.1.....
 
25.
Cella D, Eton D, Lai J, Peterman A, Merkel DE. Combining anchor and distribution-based methods to derive minimal clinically important differences on the Functional Assessment of Cancer Therapy (FACT) anemia and fatigue scales. J Pain Symptom Manage, 2002; 24(6): 547–61. https://doi.org/10.1016/s0885-....
 
26.
Jamróz B, Pabian M, Chmielewska J, Milewska M, Niemczyk K. Screening tests for dysphagia. Pol Otorhinolaryngol Rev, 2017; 6(4): 10–13. https://doi.org/10.5604/01.300....
 
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