Document Type : Original Articles
- Manijeh Zarei Mahmood Abadi 1, 2, 3
- Fariba Yadegari 2
- Mehrzad Mehdizade 4
- Lida Sharifi-Rad 3
- Enayatollah Bakhsh 5
- Fateme Zamani 4
1 Department of Speech Therapy, Tehran University of Medical Science (TUMS), Tehran, Iran
2 Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3 Department of Rehabilitation, Pediatric Center of Excellence, Children’s Medical Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
4 Department of Radiology, Pediatric Center of Excellence, Children’s Medical Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
5 Department of biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Background: A swallowing disorder is one of the most common problems in the pediatric population. Schedule for Oral-Motor Assessment – Persian (SOMA-P) has become one of the best methods for the assessment of swallowing disorders in the pediatric population. In this study, we evaluated the sensitivity, specificity, and consistency of SOMA-P by fluoroscopic barium swallows study.
Methods: This is a descriptive-analytical study. SOMA-P was assessed on 52 children with swallowing problems. The children were 6 to 48 months and had been referred for a fluoroscopic barium swallow. We analyzed sensitivity; specificity, positive predictive value, and negative predictive value of SOMA-P, with the fluoroscopic barium swallow as the gold standard. For the evaluation of the correlations among variables, Cronbach's coefficient alpha was calculated.
Results: In this study 6 parts of SOMA-P had 0-25% sensitivity, 90-97% specificity, 0-66% positive predictive value, 84-87% negative predictive value, 78-86% compatibility percent and 0.06-0.17 kappa value. Internal consistency was 0.93 using Cronbach's coefficient alpha.
Conclusion: The results of this study suggest that SOMA-P is valid for the evaluating of swallowing disorders. It can use as a screening test and as a complementary method to fluoroscopic barium swallow.