The "slurp" test: bedside evaluation of bulbar muscle fatigue

Pediatrics. 2006 Aug;118(2):e530-3. doi: 10.1542/peds.2006-0043. Epub 2006 Jul 17.

Abstract

Patients with myasthenia gravis or other neuromuscular disorders are subject to increasing weakness of bulbar-innervated muscles, with resulting aspiration or catastrophic airway compromise. The available practical assessments of bulbar function in children are inadequate. We report our experience with the "slurp" test, a new bedside measure of bulbar function, in children with myasthenia gravis. Our experience suggests that the test is valuable for identifying patients with probable serious compromise of bulbar function, for monitoring such children during times of intercurrent illness, and for guiding therapy.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Airway Obstruction / prevention & control
  • Child
  • Child Day Care Centers
  • Child, Preschool
  • Cholinergic Antagonists / therapeutic use
  • Combined Modality Therapy
  • Deglutition Disorders / diagnosis*
  • Deglutition Disorders / etiology
  • Female
  • Humans
  • Male
  • Muscle Fatigue
  • Myasthenia Gravis / complications*
  • Myasthenia Gravis / drug therapy
  • Myasthenia Gravis / surgery
  • Myasthenia Gravis / therapy
  • Neurologic Examination / methods*
  • Patient Acceptance of Health Care
  • Plasmapheresis
  • Pneumonia, Aspiration / prevention & control
  • Point-of-Care Systems*
  • Pyridostigmine Bromide / therapeutic use
  • Recurrence
  • Reference Values
  • Sucking Behavior* / physiology
  • Thymectomy

Substances

  • Cholinergic Antagonists
  • Pyridostigmine Bromide