“It Takes a Whole Day, Even Though It’s a One-Hour Appointment!” Factors Impacting Access to Pediatric Feeding Services
AbstractFeeding disorders can have a significant impact on children and their families. Access to supportive multidisciplinary care is central to improving outcomes; however, there are numerous factors that can impact service access. Using a mixed methods design, the current study examined parents ’ experiences and satisfaction with accessing a state-wide government-funded tertiary pediatric feeding clinic in Australia. Parents of 37 children (aged 7 weeks to 17 years) participated in the study, residing 6–1435 km from the service. Each completed questionnaires regarding satisfaction ( Client Sat...
Source: Dysphagia - July 2, 2020 Category: Speech-Language Pathology Source Type: research

The Source of Heart Rhythm Changes Caused by Swallowing
In this study, the hypothesis that swallowing induced HRV are caused from breathing changes during swallowing has been tested. For this purpose, electrocardiogram (ECG), chest circumference (respiration) signals and swallowing sounds were recorded simultaneously from 20 subjects. Subjects were asked not to swallow their saliva in the first 4  min of the experiment and to swallow them several times in the next 4 min. To observe respiratory effects on HRV during swallowing, a detailed cardio-respiratory system mathematical model was used. By applying recorded chest circumference signal to the mathematical model, re...
Source: Dysphagia - July 1, 2020 Category: Speech-Language Pathology Source Type: research

A “Freak of Nature”… Revealed!
(Source: Dysphagia)
Source: Dysphagia - June 25, 2020 Category: Speech-Language Pathology Source Type: research

Characterization of Dysphagia and Longitudinal Changes in Swallowing Function in Adults with Niemann-Pick Disease Type C Treated with Miglustat
AbstractNiemann-Pick disease type C (NPC) is a rare, autosomal recessive neurodegenerative disease, characterized by progressive psychiatric and neurological deficits. Neurological symptoms include cognitive decline and dysphagia. Aspiration pneumonia secondary to dysphagia is a leading cause of death in NPC. Miglustat is currently the only approved disease-specific treatment shown to be effective in stabilizing neurological symptoms. Miglustat has previously been reported to halt or improve early dysphagia and cognitive symptoms. Here we examine the characteristics of dysphagia, the relationship between dysphagia and the ...
Source: Dysphagia - June 19, 2020 Category: Speech-Language Pathology Source Type: research

Zenker ’s Diverticulum: Can Protocolised Measurements with Barium SWALLOW Predict Severity and Treatment Outcomes? The “Zen-Rad” Study
AbstractAlthough barium swallow imaging is established in the investigation of Zenker ’s diverticulum (ZD), no agreed measurement protocol exists. We developed a protocol for measuring ZD dimensions and aimed to correlate measurements with symptoms and post-operative outcomes. This prospective study included patients with confirmed ZD who underwent flexible endoscopic septal divisi on (FESD) between 2014 and 2018. ZD was confirmed on barium radiology with measurements reviewed by two consultant radiologists. Symptom severity pre- and post-FESD was measured using the Dysphagia, Regurgitation, Complications (DRC) scale...
Source: Dysphagia - June 19, 2020 Category: Speech-Language Pathology Source Type: research

Potential for Volitional Control of Resting Pressure at the Upper Oesophageal Sphincter in Healthy Individuals
AbstractResting pressure at the upper oesophageal sphincter (UOS) has been reported to be susceptible to factors such as emotional stress or respiration. This exploratory study investigated the potential for behavioural modulation of UOS resting pressure in healthy adults to increase our understanding of volitional control of UOS pressure, and the potential development of rehabilitation approaches. Six healthy adults were seen one hour daily for two weeks (10  days) and for one post-training session after a training break of two weeks. Manipulation of UOS resting pressure was practised during a protocol of alternating...
Source: Dysphagia - June 18, 2020 Category: Speech-Language Pathology Source Type: research

Effects of Carbonation and Temperature on Voluntary Swallowing in Healthy Humans
AbstractWe investigated how swallowing behaviors are affected by the temperature and carbonation of water in healthy humans. Twenty-nine healthy volunteers were instructed to drink as much natural water, carbonated water, or cider as they wanted, and we recorded the volume of solution swallowed and electromyographic (EMG) activity of the masseter and suprahyoid muscles. Sensory tests regarding the ease of holding the solution in the mouth and ease of swallowing were also performed. The volume of carbonated water swallowed was significantly lower than that of natural water and cider. The ease of holding and swallowing the s...
Source: Dysphagia - June 16, 2020 Category: Speech-Language Pathology Source Type: research

Oropharyngeal  Dysphagia and Aspiration Pneumonia Following Coronavirus Disease 2019: A Case Report
AbstractCranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal  sensation, silent aspiration, and mesopharyngeal contrac...
Source: Dysphagia - June 12, 2020 Category: Speech-Language Pathology Source Type: research

Moving Forward with Dysphagia Care: Implementing Strategies during the COVID-19 Pandemic and Beyond
The objective of this review was to create a clinical algorithm and reference for dysphagia clinicians across clinical settings to minimize spread of COVID-19 cases while providing optimal care to patients suffering from swallowing disorders. Every practitioner and healthcare system will likely have different constraints or preferences leading to the utilization of one technique over another. Knowledge about this pandemic increases every day, but the algorithms provided here will help in considering the best options for proceeding with safe and effective dysphagia care in this new era. (Source: Dysphagia)
Source: Dysphagia - June 9, 2020 Category: Speech-Language Pathology Source Type: research

Reliability and Validity of the Eating and Drinking Ability Classification System in Adults with Cerebral Palsy
This study aimed to investigate the interrater reliability and validity of the EDACS in adults with CP. This cross-sectional study included 117 community-dwelling adults (mean age, 37.9  ± 12.5 years) with a confirmed CP diagnosis. A swallowing occupational therapist (SwOT) conducted detailed interviews with participants and/or caregivers to classify the EDACS. Another SwOT and participants/caregivers evaluated the EDACS. Correlations were evaluated between the EDACS and Func tional Oral Intake Scale (FOIS), Swallowing Quality of Life (SWAL-QOL), Gross Motor Function Classification System (GMFCS),...
Source: Dysphagia - June 9, 2020 Category: Speech-Language Pathology Source Type: research

An Unusual Case of Odynophagia
(Source: Dysphagia)
Source: Dysphagia - June 5, 2020 Category: Speech-Language Pathology Source Type: research

Feeding Difficulties in a Newborn with a Cardiac Anomaly: More Than Just the Heart
(Source: Dysphagia)
Source: Dysphagia - June 5, 2020 Category: Speech-Language Pathology Source Type: research

Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review
AbstractThe COVID-19 is a global pandemic. Its rapid dissemination and serious course require a novel approach to healthcare practices. Severe disease progression is often associated with the development of the Acute Respiratory Distress Syndrome and may require some form of respiratory support, including endotracheal intubation, mechanical ventilation, and enteral nutrition through a  nasogastric tube. These conditions increase the risk of dysphagia, aspiration, and aspiration pneumonia. The data on the incidence and risks of dysphagia associated with COVID-19 are not yet available. However, it is assumed that these ...
Source: Dysphagia - May 28, 2020 Category: Speech-Language Pathology Source Type: research

A Comparison of Behavior of Transitional-State Foods Under Varying Oral Conditions
This study aimed to understand the extent of dissolution of five transitional snacks items in relationship to time, tongue pressure, and amount of saliva. Thirty individuals ages 50 to 88 participated in this study (10 with diagnosed xerostomia). The foods tested included shrimp chips, Baby Mum Mums, the EAT bar, and the Savorease cracker with and without dip. Each test food was placed in the mouth for 5  s or 12 s with or without tongue pressure and then expectorated. Benchtop preparation via the International Dysphagia Diet Standardisation Initiative (IDDSI) protocol was also completed. An IDDSI fork pressure t...
Source: Dysphagia - May 26, 2020 Category: Speech-Language Pathology Source Type: research

Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants
This study included participants 65  years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Logistic regression analysis was used to assess the possible associated risk factors. Body mass index was assessed as an indicator of malnutrition.ResultsA total of 5943 persons met the inclusion criteria and 2341 (39.4%) were identified with dysphagia, including the following: 51.1...
Source: Dysphagia - May 26, 2020 Category: Speech-Language Pathology Source Type: research

Influence of the Craniocervical Posture on Tongue Strength and Endurance
This study aimed to evaluate the strength and endurance of three areas of the tongue in three experimentally induced craniocervical postures. A cross-sectional study with a nonprobabilistic sample of 37 participants (mean age: 3.85  ± 3.64 years; 20 men, 17 women) was performed. Tongue strength and endurance were assessed using a pressure device entitled Iowa Oral Performance Instrument (IOPI), in three different craniocervical positions: neutral head position (NHP), anterior head translation—or forward head position ( FHP), and posterior head translation—or retracted head position (RH...
Source: Dysphagia - May 22, 2020 Category: Speech-Language Pathology Source Type: research

Surface Electromyographic Biofeedback and the Effortful Swallow Exercise for Stroke-Related Dysphagia and in Healthy Ageing
AbstractDysphagia is common after stroke, leading to adverse outcome. The Effortful Swallow (ES) is recommended to improve swallowing but it is not known if dysphagic patients can increase muscle activity during the exercise or if age affects performance. Providing surface electromyographic (sEMG) biofeedback during dysphagia therapy may enhance exercise completion, but this has not been investigated and the technique ’s acceptability to patients is not known. Aims: To determine if age or post-stroke dysphagia affect the ability to increase submental muscle activity during the ES, if sEMG biofeedback improves ES perf...
Source: Dysphagia - May 22, 2020 Category: Speech-Language Pathology Source Type: research

Whiplash-Associated Dysphagia and Dysphonia: A Scoping Review
AbstractSwallowing and voice complaints after a whiplash injury have been observed and reported in several studies; however, variability in study design complicates current understanding of whether dysphagia and dysphonia should be recognised as potential adverse outcomes. A scoping review was conducted across six databases from 1950 to March 2019. A total of 18 studies were included for review. Data regarding study purpose, design, outcome measures, participant characteristics and outcomes reported were extracted. Level of evidence (LOE) was assessed by the American Speech-Language Language Association (ASHA) ’s LOE...
Source: Dysphagia - May 22, 2020 Category: Speech-Language Pathology Source Type: research

Application of a Manufacturer ’s Guideline and an IDDSI-Driven Guideline to Thickening of Some Non-water Beverages: A Rheological Study
This study aimed to evaluate an existing liquid-thickening guideline provided by a major manufacturer of thickener in Hong Kong and to provide directions for the implementation of the IDDSI framework. Fifteen participants who are na ïve to liquid thickening were required to prepare thickened liquids samples from three drink bases (i.e., Milk-tea, Chinese tea, and Herbal tea) at two target consistency levels (i.e., mildly and medium/moderately thick) based on two guidelines (i.e., the manufacturer’s guideline and an IDDSI-dri ven guideline). Viscosities of the samples were measured rheologically to reflect liquid...
Source: Dysphagia - May 21, 2020 Category: Speech-Language Pathology Source Type: research

Response to the Commentary on ‘Concordant Validity of a Digital Peak Cough Flow Meter to Assess Voluntary Cough Strength in Individuals with ALS’
(Source: Dysphagia)
Source: Dysphagia - May 21, 2020 Category: Speech-Language Pathology Source Type: research

Letter to the Editor in Reference to the Article Entitled “Effects of Carbonated Liquids on Oropharyngeal Swallowing Measures in People with Neurogenic Dysphagia”
AbstractThis letter is written according to stoichiometric calculation doubt about the article entitled “effects of carbonated liquids on oropharyngeal swallowing measures in people with neurogenic dysphagia” by Sdravou et al. (Source: Dysphagia)
Source: Dysphagia - May 19, 2020 Category: Speech-Language Pathology Source Type: research

Comment on ‘Concordant Validity of a Digital Peak Cough Flow Meter to Assess Voluntary Cough Strength in Individuals with ALS’
(Source: Dysphagia)
Source: Dysphagia - May 18, 2020 Category: Speech-Language Pathology Source Type: research

Tracking Hyoid Bone Displacement During Swallowing Without Videofluoroscopy Using Machine Learning of Vibratory Signals
AbstractIdentifying physiological impairments of swallowing is essential for determining accurate diagnosis and appropriate treatment for patients with dysphagia. The hyoid bone is an anatomical landmark commonly monitored during analysis of videofluoroscopic swallow studies (VFSSs). Its displacement is predictive of penetration/aspiration and is associated with other swallow kinematic events. However, VFSSs are not always readily available/feasible and expose patients to radiation. High-resolution cervical auscultation (HRCA), which uses acoustic and vibratory signals from a microphone and tri-axial accelerometer, is unde...
Source: Dysphagia - May 17, 2020 Category: Speech-Language Pathology Source Type: research

The Landscape of Videofluoroscopy in the UK: A Web-Based Survey
AbstractVideofluoroscopy (VFS) is considered one of the gold-standard assessments of swallowing. Whilst guidelines for the application and conduct of VFS exist, their translation into clinical practice remain challenging. To build a greater understanding on how VFS clinics operate in the UK. A web-based survey was shared with speech and language therapists (SLTs) working in VFS clinics via professional networks and social media from October 2018 to January 2019. 101 responses were received. Two thirds of clinics were SLT-led, with the majority of clinics being run by two SLTs (73.6%) and a radiographer (95.5%) also known a...
Source: Dysphagia - May 16, 2020 Category: Speech-Language Pathology Source Type: research

Pharyngeal Swallowing Pressures in Patients with Radiation-Associated Dysphagia
AbstractDysphagia associated with radiotherapy for head and neck cancer is complex and can be difficult to treat. Videofluoroscopic swallow studies (VFSS) are the current gold-standard instrumented swallow assessment. High-resolution manometry (HRM) is an additional approach that provides objective measurements of swallowing-related pressures in the pharynx and esophagus. This can provide functional information on the pressure gradients underlying bolus propulsion, and is relevant for this patient population, where radiation-related fibrosis can lead to weakness and impaired pressure generation. The purpose of this prelimi...
Source: Dysphagia - May 15, 2020 Category: Speech-Language Pathology Source Type: research

The Effect of Cranial Nerve Stimulation on Swallowing: A Systematic Review
In conclusion, the results of these studies are encouraging for future research o n CNS for OD. However, randomized, double-blind, sham-controlled clinical trials with sufficiently large sample sizes are necessary. (Source: Dysphagia)
Source: Dysphagia - May 14, 2020 Category: Speech-Language Pathology Source Type: research

Pilot Study of Quantitative Methods for Differentiating Pharyngeal Swallowing Mechanics by Dysphagia Etiology
AbstractQuantitative analysis of modified barium swallow (MBS) imaging is useful to determine the impact of various disease states on pharyngeal swallowing mechanics. In this retrospective proof of concept study, kinematic analysis and computational analysis of swallowing mechanics (CASM) were used to demonstrate how these methods differentiate swallowing dysfunction by dysphagia etiology. Ten subjects were randomly selected from four cohorts of dysphagic patients including COPD, head and neck cancer (HNC), motor neuron disease, and stroke. Each subject was age- and gender-matched with healthy, non-dysphagic controls. MBS ...
Source: Dysphagia - May 14, 2020 Category: Speech-Language Pathology Source Type: research

Detection of Aspiration, Penetration, and Pharyngeal Residue During Flexible Endoscopic Evaluation of Swallowing (FEES): Comparing the Effects of Color, Coating, and Opacity
AbstractThe aim of this study was to assess the effects of color, coating, and opacity on the detection of aspiration, penetration, and residue during flexible endoscopic evaluations of swallowing (FEES). Thirty dysphagic adults underwent FEES while swallowing five 5  mL thin liquid boluses (1 × each, randomized): white water, blue water, white milk, blue milk, and barium water. To assess the effects of color, blue milk was compared to white milk. To assess the effects of coating, barium, white water, and white milk were compared to each other. To assess t he effects of opacity, blue milk was compa...
Source: Dysphagia - May 11, 2020 Category: Speech-Language Pathology Source Type: research

Correction to: Esophageal Function Tests are Not Associated with Barium Swallow Findings in Advanced Lung Disease
The original version of this article unfortunately contained a mistake. The shared first authorship information was missing in the published article. It has been given below. The first authorship is shared between Dr. Shai Posner and Kurren Mehta (Source: Dysphagia)
Source: Dysphagia - May 9, 2020 Category: Speech-Language Pathology Source Type: research

Self-reported Swallowing and Nutrition Status in Community-Living Older Adults
AbstractMore New Zealanders are forecast to grow older in the community, ranging in levels of abilities and needs. Many health conditions can affect swallowing function or nutrition status in older age. However, older adults may not be aware of risk factors and when to seek help. A nationwide survey was conducted of self-reported swallowing ability and nutrition status in community-living New Zealanders aged 65  years and older to assess whether undisclosed swallowing and nutrition problems exist. Respondents completed an amalgamated questionnaire including two validated screening tools: Eating Assessment Tool (EAT-10...
Source: Dysphagia - May 8, 2020 Category: Speech-Language Pathology Source Type: research

A Systematic Review of Tracheostomy Modifications and Swallowing in Adults
This study highlights the limitations of the evidence and therefore the inability to conclude whether tracheostomy modifications alter swallowing physiology. (Source: Dysphagia)
Source: Dysphagia - May 6, 2020 Category: Speech-Language Pathology Source Type: research

The Dysphagia in Multiple Sclerosis Questionnaire Correlates with Fiber-Optic Endoscopic Examination for Detecting Swallowing Deficits in MS
AbstractMultiple sclerosis (MS) refers to chronic inflammation of the central nervous system including the brain and spinal cord. Assessing for the presence of dysphagia in subjects with MS represents a challenge for neurologists in clinical practice. The aim of the present study was to verify the relationship between DYMUS scores, a patient-reported scale, and objective symptoms using the Dysphagia Outcome Severity Score (DOSS), based on fiber-optic endoscopy. Data were collected in a multicenter study. Two hundred and fifteen MS patients were enrolled, irrespective of self-reported dysphagia. DOSS revealed dysphagia in 1...
Source: Dysphagia - April 30, 2020 Category: Speech-Language Pathology Source Type: research

Correlation of Temporal Parameters of Laryngeal Excursion by Using Force-Sensing Resistor Sensors with Hyoid Motion in Videofluoroscopic Swallowing Study
AbstractSmall flexible force-sensing resistor (FSR) sensors can detect laryngeal excursion during swallowing, but the detected laryngeal excursion has not been correlated with videofluoroscopic swallowing study (VFSS) results. Here, we tested the correlation of temporal parameters between the laryngeal excursion recording by FSR sensor and the hyoid motion recording by VFSS under simultaneously swallowing test recordings. Swallowing measurements were recorded in a radiological suite by simultaneously using VFSS and FSR sensors to detect hyoid motion and laryngeal excursion, respectively. Volunteers sat with their head vert...
Source: Dysphagia - April 28, 2020 Category: Speech-Language Pathology Source Type: research

Biomechanical Biomarkers of Tongue Impairment During Swallowing in Persons Diagnosed with Amyotrophic Lateral Sclerosis
AbstractBackgroundThe impact of tongue dysfunction on deglutition in persons diagnosed with amyotrophic lateral sclerosis (ALS) is not well understood. This information is needed to improve our understanding of the mechanisms of swallowing impairment, for identifying risk factors of dysphagia, and for establishing impairment-specific treatments aimed at slowing the loss of swallow function.ObjectivesThe goals of this study were to determine the relation between biomechanical measures of oral tongue movements using electromagnetic articulography (EMA) and measures of swallow physiology, swallow safety and efficiency, and se...
Source: Dysphagia - April 28, 2020 Category: Speech-Language Pathology Source Type: research

Validation of the German Version of Functional Oral Intake Scale (FOIS-G) for Flexible Endoscopic Evaluation of Swallowing (FEES)
AbstractThe Functional Oral Intake Scale (FOIS) is the most frequently used scale for the evaluation of functional oral intake by dysphagia patients. FOIS was validated using data from Videofluoroscopic Swallowing Study (VFSS). Until now, a validated German version of FOIS for Flexible Endoscopic Evaluation of Swallowing (FEES) is lacking. The aim of this study was a cross-cultural validation of the German version of FOIS (FOIS-G) for FEES. The translation of the original FOIS was carried out according to the Translation, Review, Adjudication, Pretesting, Documentation (TRAPD) translation methodology. For the validation pr...
Source: Dysphagia - April 27, 2020 Category: Speech-Language Pathology Source Type: research

Relationship Between Dysphagia and Sarcopenia with Comprehensive Geriatric Evaluation
AbstractOropharyngeal dysphagia has features of geriatric syndromes and is strongly associated with sarcopenia. In this cross-sectional study, we aimed to evaluate the association between dysphagia and sarcopenia, in a practical way, accompanied by comprehensive geriatric assessment. Dysphagia and sarcopenia were defined by the EAT-10 and SARC-F questionnaires, respectively. Cognition and mood, was evaluated by the Mini-mental State Examination (MMSE) and Geriatric Depression Scale (GDS), respectively. Physical performance was assessed by the Timed up and Go Test (TUG) and muscle strength was determined by Hand Grip Streng...
Source: Dysphagia - April 27, 2020 Category: Speech-Language Pathology Source Type: research

Living with Dysphagia in the Community: Caregivers “ do whatever it takes. ”
AbstractThe psychological and psychosocial impacts of dysphagia on patients are well documented, however, caregiver perspectives have received limited attention and findings have been predominantly in the head and neck cancer population. The aim of this study was to understand the experience of supporting a person with dysphagia of varying aetiologies in the community from the caregiver perspective. Using a qualitative descriptive approach grounded in phenomenology, caregivers of a person with dysphagia living at home were interviewed (n = 15). Thematic analysis revealed an overarching theme of“You do w...
Source: Dysphagia - April 24, 2020 Category: Speech-Language Pathology Source Type: research

Swallow Safety is Determined by Bolus Volume During Infant Feeding in an Animal Model
AbstractFeeding difficulties are especially prevalent in preterm infants, although the mechanisms driving these difficulties are poorly understood due to a lack of data on healthy infants. One potential mechanism of dysphagia in adults is correlated with bolus volume. Yet, whether and how bolus volume impacts swallow safety in infant feeding is unknown. A further complication for safe infant swallowing is recurrent laryngeal nerve (RLN) injury due to patent ductus arteriosus surgery, which exacerbates the issues that preterm infants face and can increase the risk of dysphagia. Here, we used a validated animal model feeding...
Source: Dysphagia - April 24, 2020 Category: Speech-Language Pathology Source Type: research

Measuring Vallecular Volume on Flexible Endoscopic Evaluation of Swallowing: A Proof of Concept Study
AbstractCurrently, no method exists to measure the size of pharyngeal and laryngeal structures on endoscopy. Imaging for dysphagia diagnostic techniques, for the most part, still relies on qualitative assumptions and cursory visual examinations to induce patients ’ swallowing safety and function. In this proof of concept study, we measured vallecular cavity volume using simultaneous modified barium swallows (MBS) and flexible endoscopic evaluation of swallowing (FEES). Similar to the three-dimensional image compilation fields of facial reconstruction, medi cal imagery, and forensic science, this proposed methodology ...
Source: Dysphagia - April 18, 2020 Category: Speech-Language Pathology Source Type: research

Post-stroke Complications and Mortality in Burkinab è Hospitals: Relationships with Deglutition Disorders and Nutritional Status
The objectives of this study were to assess complications and mortality among hospitalized patients in Burkina Faso during the first two weeks after stroke, and to investigate associated factors. Patients with stroke were followed prospectively in Ouagadougou and Bobo-Dioulasso hospitals. Deglutition disorders and nutritional parameters were assessed at baseline (D0) and on Days 8 (D8) and 14 (D14). Complications and mortality were recorded up to D14. Factors associated with complications and mortality were investigated using multivariate analysis. Of the 222 patients included, 81.5% developed at least one complication, an...
Source: Dysphagia - April 17, 2020 Category: Speech-Language Pathology Source Type: research

Radiation Safety in Videofluoroscopic Swallowing Study: Systematic Review
AbstractVideofluoroscopic swallowing study (VFSS) is generally used to diagnose dysphagia and oropharyngeal aspiration during swallowing movement. Patients and bolus-feeding operators (such as occupational therapist and speech language pathologist) may undergo multiple VFSS procedure, placing them at risk for more radiation exposure due to increased scan time. The present study investigated the dose –area product, effective dose of various protocols, and summarized dose reports from various studies of VFSS. The PubMed database searched for relevant publications reporting radiation dose in the VFSS procedure. 13 artic...
Source: Dysphagia - April 11, 2020 Category: Speech-Language Pathology Source Type: research

Esophageal Function Tests are Not Associated with Barium Swallow Findings in Advanced Lung Disease
AbstractGastroesophageal reflux disease and esophageal dysmotility are common in patients with advanced lung disease (ALD) and are associated with worse outcomes. Assessing esophageal function in these patients is relevant for determining pulmonary transplant eligibility and prognosticating post-transplant outcomes. Barium Swallow (BaS) is a non-invasive testing modality often performed as a complement to formal esophageal function tests (EFTs), but its role and clinical utility in this context is unknown. Therefore, we aimed to determine the relationship between BaS and EFTs with high-resolution manometry (HRM) and 24-h a...
Source: Dysphagia - April 10, 2020 Category: Speech-Language Pathology Source Type: research

Gastrostomy in Patients with Previous Abdominal Surgery: A Comparative Study Between the Laparoscopy-Assisted Introducer Percutaneous Endoscopic Gastrostomy Versus Open Gastrostomy in Advanced Esophageal Cancer
This study set out to compare the results of laparoscopy-assisted introducer PEG (LAIPEG) with open gastrostomy in advanced esophageal cancer patients with previous abdominal surgery. The advanced esophageal cancer patients who had previous abdominal surgery and indicated an enteral feeding tube between January 2014 and September 2019, were respectively analyzed. The open gastrostomy group was 35 patients, and the LAIPEG group was 18 patients. Operative duration, blood loss, postoperative pain score, and hospitalization time were significantly less in the LAIPEG group. Related procedural complications occurred only in the ...
Source: Dysphagia - April 9, 2020 Category: Speech-Language Pathology Source Type: research

Approaches to Eating and Drinking with Acknowledged Risk: A Systematic Review
ConclusionThere is a paucity of evidence to determine if EDAR protocols improve care. However, support is emerging for a coordinated approach to managing EDAR. Findings suggest having a protocol is not enough; training and communication within teams is essential, together with incorporating feedback from patients and carers, and this justifies further work. (Source: Dysphagia)
Source: Dysphagia - April 1, 2020 Category: Speech-Language Pathology Source Type: research

Comment on “Which Factors Affect the Severity of Dysphagia in Lateral Medullary Infarction?”
(Source: Dysphagia)
Source: Dysphagia - March 27, 2020 Category: Speech-Language Pathology Source Type: research

A Systematic Review of the Influence of Bolus Characteristics on Respiratory Measures in Healthy Swallowing
This study aimed at systematically analysing and documenting the prevailing research literature on respiratory functions before, during, and after healthy swallows of boluses with varied characteristics. The PRISMA guidelines were followed for retrieval of relevant research. From among the 48,329 reports screened for inclusion criteria, 25 articles were included for data extraction. Each of these reports was evaluated for its design, methodology and reporting quality and also the level of evidence provided by them. The results revealed that the scientific evidence in this regard was restricted to level II. Majority of the ...
Source: Dysphagia - March 23, 2020 Category: Speech-Language Pathology Source Type: research

MRI Assessment of Swallow Muscle Activation with the Swallow Exercise Aid and with Conventional Exercises in Healthy Volunteers: An Explorative Biomechanical Study
AbstractSwallowing muscle strength exercises are effective in restoring swallowing function. In order to perform the exercises with progressive load, the swallow exercise aid (SEA) was developed. Precise knowledge on which muscles are activated with swallowing exercises, especially with the SEA, is lacking. This knowledge would aid in optimizing the training program to target the relevant swallowing muscles, if necessary. Three healthy volunteers performed the three SEA exercises (chin tuck against resistance, jaw opening against resistance and effortful swallow) and three conventional exercises [conventional effortful swa...
Source: Dysphagia - March 21, 2020 Category: Speech-Language Pathology Source Type: research

Insulin-Like Growth Factor-1 (IGF-1) and Reduced Tongue Pressure in Relation to Atherosclerosis Among Community-Dwelling Elderly Japanese Men: A Cross-Sectional Study
This study aimed to clarify the atherosclerosis-specific association between IGF-1 levels and reduced muscle strength. We conducted a cross-sectional study of 410 elderly men aged 60 –89 years. Since a reduction in maximum voluntary tongue pressure against the palate (MTP) is reportedly associated with sarcopenia, we evaluated muscle strength by using MTP and defined reduced MTP as the lowest tertiles of the study population. Among study population, 295 showed no atherosclero sis (carotid intima-media thickness 
Source: Dysphagia - March 10, 2020 Category: Speech-Language Pathology Source Type: research

Effects of Superior Laryngeal Nerve Lesion on Kinematics of Swallowing and Airway Protection in an Infant Pig Model
AbstractThe superior laryngeal nerve provides detailed sensory information from the mucosal surfaces of laryngeal structures superior to the vocal folds, including the valleculae. Injury to this nerve results in airway penetration and aspiration. Furthermore, such injuries might have an impact on the function of multiple structures involved in intraoral transport and swallowing due to connections within the brainstem. We sought to determine the effects of a surgical lesion of the superior laryngeal nerve on kinematics of the tongue, hyoid, and epiglottis during swallowing. We implanted radio-opaque markers into five infant...
Source: Dysphagia - March 5, 2020 Category: Speech-Language Pathology Source Type: research

Relationship Between Tongue Pressure and Pharyngeal Function Assessed Using High-Resolution Manometry in Older Dysphagia Patients with Sarcopenia: A Pilot Study
AbstractTongue pressure is often used to evaluate swallowing muscle strength in dysphagia patients with sarcopenia. However, the amount of tongue pressure that reflects pharyngeal swallowing function is unclear. The aims of this descriptive study were (1) to assess the association between tongue pressure and swallowing function using high-resolution manometry (HRM), (2) to evaluate whether manometric parameters were related to maximum tongue pressure (MTP) and other sarcopenia-related factors, and (3) to evaluate the manometric characteristics of pharyngeal swallowing in sarcopenic dysphagia. Sixteen patients with dysphagi...
Source: Dysphagia - March 5, 2020 Category: Speech-Language Pathology Source Type: research