Dysphagia Management in Iran: Knowledge, Attitude and Practice of Healthcare Providers
AbstractDespite the remarkable burden of dysphagia, appropriate multidisciplinary management is lacking in Iran and patients are often deprived of effective treatments. Obtaining a full understanding of knowledge, attitude and practice (KAP) of healthcare providers is necessary to determine the gaps in improvement of the quality of care for dysphagic patients. A questionnaire was designed covering demographic information and the parameters of KAP. Face and content validity were determined. Test –retest reliability confirmed that the questionnaire scores are stable over time (r = 0.77,p value  
Source: Dysphagia - June 21, 2018 Category: Speech-Language Pathology Source Type: research

Establishing a Multidisciplinary Head and Neck Clinical Pathway: An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes
AbstractHead and neck cancer (HNC) guidelines recommend regular multidisciplinary team (MDT) monitoring and early intervention to optimize dysphagia outcomes; however, many factors affect the ability to achieve these goals. The aims of this study were to explore the barriers/facilitators to establishing and sustaining a MDT HNC care pathway and to examine the dysphagia-related speech-language pathology (SLP) and dietetic components of the pathway. Using the Consolidated Framework for Implementation Research (CFIR), a mixed methods study design was used to evaluate an established MDT HNC pathway. Ten MDT members provided pe...
Source: Dysphagia - June 19, 2018 Category: Speech-Language Pathology Source Type: research

Changes in Swallowing and Cough Functions Among Stroke Patients Before and After Tracheostomy Decannulation
This study suggests that if patients show improvement in swallowing and coughing after their stroke, a multidisciplinary approach to tracheostomy decannulation would be needed to achieve better rehabilitation outcomes. (Source: Dysphagia)
Source: Dysphagia - June 18, 2018 Category: Speech-Language Pathology Source Type: research

Characterizing the Flow of Thickened Barium and Non-barium Liquid Recipes Using the IDDSI Flow Test
In this study, we explored the flow characteristics of 20% w/v barium and non-barium stimuli prepared using starch and gum thickeners to reach the slightly, mildly and moderately thick liquid categories defined by the International Dysphagia Diet Standardisation Initiative (IDDSI). Our goal was to identify recipes that would produce stimuli with stable flow properties over a 3 h time frame post mixing. Thickener concentration was titrated to achieve matching flow (i.e., IDDSI Flow Test results within a 1 ml range) across the four stimulus types (non-barium starch, non-barium gum, barium starch, barium gum) wi...
Source: Dysphagia - June 11, 2018 Category: Speech-Language Pathology Source Type: research

Predictors of Patient-Reported Dysphagia Following IMRT Plus Chemotherapy in Oropharyngeal Cancer
AbstractThe aim of this cross-sectional study is to evaluate the factors associated with patient-reported dysphagia in patients affected by locally advanced oropharyngeal cancer (OPC) treated with definitive intensity-modulated radiation therapy (IMRT) and concurrent chemotherapy (CHT), with or without induction CHT. We evaluated 148 OPC patients treated with IMRT and concurrent CHT, without evidence of disease and who had completed their treatment since at least 6  months. At their planned follow-up visit, patients underwent clinical evaluation and completed the M.D. Anderson dysphagia inventory (MDADI) questionnaire...
Source: Dysphagia - June 8, 2018 Category: Speech-Language Pathology Source Type: research

Swallowing Changes in Community-Dwelling Older Adults
AbstractOlder adults may evidence changes in swallowing physiology. Our goals were to identify dysphagia risk in community-dwelling older adults with no history of dysphagia, and to compare swallowing physiology and safety between older and younger adults. Thirty-two older adults with no history of dysphagia were prospectively recruited and completed the Dysphagia Handicap Index (DHI), two trials of a 3  oz. swallow screen, and videofluoroscopy (VFSS). Self-ratings of swallowing function were compared to published norms by pairedt tests, and multivariate logistic regression models were generated to determine whether t...
Source: Dysphagia - June 8, 2018 Category: Speech-Language Pathology Source Type: research

Tongue Pressure Measurement and Videofluoroscopic Study of Swallowing in Patients with Parkinson ’s Disease
This study investigated the relationship between tongue pressure during swallowing and dysphagia in patients with Parkinson ’s disease (PD). A total of 24 patients with PD (12 men and 12 women, mean age 70.4 years) were studied. Their mean Hoehn and Yahr scale was 3.0 ± 1.3 (range 1–5). All participants underwent tongue pressure measurement and videofluorography during swallowing. Tongue pressure when swallowin g 5 mL of barium on videofluorography was measured using a sensor sheet with five sensors. Based on the findings of videofluorography, the patients were divided into two gr...
Source: Dysphagia - June 8, 2018 Category: Speech-Language Pathology Source Type: research

Inter-rater Agreement of Clinicians ’ Treatment Recommendations Based on Modified Barium Swallow Study Reports
AbstractThe modified barium swallow study (MBSS) is a commonly used radiographic procedure for diagnosis and treatment of swallowing disorders. Despite attempts by dysphagia specialists to standardize the MBSS, most institutions have not adopted such standardized procedures. High variability of assessment patterns arguably contribute to variability of treatment recommendations made from diagnostic information derived from the MBSS report. An online survey was distributed to speech-language pathologists (SLPs) participating in American Speech Language Hearing Association (ASHA) listservs. Sixty-three SLPs who treat swallowi...
Source: Dysphagia - June 7, 2018 Category: Speech-Language Pathology Source Type: research

Translation and Validation of the Dysphagia Handicap Index in Hebrew-Speaking Patients
AbstractThe Dysphagia Handicap Index (DHI) is a 25-item questionnaire assessing the physical, functional, and emotional aspects of  dysphagia patients’ quality of life (QoL). The study goal was to translate and validate the Hebrew-DHI. 148 patients undergoing fiberoptic endoscopic examination of swallowing (FEES) in two specialized dysphagia clinics between February and August 2017 filled the Hebrew-DHI and self-reported the ir dysphagia severity on a scale of 1–7. 21 patients refilled the DHI during a 2-week period following their first visit. FEES were scored for residue (1 point per consistency), penetr...
Source: Dysphagia - June 7, 2018 Category: Speech-Language Pathology Source Type: research

7th ESSD Congress and World Dysphagia Summit, Barcelona 2017
(Source: Dysphagia)
Source: Dysphagia - June 5, 2018 Category: Speech-Language Pathology Source Type: research

Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
This study investigates whether MUNOD is related to affective or other psychiatric conditions. The study included patients with dysphagic complaints who had no detectible structural or physiological abnormalities upon swallowing examination. Patients with any underlying disease or disorder that could explain the oropharyngeal dysphagia were excluded. All patients underwent a standardized examination protocol, with FEES examination, the Hospital Anxiety and Depression Scale (HADS), and the Dysphagia Severity Scale (DSS). Two blinded judges scored five different FEES variables. None of the 14 patients included in this study ...
Source: Dysphagia - June 5, 2018 Category: Speech-Language Pathology Source Type: research

An Unusual Case of Heartburn and Esophageal Stenosis
(Source: Dysphagia)
Source: Dysphagia - May 21, 2018 Category: Speech-Language Pathology Source Type: research

Drooling in Parkinson ’s Disease: Evidence of a Role for Divided Attention
This study assessed whether frequency of saliva swallows reduced, and drooling severity and frequency increased, when people with PD engaged in a cognitively distracting task. 18 patients with idiopathic PD reporting daytime dro oling on the Unified Parkinson’s Disease Rating Scale (UPDRS) were recruited. They completed the Radboud Oral Motor Inventory for PD saliva questionnaire and the Montreal Cognitive Assessment. UPDRS drooling score, disease stage, duration, gender, and age were recorded. Swallow frequency and drool ing severity and frequency were measured at rest and during a distracting computer-based languag...
Source: Dysphagia - May 21, 2018 Category: Speech-Language Pathology Source Type: research

Lingual and Jaw Kinematic Abnormalities Precede Speech and Swallowing Impairments in ALS
AbstractEarly identification of bulbar involvement in persons with ALS is critical for improving diagnosis and prognosis; however, efficacious diagnostic markers have not yet been identified. The purpose of this study was to determine whether kinematic changes of the tongue and jaw during swallowing, measured using 3D electromagnetic articulography (EMA), predate clinically identifiable symptoms of speech and swallowing impairment in persons diagnosed with ALS. Data were collected from 16 adults diagnosed with ALS and 18 neurotypical controls. Groups were aged matched. Eligible participants with ALS were tolerating an unre...
Source: Dysphagia - May 17, 2018 Category: Speech-Language Pathology Source Type: research

Implementing Cough Reflex Testing in a Clinical Pathway for Acute Stroke: A Pragmatic Randomised Controlled Trial
AbstractSilent aspiration is common after stroke and can lead to subsequent pneumonia. While standard bedside dysphagia assessments are ineffective at predicting silent aspiration, cough reflex testing (CRT) has shown promise for identifying patients at risk of silent aspiration. We investigated the impact of CRT on patient and service outcomes when embedded into a clinical pathway. 488 acute stoke patients were randomly allocated to receive either CRT or standard care (i.e. bedside assessment). Primary outcomes included confirmed pneumonia within 3  months post stroke and length of acute inpatient stay. Secondary out...
Source: Dysphagia - May 15, 2018 Category: Speech-Language Pathology Source Type: research

Impaired Tongue Function as an Indicator of Laryngeal Aspiration in Adults with Acquired Oropharyngeal Dysphagia: A Systematic Review
AbstractTongue function assessment typically forms part of a clinical bedside swallowing evaluation (CBSE). The predictive value of lingual function for calculating aspiration risk in isolation is not known. The aim of this systematic review was to collate current evidence on the utility of assessing lingual deficits for predicting aspiration. Health databases Medline, CINAHL, Cochrane Library, SpeechBITE, AMED and Embase were searched from inception to November 2016. Studies were included if there was a comparison between a clinical lingual assessment (index test) and aspiration on instrumental assessments (reference test...
Source: Dysphagia - May 14, 2018 Category: Speech-Language Pathology Source Type: research

Saliva Production and Enjoyment of Real-Food Flavors in People with and Without Dysphagia and/or Xerostomia
This study examined palatability and saliva flow associated with dissolvable flavored films. Taste strips with real-food flavors dissolved on the tongues of 21 persons with dysphagia and/or xerostomia and 21 healthy age- and sex-matched adults while sublingual gauze pads absorbed saliva over randomized 3-min trials. Participants rated taste enjoyment for each trial on a hedonic general labeled magnitude scale. Flavored strips elicited more saliva than baseline for both groups, and production was higher for controls than patients (M = 2.386 and 1.091 g, respectively;p  =  0.036). Main effect...
Source: Dysphagia - May 14, 2018 Category: Speech-Language Pathology Source Type: research

Correction to: Patient Adherence to Dysphagia Recommendations: A Systematic Review
The original version of this article unfortunately contains mistakes. The second sentence in the section “Results”, under the heading “Study Design” was incorrect. It should read as: Two studies [24, 29] used a prospective cohort study design with a JAMA rating of 2. Four studies [17, 25, 27, 34] completed retrospective studies earning a JAMA score of 3. Four studies [26, 28, 30, 33] earned a J AMA quality rating score of 4 and used the following designs: case series [26, 28, 33], and pilot study [30]. In Table 1, “Study Population (n)” and “Design (JAMA quality rating)”...
Source: Dysphagia - May 4, 2018 Category: Speech-Language Pathology Source Type: research

A Preliminary Videofluoroscopic Investigation of Swallowing Physiology and Function in Individuals with Oculopharyngeal Muscular Dystrophy (OPMD)
This study sought to describe the pathophysiology of dysphagia in a small sample of patients with OPMD using a videofluoroscopy examination (VFSS) involving 3  × 5 mL boluses of thin liquid barium (22% w/v). The aim of this study is to extend what is known about the pathophysiology of dysphagia in OPMD, by quantifying changes in swallow timing, kinematics, safety, and efficiency, measured from VFSS. This study is a secondary analysis of baseline VF SS collected from 11 adults (4 male), aged 48–62 (mean 57) enrolled in an industry-sponsored phase 2 therapeutic drug trial. Blinded raters s...
Source: Dysphagia - May 3, 2018 Category: Speech-Language Pathology Source Type: research

Pink1 −/− Rats Show Early-Onset Swallowing Deficits and Correlative Brainstem Pathology
AbstractParkinson disease (PD) compromises oropharyngeal swallowing, which negatively affects quality of life and contributes to aspiration pneumonia. Dysphagia often begins early in the disease process, and does not improve with standard therapies. As a result, swallowing deficits are undertreated in the PD population. ThePink1−/− rat is used to model PD, and demonstrates widespread brainstem neuropathology in combination with early-onset sensorimotor dysfunction; however, to date, swallowing behaviors have not been evaluated. To test the hypothesis thatPink1−/− rats demonstrate early-onset differe...
Source: Dysphagia - April 30, 2018 Category: Speech-Language Pathology Source Type: research

Coordination of Pharyngeal and Laryngeal Swallowing Events During Single Liquid Swallows After Oral Endotracheal Intubation for Patients with Acute Respiratory Distress Syndrome
AbstractTo evaluate timing and duration differences in airway protection and esophageal opening after oral intubation and mechanical ventilation for acute respiratory distress syndrome (ARDS) survivors versus age-matched healthy volunteers. Orally intubated adult ( ≥ 18 years old) patients receiving mechanical ventilation for ARDS were evaluated for swallowing impairments via a videofluoroscopic swallow study (VFSS) during usual care. Exclusion criteria were tracheostomy, neurological impairment, and head and neck cancer. Previously recruited healthy volu nteers (n = 56) served as age-matched c...
Source: Dysphagia - April 30, 2018 Category: Speech-Language Pathology Source Type: research

Swallow Event Sequencing: Comparing Healthy Older and Younger Adults
AbstractPrevious research has established that a great deal of variation exists in the temporal sequence of swallowing events for healthy adults. Yet, the impact of aging on swallow event sequence is not well understood. Kendall et al. (Dysphagia 18(2):85 –91,2003) suggested there are 4 obligatory paired-event sequences in swallowing. We directly compared adherence to these sequences, as well as event latencies, and quantified the percentage of unique sequences in two samples of healthy adults: young (  65). The 8 swallowing events that contribute to the sequences were reliably identified from videofluoroscopy...
Source: Dysphagia - April 23, 2018 Category: Speech-Language Pathology Source Type: research

Cilostazol is Effective to Prevent Stroke-Associated Pneumonia in Patients Receiving Tube Feeding
AbstractStroke-associated pneumonia (SAP) is a frequent complication in acute ischemic stroke (IS) patients, especially those receiving tube feeding (TF). In this retrospective study, we investigated whether or not cilostazol, a pluripotent phosphodiesterase III-specific inhibitor with anti-platelet and vasculogenic effects, can prevent SAP in these patients and reduce their duration of stay in intensive care unit/hospitalization. We recruited 158 IS patients receiving TF. Patients ’ characteristics (including age, gender, past history), National Institute of Health Stroke Scale and serum albumin level on admission, ...
Source: Dysphagia - April 21, 2018 Category: Speech-Language Pathology Source Type: research

The Importance of Considering Anatomical Variables in High-Resolution Manometry Measurements
(Source: Dysphagia)
Source: Dysphagia - April 21, 2018 Category: Speech-Language Pathology Source Type: research

A Smooth Esophageal Stricture Causing Dysphagia
We report a case of a smooth esophageal narrowing secondary to intramural metastasis from pulmonary adenocarcinoma in a patient with no previous history of neoplasia. Since standard linear echoendoscope could not overpass the malignant stricture, we obtained a histological diagnos is by fine-needle aspiration biopsy using an echobronchoscope (EBUS), due to its lower diameter. The EBUS scope represents a valuable tool to obtain cytological specimens in patients with esophageal strictures. (Source: Dysphagia)
Source: Dysphagia - April 10, 2018 Category: Speech-Language Pathology Source Type: research

Unexpected Late Complication Causing Dysphagia
(Source: Dysphagia)
Source: Dysphagia - April 6, 2018 Category: Speech-Language Pathology Source Type: research

Effect of Nasogastric Tube on Aspiration Risk: Results from 147 Patients with Dysphagia and Literature Review
In conclusion, the risk of aspirating a small amount of fluid was not significantly different before and after NGT removal, regardless of swallowing function, cognitive level, or general functional level. (Source: Dysphagia)
Source: Dysphagia - April 4, 2018 Category: Speech-Language Pathology Source Type: research

Dysphagia and Oral Morbidities in Chemoradiation-Treated Head and Neck Cancer Patients
This study prospectively evaluated relationships between oral morbidities and swallowing ability in head/neck cancer patients following chemoradiation therapy (CRT) and at 3  months following CRT. Thirty patients with confirmed head/neck cancer undergoing chemoradiation were assessed with a battery of swallowing measures and measures of oral morbidities related to chemoradiation (xerostomia, mucositis, pain, taste/smell, oral moisture). All measures were completed at b aseline (within the first week of CRT), at 6 weeks (end of treatment), and at 3 months following chemoradiation. Descriptive and univariate s...
Source: Dysphagia - April 4, 2018 Category: Speech-Language Pathology Source Type: research

Oropharyngeal Dysphagia Evaluation Tools in Adults with Solid Malignancies Outside the Head and Neck and Upper GI Tract: A Systematic Review
AbstractDysphagia is often associated with head and neck and upper gastrointestinal (GI) tract cancers. Evidence suggests that those with solid malignancies in other primary sites may also have swallowing difficulties. Timely and accurate identification of dysphagia is important given the impact it has on hydration, medical treatment, nutrition, prognosis, and quality of life. A systematic review was conducted to identify swallow screening, evaluation, and quality of life tools for those with solid malignancies outside the head and neck and upper GI tract. Ten electronic databases, one journal and two published conference ...
Source: Dysphagia - April 2, 2018 Category: Speech-Language Pathology Source Type: research

Speech Therapy as Treatment for Supragastric Belching
AbstractThe purpose of this study was to describe a newly developed speech therapy program as an innovating therapeutic approach and to assess the results of this intervention in patients with supragastric belching. This is a retrospective analysis of prospectively gathered data from 73 patients with supragastric belching who were treated with speech therapy between 2007 and 2017. Of these, 48 were included for evaluation of therapy. Thirty patients had supragastric belching proven by 24-h impedance measurements. Eighteen patients were diagnosed by an experienced speech language pathologist as having supragastric belching ...
Source: Dysphagia - March 24, 2018 Category: Speech-Language Pathology Source Type: research

Longitudinal Evaluation of Swallowing with Videofluoroscopy in Patients with Locally Advanced Head and Neck Cancer After Chemoradiation
AbstractThe aim of this study was to investigate the prevalence, severity, and pattern of evolution of swallowing impairments encountered in head and neck cancer (HNC) patients before and after chemoradiation (CRT) with videofluoroscopy of swallowing study (VFSS), using the modified barium swallow impairment profile (MBSImP) protocol and scoring system, and to determine the appropriate time points in which these patients should undergo VFSS post-CRT. A prospective cohort of 69 patients with locally advanced HNC underwent VFSS with the MBSImP protocol at 5 evaluation points: pre-CRT, and 1, 3, 6, and 12  months post-CR...
Source: Dysphagia - March 23, 2018 Category: Speech-Language Pathology Source Type: research

Society for Neuroscience 2017 Satellite Symposium on Feeding and Swallowing: From Neural Mechanisms to Rehabilitation
(Source: Dysphagia)
Source: Dysphagia - March 12, 2018 Category: Speech-Language Pathology Source Type: research

Reliability of Untrained and Experienced Raters on FEES: Rating Overall Residue is a Simple Task
AbstractThe purpose of this study was to investigate the reliability of residue ratings on Fiberoptic Endoscopic Evaluation of Swallowing (FEES). We also examined rating differences based on experience to determine if years of experience influenced residue ratings. A group of 44 raters watched 81 FEES videos representing a wide range of residue severities for thin liquid, applesauce, and cracker boluses. Raters were untrained on the rating scales and simply rated their overall impression of residue amount on a visual analog scale (VAS) and a five-point ordinal scale in a randomized fashion across two sessions. Intra-class ...
Source: Dysphagia - March 7, 2018 Category: Speech-Language Pathology Source Type: research

Correlation of Patient- and Physician-Scored Dysphagia with Videofluoroscopies in Patients Treated with Radiotherapy for Head and Neck Cancer
AbstractThe aim of this study was to investigate the correlation between patient-scored dysphagia and physician-scored dysphagia in head and neck cancer patients treated with radiotherapy. Furthermore, we wanted to compare both patient- and physician-scored dysphagia with dysphagia evaluated on swallowing videofluoroscopies. Sixty-three patients from two different centers treated with radiotherapy for head and neck cancer were evaluated in the current study. Swallowing videofluoroscopies at baseline, 6, and 12  months following radiotherapy were evaluated by 2 observers using the Penetration Aspiration Scale (PAS) and...
Source: Dysphagia - March 3, 2018 Category: Speech-Language Pathology Source Type: research

Factors Contributing to Hydration, Fluid Intake and Health Status of Inpatients With and Without Dysphagia Post  Stroke
AbstractDysphagia has been strongly associated with poor hydration in acute stroke settings. However, in sub-acute settings, the contribution to dehydration of dysphagia in combination with other common stroke comorbidities has not been explored. The aim of this study was to investigate which demographic and stroke comorbidities, including dysphagia, contribute most significantly to oral fluid intake, hydration status and specific adverse health outcomes for patients in sub-acute rehabilitation following stroke. Data from 100 inpatients from three Australian rehabilitation facilities (14 with confirmed dysphagia and 86 wit...
Source: Dysphagia - March 1, 2018 Category: Speech-Language Pathology Source Type: research

Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection
This study assessed the accuracy of informal dysphagia detection prior to implementation of a formal screening protocol. We conducted a secondary analysis of data captured between 2003 and 2008 from a sample of 250 adult stroke survivors admitted to a tertiary care centre. Using a priori criteria, patient medical records were reviewed for notation about dysphagia; if present, the date/time of notation, writer ’s profession, and suggestion of dysphagia presence. To assess accuracy of notations indicating dysphagia presence, we used speech language pathology (SLP) assessments as the criterion reference. There were 221 ...
Source: Dysphagia - March 1, 2018 Category: Speech-Language Pathology Source Type: research

Maturation of the Coordination Between Respiration and Deglutition with and Without Recurrent Laryngeal Nerve Lesion in an Animal Model
AbstractThe timing of the occurrence of a swallow in a respiratory cycle is critical for safe swallowing, and changes with infant development. Infants with damage to the recurrent laryngeal nerve, which receives sensory information from the larynx and supplies the intrinsic muscles of the larynx, experience a significant incidence of dysphagia. Using our validated infant pig model, we determined the interaction between this nerve damage and the coordination between respiration and swallowing during postnatal development. We recorded 23 infant pigs at two ages (neonatal and older, pre-weaning) feeding on milk with barium us...
Source: Dysphagia - February 24, 2018 Category: Speech-Language Pathology Source Type: research

Neural Mechanisms of Swallowing Dysfunction and Apraxia of Speech in Acute Stroke
AbstractSpeech and swallowing utilize overlapping anatomy and are thus inherently related processes. We sought to identify common neural mechanisms between risk of swallowing dysfunction and apraxia of speech (AOS). This was a retrospective analysis using data from a prospectively collected cohort. Left hemisphere stroke patients (68 subjects) tested with the Apraxia Battery for Adults II, a swallow screen, and MRI were included in the study. Main outcome measure was the presence of AOS or aspiration risk after stroke. We identified a significant association between AOS measures and increased aspiration risk (defined by fa...
Source: Dysphagia - February 24, 2018 Category: Speech-Language Pathology Source Type: research

Race Differences in Gastrostomy Tube Placement After Stroke in Majority-White, Minority-Serving, and Racially Integrated US Hospitals
AbstractWe sought to determine individual and system contributions to race disparities in percutaneous endoscopic gastrostomy (PEG) tube placement after stroke. Ischemic stroke admissions were identified from the Nationwide Inpatient Sample between 2007 and 2011. Hospitals were categorized based on the percentage of ethnic/racial minority stroke patients (  50% ethnic/racial minorities [“minority-serving hospitals”]). Logistic regression was used to evaluate the association between ethnicity/race and PEG utilization within and between the different hospital strata. Among 246,825 stroke admissions, patients...
Source: Dysphagia - February 21, 2018 Category: Speech-Language Pathology Source Type: research

Temporal Trends of Pediatric Dysphagia in Hospitalized Patients
The objective of this study was to determine temporal trends of dysphagia diagnoses in hospitalized children. This is a retrospective observational study from the 1997 –2012 Kids’ Inpatient Database (KID) conducted in the setting of weighted hospitalizations in a KID participating center. More than 6 million pediatric admissions were captured in each triennial KID report. Main outcomes included triennial rates of dysphagia diagnosis in hospitalized pediatric p atients, and secondary outcomes included rates of dysphagia in premature and low-birthweight infants. Dysphagia diagnoses were coded in 5107/6607653 (0.0...
Source: Dysphagia - February 20, 2018 Category: Speech-Language Pathology Source Type: research

Double Blind Study Investigating the Effect of Different Voice Prostheses on Ease of Swallowing and Residue Post Laryngectomy
This study investigated the difference between six commonly available voice prostheses in terms of swallowing. Laryngectomy patients had up to six voice prostheses placed in a random order over two visits. Swallowing was evaluated for each prosthesis using FEES (Fibreoptic Endoscopic Evaluation of Swallowing). After each prosthesis trial, patients self-evaluated their experience of swallowing. Three independent experts indicated which prosthesis they considered best for swallowing for each patient and judged residue on the voice prosthesis and in the upper esophagus. Raters were blinded to participant details, voice prosth...
Source: Dysphagia - February 19, 2018 Category: Speech-Language Pathology Source Type: research

Superior and Anterior Hyoid Displacement During Swallowing in Non-Dysphagic Individuals
AbstractThe Dynamic Swallow Study (DSS) is a methodology used to objectively and quantitatively assess swallowing kinematics during Videofluoroscopic Swallow Studies (VFSS). No DSS normative data exist delineating superior and anterior hyoid displacement (Hsup andHant, respectively), nor the ratio betweenHsup andHant (SAratio). The aims of this study were to (1) establish normative data forHsup,Hant, and SAratio and (2) assess the effects of age, sex, and bolus size on these measures in non-dysphagic patients, within the context of DSS. VFSSs were reviewed for consecutive elderly ( ≥ 65 years) and non-elderly (
Source: Dysphagia - February 14, 2018 Category: Speech-Language Pathology Source Type: research

Short-Term Effects of Cold Liquids on the Pharyngeal Swallow in Preterm Infants with Dysphagia: A Pilot Study
AbstractCold stimulation reduces airway compromise in adults with dysphagia. However, there is no sufficient evidence to support its use in the pediatric population. The primary goal of this pilot study is to assess the effect of cold liquid on the pharyngeal swallow mechanism in preterm infants with dysphagia. We hypothesized that thermal stimulation from cold liquid will decrease the risk of airway compromise in dysphagic preterm infants. Nine preterm infants with clinical symptoms of dysphagia were included. Video fluoroscopic swallow studies were used to assess the swallowing mechanism of each participant. The occurren...
Source: Dysphagia - February 12, 2018 Category: Speech-Language Pathology Source Type: research

Interdisciplinary Telemedicine in the Management of Dysphagia in Head and Neck
AbstractThe study considered the feasibility and impact of interdisciplinary telemedicine discussions in the management of post-treatment dysphagia in patients with head and neck tumors. This is a retrospective analysis of patients with persistent dysphagia after treatment for head and neck pathology, at an institute in India. The cases were discussed in the telemedicine meeting conducted between host institute and a second unit in the United States. A monthly meeting was organized, using an internet-based video conference system. The ongoing swallowing problems and management were presented, and through discussions, a pla...
Source: Dysphagia - February 5, 2018 Category: Speech-Language Pathology Source Type: research

Using Rasch Analysis to Evaluate the Reliability and Validity of the Swallowing Quality of Life Questionnaire: An Item Response Theory Approach
This study describes the reliability and validity of the SWAL-QOL using item response theory (IRT; Rasch analysis). SWAL-QOL data were gathered from 507 participants at risk of oropharyngeal dysphagia (OD) across four European countries. OD was confirmed in 75.7% of participants via videofluoroscopy and/or fiberoptic endoscopic evaluation, or a clinical diagnosis based on meeting selected criteria. Patients with esophageal dysphagia were excluded. Data were analysed using Rasch analysis. Item and person reliability was good for all the items combined. However, person reliability was poor for 8 subscales and item reliabilit...
Source: Dysphagia - February 1, 2018 Category: Speech-Language Pathology Source Type: research

Laryngeal Manipulation for Dysphagia with Muscle Tension Dysphonia
AbstractThe purpose of the article is to describe the use of laryngeal manipulation as a treatment for dysphagia resulting from excessive paralaryngeal muscle tension and to identify the patients likely to have symptomatic improvement. This is a retrospective single-center case series. A retrospective review identified patients from 2007 to 2013 with laryngeal manipulation for muscle tension dysphagia in an academic Otolaryngology practice. Subjects with dysphagia not attributable to an anatomic cause who attended therapy at least one time were included in the study. The primary outcome of the study was subjective improvem...
Source: Dysphagia - January 25, 2018 Category: Speech-Language Pathology Source Type: research

Temporal Analysis of Factors Associated with EAT-10 in Outpatients with Oropharyngeal Dysphagia from a Tertiary Care Clinic
The objective of this work was to identify factors (demographics, clinical variables, swallowing physiology, health-related quality of life) associated with longitudinal change in EAT-10 scores in outpatients with oropharyngeal dysphagia at a multi-disciplinary, tertiary care clini c. All patients with swallowing concerns that were included in the UW Madison Voice and Swallowing Outcomes database from 12/2012 to 04/2015 were invited to complete EAT-10 and a general health-related quality of life survey (SF-12v2) at their initial evaluation and six months later. Forty-two pati ents were included in analysis (n =&n...
Source: Dysphagia - January 20, 2018 Category: Speech-Language Pathology Source Type: research

An Investigation of the Post-laryngectomy Swallow Using Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
This study investigates the post-laryngectomy swallow. Presence and degree of residue on the post-laryngectomy swallow as observed on videofluoroscopy and FEES is described. In addition, videofluoroscopy and FEES are assessed for reliability and inter-instrument agreement. 30 laryngectomy subjects underwent dysphagia evaluation using simultaneous videofluoroscopy and FEES. These were reviewed post-examination by three expert raters using a rating scale designed for this purpose. Raters were blinded to subject details, type of laryngectomy surgery, pairing of FEES and videofluoroscopy examinations and the scores of other ra...
Source: Dysphagia - January 19, 2018 Category: Speech-Language Pathology Source Type: research

Validation and Psychometric Properties of the German Version of the SWAL-QOL
This study aimed to establish a German version of the SWAL-QOL (G-SWAL-QOL) using a standardized translation procedure and to systematically evaluate its psychometric properties. The original SWAL-QOL was translated into German following international translation guidelines. A pilot study (45 subjects) confirmed comprehensibility of the G-SWAL-QOL. A consecutive series of 158 subjects (103 patients with dysphagia; 55 healthy controls) was then recruited to assess validity and reliability of the G-SWAL-QOL. Con struct validity was analyzed through a correlation analysis with both (i) the Anderson Dysphagia Inventory (ADI-D)...
Source: Dysphagia - January 8, 2018 Category: Speech-Language Pathology Source Type: research

Open-Cup Drinking Development: A Review of the Literature
AbstractTo date, a lack of published research studies exist that systematically analyze the factors involved with the progression of open-cup drinking in typically developing infants and toddlers. As a result, clinicians who are working with children that have delays in open-cup drinking development have a limited framework from which to base clinical decisions. The purpose of this review is to collate works from disparate and related fields to provide a brief review of the literature of pertinent sensorimotor and cognitive components necessary for successful open-cup drinking development. (Source: Dysphagia)
Source: Dysphagia - December 29, 2017 Category: Speech-Language Pathology Source Type: research