Development and Pilot Testing of Telesimulation for Pediatric Feeding: A Feasibility Study
AbstractSimulation enables learners to practice new skills in a supportive environment. Largely driven by the COVID-19 pandemic, simulation via telepractice, i.e., telesimulation, has emerged. Viable delivery of telesimulation requires consideration of the adaptations needed to conduct simulation via telepractice. The aim of this study was to design and pilot test the feasibility of using telesimulation to provide training in infant feeding management. An iterative process was used across four phases: (1) simulation design, (2) telesimulation adaptations, (3) user testing, feedback, and modifications, and (4) user testing ...
Source: Dysphagia - January 24, 2023 Category: Speech-Language Pathology Source Type: research
A Case of Progressive Ataxia, Dysphagia, and Dysarthria Caused by a Rare Disease, and Treatment with Lingual Resistance Training
(Source: Dysphagia)
Source: Dysphagia - January 20, 2023 Category: Speech-Language Pathology Source Type: research
Effects of Age and Lingual-Palatal Pressure Levels on Submental Surface Electromyography Measures
This study aimed to understand the effects of age and different levels of submaximal LPPs on submental sEMG peak, average, and integrated values in healthy adults. Ninety community-dwelling healthy participants were categorized into three age groups (young: 20 –39 years, middle age: 40–59 years, older: 60 ≥ years). sEMG and LPP measurements were collected concurrently. After placing the sEMG electrodes, the maximal isometric LPP was established using the Iowa oral performance instrument (IOPI) on the anterior tongue. sEMG recordings were condu cted for three submaximal LPP levels, including 40%, 60%, and 80% of...
Source: Dysphagia - January 19, 2023 Category: Speech-Language Pathology Source Type: research
Testing and Development of Slightly Thick Infant Formula Recipes for Dysphagia Management: An Australian Perspective
This study aimed to propose a set of Level 1 (slightly thick) recipes for Australian i nfant formulas/thickeners. A secondary aim was to test whether formula could be batch prepared. A set of powdered, ready-to-feed, and specialized formulas were mixed with two thickening products (Aptamil Feed Thickener® and Supercol®) and tested at 5-, 10-, 15-, 20-, 25-, 30-, and 45-min intervals using the International Dysphagia Diet Standardization Initiative (IDDSI) Flow Test. Formula/thickener samples were mixed following manufacturer instructions, but recipes were adapted to determine an ideal recipe for Level 1 (slightly thick) ...
Source: Dysphagia - January 13, 2023 Category: Speech-Language Pathology Source Type: research
Evaluation of a Machine Learning-Based Dysphagia Prediction Tool in Clinical Routine: A Prospective Observational Cohort Study
AbstractBased on a large number of pre-existing documented electronic health records (EHR), we developed a machine learning (ML) algorithm for detection of dysphagia and aspiration pneumonia. The aim of our study was to prospectively apply this algorithm in two large patient cohorts. The tool was integrated in the hospital information system of a secondary care hospital in Austria. Based on existing data such as diagnoses, laboratory, and medication, dysphagia risk was predicted automatically, and patients were stratified into three risk groups. Patients ’ risk groups and risk factors were visualized in a web application...
Source: Dysphagia - January 10, 2023 Category: Speech-Language Pathology Source Type: research
An Unusual Cause of Dysphagia
(Source: Dysphagia)
Source: Dysphagia - January 9, 2023 Category: Speech-Language Pathology Source Type: research
Effect of the Effortful Swallow on Pharyngeal Cavity Volume: Kinematic Analysis in Three Dimensions Using 320-Row Area Detector Computed Tomography
This study evaluated the effects of the effortful swallow (ES) on pharyngeal cavity volume using three-dimensional kinematic analyses. Nine healthy volunteers (30.7 ± 7.8 years old) underwent a CT scan while swallowing 10 ml of honey thick liquid using no maneuvers (control) and during an ES. Upper and lower volumes (bordered by valleculae) of the pharyngeal air column and the bolus were measured at every frame and were compared between ES and control s wallows. Duration of pharyngeal obliteration and the timing of swallowing events were also measured. Maximum volume and volume at the onset of hyoid anterosuperior ...
Source: Dysphagia - January 7, 2023 Category: Speech-Language Pathology Source Type: research
Ethnic Differences in Clinical Presentations and Esophageal High-Resolution Manometry Findings in Patients with Achalasia
ConclusionEthnicity appears to affect achalasia clinical presentation and HRM findings. IA achalasia patients are diagnosed at a younger age, present with more severe esophageal symptoms, and have a higher IRP compared to IJ patients. Additional studies of diverse, multiethnic populations, especially with genetic evaluations, are required to further assess the role of ethnicity in achalasia. (Source: Dysphagia)
Source: Dysphagia - January 4, 2023 Category: Speech-Language Pathology Source Type: research
A Systematic and Universal Artificial Intelligence Screening Method for Oropharyngeal Dysphagia: Improving Diagnosis Through Risk Management
AbstractOropharyngeal dysphagia (OD) is underdiagnosed and current screening is costly. We aimed: (a) to develop an expert system (ES) based on machine learning that calculates the risk of OD from the electronic health records (EHR) of all hospitalized older patients during admission, and (b) to implement the ES in a general hospital. In an observational, retrospective study, EHR and swallowing assessment using the volume-viscosity swallow test for OD were captured over 24 months in patients > 70 yr admitted to Mataró Hospital. We studied the predictive power for OD of 25,000 variables. ES was obtained using fe...
Source: Dysphagia - December 28, 2022 Category: Speech-Language Pathology Source Type: research
Correction to: Effect of Postoperative Oral Intake Status on Sarcopenia Six Months After Esophageal Cancer Surgery
(Source: Dysphagia)
Source: Dysphagia - December 21, 2022 Category: Speech-Language Pathology Source Type: research
The Role of Aspiration Amount on Airway Protective Responses in People with Neurogenic Dysphagia
AbstractThe aim of this study was to examine relationships between the presence vs. absence of an aspiration-related airway protective response (i.e., coughing or throat clearing) with aspiration amount, trial volume, disease diagnosis, and disease duration in people with neurologic disease. A secondary analysis was completed of flexible endoscopic evaluations of swallowing (FEES) in people with neurologic disease. Thin liquid boluses with endoscopically confirmed aspiration were included. Aspiration amount was measured for each trial using the visual analysis of swallowing efficiency and safety (VASES). Statistical analys...
Source: Dysphagia - December 17, 2022 Category: Speech-Language Pathology Source Type: research
Telehealth Management of Dysphagia in Adults: A Survey of Speech Language Pathologists ’ Experiences and Perceptions
AbstractThe goal of this study was to explore telehealth use for dysphagia management in response to COVID-19 to understand variables associated with clinician confidence and perceived effectiveness of this service delivery model and determine clinician-perceived benefits and challenges of managing dysphagia via telehealth. Speech-language pathologists (SLPs,n = 235) completed a web-based survey, providing information on demographics, telehealth use during the pandemic, and perspectives on current and future tele-management of dysphagia. Analyses included descriptive statistics to examine usage patterns; logistic regre...
Source: Dysphagia - December 14, 2022 Category: Speech-Language Pathology Source Type: research
Translation and Validation of the Dysphagia Handicap Index in Polish-Speaking Patients
AbstractDysphagia Handicap Index (DHI) is a self-assessment questionnaire which consists of 25 statements to examine three aspects of dysphagia patients ’ quality of life (QoL): functional, physical, and emotional. The patient can get a maximum score of 100 points. The study goal was to validate and translate the Polish version of the DHI (PL-DHI). One hundred and seventy-eight (178) individuals with oropharyngeal dysphagia with different etiology and 35 (thirty-five) asymptomatic adults with no history of swallowing disorders filled out the PL-DHI. Internal consistency was determined using Cronbach alpha coefficient, wh...
Source: Dysphagia - December 12, 2022 Category: Speech-Language Pathology Source Type: research
The Relationship Between Lingual Strength and Functional Swallowing Outcomes in Parkinson ’s Disease
AbstractThe purpose of this retrospective study was to determine whether reduced lingual strength was associated with functional swallowing outcomes in individuals with Parkinson ’s disease (PD). Participants (N = 42) completed evaluations of maximal lingual isometric pressure (MIP) and mean lingual swallowing pressure (MSP), and flexible endoscopic evaluations of swallowing. Regression models were used to determine the association between lingual strength and functional swallowing outcomes of airway i nvasion, the presence of post-swallow pharyngeal residue, and the amount of pharyngeal residue (when present). Resul...
Source: Dysphagia - December 7, 2022 Category: Speech-Language Pathology Source Type: research
Perioperative Decrease in Tongue Pressure is an Intervenable Predictor of Aspiration After Esophagectomy
This study clarified the association between perioperative tongue pressure and postoperative aspiration after thoracoscopic-laparoscopic esophagectomy in patients with esophageal cancer. This retrospective, single-center, observational study evaluated data of 216 patients scheduled for thoracoscopic-laparoscopic esophagectomy. Tongue pressure was measured before the procedure and on postoperative day 6; perioperative changes were assessed. Patients were divided into non-aspiration and aspiration groups according to penetration –aspiration scale scores. Hierarchical and stratified logistic regression analyses were perform...
Source: Dysphagia - December 1, 2022 Category: Speech-Language Pathology Source Type: research
