Search results for: Susan E. Langmore

Items from 1 to 20 out of 24 results

article

The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program

Douglas J. Van Daele, Susan E. Langmore, Gintas P. Krisciunas, Cathy L. Lazarus, more

Background Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes. Methods Quality of life (QOL), diet, and swallowing variables collected at discrete intervals on 117 patients were reanalyzed to...

article

Relationship Between Laryngeal Sensation, Length of Intubation, and Aspiration in Patients with Acute Respiratory Failure

James C. Borders, Daniel Fink, Joseph E. Levitt, Jeffrey McKeehan, more

Dysphagia > 2019 > 34 > 4 > 521-528

Dysphagia is common in hospitalized patients post-extubation and associated with poor outcomes. Laryngeal sensation is critical for airway protection and safe swallowing. However, current understanding of the relationship between laryngeal sensation and aspiration in post-extubation populations is limited. Acute respiratory failure patients requiring intensive care unit admission and mechanical ventilation...

article

Reliability of Untrained and Experienced Raters on FEES: Rating Overall Residue is a Simple Task

Jessica M. Pisegna, James C. Borders, Asako Kaneoka, Wendy J. Coster, more

Dysphagia > 2018 > 33 > 5 > 645-654

The 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....

article

Relationship Between Laryngeal Sensory Deficits, Aspiration, and Pneumonia in Patients with Dysphagia

Asako Kaneoka, Jessica M. Pisegna, Haruhi Inokuchi, Rumi Ueha, more

Dysphagia > 2018 > 33 > 2 > 192-199

The laryngeal adductor reflex (LAR) is an airway protective reflex that manifests as a brief vocal fold closure in response to laryngeal stimulation. This study examined if the absence of the LAR in response to touch delivered by a laryngoscope is associated with penetration/aspiration or pneumonia in patients with dysphagia. Inpatients at a teaching hospital with clinical symptoms of dysphagia were...

article

Rethinking Residue: Determining the Perceptual Continuum of Residue on FEES to Enable Better Measurement

Jessica M. Pisegna, Asako Kaneoka, Rebecca Leonard, Susan E. Langmore

Dysphagia > 2018 > 33 > 1 > 100-108

The goal of this work was to better understand perceptual judgments of pharyngeal residue on flexible endoscopic evaluation of swallowing (FEES) and the influence of a visual analog scale (VAS) versus an ordinal scale on clinician ratings. The intent was to determine if perceptual judgments of residue were more accurately described by equal or unequal intervals. Thirty-three speech language pathologists...

article

Residue influences quality of life independently of penetration and aspiration in head and neck cancer survivors

Tanya K. Meyer, Jessica M. Pisegna, Gintas P. Krisciunas, Barbara R. Pauloski, more

The Laryngoscope > 127 > 7 > 1615 - 1621

Objectives/Hypothesis Dysphagia is one of the most significant side effects of the treatment of head and neck cancer. Residue and aspiration are two indicators of dysphagia, but aspiration is historically the only indicator of interest, because it may impact health outcomes. Clinicians have anecdotally used residue as another marker of swallowing dysfunction, but it is understudied. This project...

article

Pharyngeal Swallowing Mechanics Secondary to Hemispheric Stroke

Nelson H. May, Jessica M. Pisegna, Sarah Marchina, Susan E. Langmore, more

Journal of Stroke and Cerebrovascular Diseases > 2017 > 26 > 5 > 952-961

Computational analysis of swallowing mechanics (CASM) is a method that utilizes multivariate shape change analysis to uncover covariant elements of pharyngeal swallowing mechanics associated with impairment using videofluoroscopic swallowing studies. The goals of this preliminary study were to (1) characterize swallowing mechanics underlying stroke-related dysphagia, (2) decipher the impact of left...

article

History of Fiberoptic Endoscopic Evaluation of Swallowing for Evaluation and Management of Pharyngeal Dysphagia: Changes over the Years

Susan E. Langmore

Dysphagia > 2017 > 32 > 1 > 27-38

article

Impact of Compliance on Dysphagia Rehabilitation in Head and Neck Cancer Patients: Results from a Multi-center Clinical Trial

Gintas P. Krisciunas, Kerlly Castellano, Timothy M. McCulloch, Cathy L. Lazarus, more

Dysphagia > 2017 > 32 > 2 > 327-336

A 5-year, 16-site, randomized controlled trial enrolled 170 HNC survivors into active (estim + swallow exercise) or control (sham estim + swallowing exercise) arms. Primary analyses showed that estim did not enhance swallowing exercises. This secondary analysis determined if/how patient compliance impacted outcomes. A home program, performed 2 times/day, 6 days/week, for 12 weeks included stretches...

article

Recognizing the Importance of Dysphagia: Stumbling Blocks and Stepping Stones in the Twenty-First Century

Rainer Dziewas, Anne Marie Beck, Pere Clave, Shaheen Hamdy, more

Dysphagia > 2017 > 32 > 1 > 78-82

article

Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: A randomized clinical trial

Susan E. Langmore, Timothy M. McCulloch, Gintas P. Krisciunas, Cathy L. Lazarus, more

Head & Neck > 38 > S1 > E1221 - E1231

Background Neuromuscular electrical stimulation (NMES) is a highly sought after but poorly studied treatment for dysphagia among patients with head and neck cancer with dysphagia. This study investigated the efficacy of NMES in this patient population. Methods In this double‐blinded, randomized controlled trial, 170 patients with head and neck cancer experiencing posttreatment dysphagia were randomized...

article

Parameters of Instrumental Swallowing Evaluations: Describing a Diagnostic Dilemma

Jessica M. Pisegna, Susan E. Langmore

Dysphagia > 2016 > 31 > 3 > 462-472

The aim of this study was to compare selected parameters of two swallow evaluations: fiberoptic endoscopic evaluation of swallowing (FEES) and the modified barium swallow (MBS) study. This was a cross-sectional, descriptive study. Fifty-five clinicians were asked to watch video recordings of swallow evaluations of 2 patients that were done using fluoroscopy and endoscopy simultaneously. In a randomized...

article

Effects of non-invasive brain stimulation on post-stroke dysphagia: A systematic review and meta-analysis of randomized controlled trials

Jessica M. Pisegna, Asako Kaneoka, William G. Pearson, Sandeep Kumar, more

Clinical Neurophysiology > 2016 > 127 > 1 > 956-968

The primary aim of this review is to evaluate the effects of non-invasive brain stimulation on post-stroke dysphagia.Thirteen databases were systematically searched through July 2014. Studies had to meet pre-specified inclusion and exclusion criteria. Each study’s methodological quality was examined. Effect sizes were calculated from extracted data and combined for an overall summary statistic.Eight...

article

Evaluating Swallowing Muscles Essential for Hyolaryngeal Elevation by Using Muscle Functional Magnetic Resonance Imaging

William G. Pearson, David F. Hindson, Susan E. Langmore, Ann C. Zumwalt

International Journal of Radiation Oncology, Biology, Physics > 2013 > 85 > 3 > 735-740

Reduced hyolaryngeal elevation, a critical event in swallowing, is associated with radiation therapy. Two muscle groups that suspend the hyoid, larynx, and pharynx have been proposed to elevate the hyolaryngeal complex: the suprahyoid and longitudinal pharyngeal muscles. Thought to assist both groups is the thyrohyoid, a muscle intrinsic to the hyolaryngeal complex. Intensity modulated radiation therapy...

article

Survey of Usual Practice: Dysphagia Therapy in Head and Neck Cancer Patients

Gintas P. Krisciunas, William Sokoloff, Katherine Stepas, Susan E. Langmore

Dysphagia > 2012 > 27 > 4 > 538-549

There is no standardized dysphagia therapy for head and neck cancer patients and scant evidence to support any particular protocol, leaving institutions and individual speech-language pathologists (SLPs) to determine their own protocols based on “typical” practices or anecdotal evidence. To gain an understanding of current usual practices, a national internet-based survey was developed and disseminated...

article

Structural Analysis of Muscles Elevating the Hyolaryngeal Complex

William G. Pearson, Susan E. Langmore, Louis B. Yu, Ann C. Zumwalt

Dysphagia > 2012 > 27 > 4 > 445-451

A critical event of pharyngeal swallowing is the elevation of the hyolaryngeal complex to open the upper esophageal sphincter. Current swallowing theory assigns this function to the submental and thyrohyoid muscles. However, the attachments of the long pharyngeal muscles indicate that they could contribute to this function, yet their role is uninvestigated in humans. In addition, there is evidence...

article

Evaluating the Structural Properties of Suprahyoid Muscles and their Potential for Moving the Hyoid

William G. Pearson, Susan E. Langmore, Ann C. Zumwalt

Dysphagia > 2011 > 26 > 4 > 345-351

Superior and anterior hyoid movements are important events in pharyngeal deglutition. This cross-sectional study uses a cadaver model to document the structural properties of the muscles underlying these movements in an effort to understand how their morphology influences function. Measurements to determine physiological cross-sectional areas (PCSAs) of swallowing muscles were taken from hemisected...

article

Electrical Stimulation for Dysphagia in H&N Cancer Patients (Cancelled)

Susan E. Langmore, Doug VanDaele, Tim McCulloch, Jerilyn A. Logemann, more

Otolaryngology - Head and Neck Surgery > 2006 > 135 > 2 Supplement > P173

article

The irritable larynx

Susan E. Langmore, Andrew H. Murr, Sara B. Cassella

Otolaryngology - Head and Neck Surgery > 2004 > 131 > 2 > P137-P138

Objectives: Over the past 2 decades, various terms have been applied to disorders associated with hyperkinetic laryngeal function, manifested in voice, breathing, or swallowing complaints. Irritable larynx syndrome (ILS) has been suggested by Morrison to encompass these disorders, which are behavioral in nature. This study was conducted to further define ILS.Methods: Seventy-two patients manifesting...

article

Predictors of Aspiration Pneumonia in Nursing Home Residents

Susan E. Langmore, Kimberly A. Skarupski, Pil S. Park, Brant E. Fries

Dysphagia > 2002 > 17 > 4 > 298-307

Aspiration pneumonia is a serious problem for the elderly institutionalized person, often requiring transfer to a hospital and a lengthy stay there. It is associated with a high mortality rate and is very costly to the health care system. The current study sought to determine the key predictors of aspiration pneumonia in a nursing home population with the hope that health care providers could identify...

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Keywords

DEGLUTITION (12)
DEGLUTITION DISORDERS (9)
DYSPHAGIA (9)
FEES (5)
HEAD AND NECK CANCER (4)
ASPIRATION (3)
PHARYNGEAL RESIDUE (2)
PHYSIOLOGICAL CROSS-SECTIONAL AREA (2)
PNEUMONIA (2)
RADIATION THERAPY (2)
RATINGS (2)
STRUCTURAL PROPERTIES (2)
ACUTE RESPIRATORY FAILURE (1)
ASPIRATION PNEUMONIA (1)
CLINICIAN IMPRESSIONS (1)
COMPLIANCE (1)
CRITICAL ILLNESS (1)
DEHYDRATION (1)
DENTAL STATUS DEGLUTITION DEGLUTITION DISORDERS. (1)
DYSPHAGIA THERAPY (1)
ELECTRICAL STIMULATION (1)
ENDOSCOPIC (1)
ESTIM (1)
EXERCISE (1)
FUNCTIONAL STATUS (1)
HYOID MOVEMENT (1)
HYOLARYNGEAL COMPLEX (1)
ISCHEMIC HEMISPHERIC STROKE (1)
KEY WORDS: PNEUMONIA — ASPIRATION — FUNCTIONAL STATUS — MEDICAL, ORAL, DENTAL STATUS — DEGLUTITION — DEGLUTITION DISORDERS. (1)
LARYNGEAL ADDUCTOR REFLEX (1)
LARYNGEAL ELEVATION (1)
LARYNGEAL SENSATION (1)
LARYNGEAL SENSORY DEFICITS (1)
MALNUTRITION (1)
MBS (1)
NEUROMUSCULAR ELECTRICAL STIMULATION (1)
NON-INVASIVE BRAIN STIMULATION (1)
NURSING HOME RESIDENTS (1)
ORAL (1)
OROPHARYNGEAL (1)
PNEUMONIA ASPIRATION FUNCTIONAL STATUS MEDICAL (1)
POST-STROKE POPULATION (1)
PRESBYPHAGIA (1)
PROTHETIC CONTINUUM (1)
PSYCHOMETRICS (1)
QUALITY OF LIFE (1)
REHABILITATION (1)
RELIABILITY (1)
RESIDUE (1)
SIMULTANEOUS STUDIES (1)
SUPRAHYOID MUSCLES (1)
SWALLOWING (1)
SWALLOWING MECHANICS (1)
SWALLOWING/DYSPHAGIA (1)
TRANSCRANIAL DIRECT CURRENT STIMULATION (TDCS) (1)
TRANSCRANIAL MAGNETIC STIMULATION (TMS) (1)
UNILATERAL LESION (1)
USUAL CARE (1)
VISUAL ANALOG SCALE (1)
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Data set

Springer (15)
Elsevier (6)
Wiley (3)

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Search results for: Susan E. Langmore

The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program

Relationship Between Laryngeal Sensation, Length of Intubation, and Aspiration in Patients with Acute Respiratory Failure

Reliability of Untrained and Experienced Raters on FEES: Rating Overall Residue is a Simple Task

Relationship Between Laryngeal Sensory Deficits, Aspiration, and Pneumonia in Patients with Dysphagia

Rethinking Residue: Determining the Perceptual Continuum of Residue on FEES to Enable Better Measurement

Residue influences quality of life independently of penetration and aspiration in head and neck cancer survivors

Pharyngeal Swallowing Mechanics Secondary to Hemispheric Stroke

History of Fiberoptic Endoscopic Evaluation of Swallowing for Evaluation and Management of Pharyngeal Dysphagia: Changes over the Years

Impact of Compliance on Dysphagia Rehabilitation in Head and Neck Cancer Patients: Results from a Multi-center Clinical Trial

Recognizing the Importance of Dysphagia: Stumbling Blocks and Stepping Stones in the Twenty-First Century

Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: A randomized clinical trial

Parameters of Instrumental Swallowing Evaluations: Describing a Diagnostic Dilemma

Effects of non-invasive brain stimulation on post-stroke dysphagia: A systematic review and meta-analysis of randomized controlled trials

Evaluating Swallowing Muscles Essential for Hyolaryngeal Elevation by Using Muscle Functional Magnetic Resonance Imaging

Survey of Usual Practice: Dysphagia Therapy in Head and Neck Cancer Patients

Structural Analysis of Muscles Elevating the Hyolaryngeal Complex

Evaluating the Structural Properties of Suprahyoid Muscles and their Potential for Moving the Hyoid

Electrical Stimulation for Dysphagia in H&N Cancer Patients (Cancelled)

The irritable larynx

Predictors of Aspiration Pneumonia in Nursing Home Residents

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