Dysphagia
Abstract. The purpose of this study was to introduce a new method of bedside assessment of both the motor and sensory components of swallowing called fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST). This approach combines the established bedside endoscopic swallowing evaluation with a more recently described technique that allows objective determination of laryngopharyngeal...
. With the recent introduction of commercially available pharyngeal manofluorography systems, catheter design should be standardized. Catheters of different designs can produce different data because of their design characteristics. A standard catheter design should make results between investigators comparable and facilitate acceptable normal values. The authors' combined laboratory experience with...
. In this investigation, surface electromyographic (EMG) recordings were used to make qualitative and quantitative analyses of labial muscle activity during three swallowing tasks, incorporating the use of various drinking implements. EMG was recorded from four quadrants of the perioral region and from the submental muscle complex in 11 normal adult females. Swallowing tasks included liquid extraction...
Abstract. The objective of this study was to determine the inter- and intrarater reliability in evaluating videofluoroscopic swallowing studies (VFSS). Participants included 4 physicians (3 physiatrists and 1 internist) and 5 speech-language pathologists with at least 5 years experience in evaluating VFSS. The main outcomes of the study were reliability ratios of positive and negative tests in inter-...
Abstract. The purpose of the present study was to investigate tracheotomy tube occlusion status and prevalence of aspiration utilizing videofluoroscopy. A prospective study was done of 16 consecutive, early, postsurgical head and neck cancer patients with tracheotomy. Selection criteria included the ability to tolerate tracheotomy tube occlusion prior to and during the modified barium swallow procedure,...
Abstract. Responsive areas for velopharyngeal closure were examined by recording diaphragmatic and superior pharyngeal constrictor activities of anesthetized rabbits. Pressure stimulation was applied with a cotton applicator to the mucosae of three pharyngeal areas: the anterior (palatal) and posterior walls of the nasopharynx and the posterior wall of the oropharynx. The intensity and duration of...
. Various studies suggest that between 50% and 75% of nursing home residents have some difficulty in swallowing. Some of these residents are assessed and treated by speech pathologists, but many are managed by nursing staff without specialist input. A training program called Swallowing . . . on a Plate (SOAP) has been developed by the Centre for Education and Research on Ageing and the Inner West...
. Responsive areas for velopharyngeal closure were examined by recording diaphragmatic and superior pharyngeal constrictor activities of anesthetized rabbits. Pressure stimulation was applied with a cotton applicator to the mucosae of three pharyngeal areas: the anterior (palatal) and posterior walls of the nasopharynx and the posterior wall of the oropharynx. The intensity and duration of the stimulation...
. There has been much debate on the value and risks of long-term enteral feeding in patients with advanced dementia. A retrospective study was carried out on 47 patients with a primary diagnosis of dementia who died over a two-year period. All were inpatients in a nursing home or skilled nursing facility. Marked weight loss and dysphagia occurring in a specific pattern were found to be associated...
Abstract. Various studies suggest that between 50% and 75% of nursing home residents have some difficulty in swallowing. Some of these residents are assessed and treated by speech pathologists, but many are managed by nursing staff without specialist input. A training program called Swallowing . . . on a Plate (SOAP) has been developed by the Centre for Education and Research on Ageing and the Inner...
. The objective of this study was to determine the inter- and intrarater reliability in evaluating videofluoroscopic swallowing studies (VFSS). Participants included 4 physicians (3 physiatrists and 1 internist) and 5 speech-language pathologists with at least 5 years experience in evaluating VFSS. The main outcomes of the study were reliability ratios of positive and negative tests in inter- and...
Abstract. There has been much debate on the value and risks of long-term enteral feeding in patients with advanced dementia. A retrospective study was carried out on 47 patients with a primary diagnosis of dementia who died over a two-year period. All were inpatients in a nursing home or skilled nursing facility. Marked weight loss and dysphagia occurring in a specific pattern were found to be associated...
. The purpose of the present study was to investigate tracheotomy tube occlusion status and prevalence of aspiration utilizing videofluoroscopy. A prospective study was done of 16 consecutive, early, postsurgical head and neck cancer patients with tracheotomy. Selection criteria included the ability to tolerate tracheotomy tube occlusion prior to and during the modified barium swallow procedure,...