Abstract
Videoradiography is one of the most frequently used instrumental techniques to assess oral and pharyngeal swallowing dysfunction. A therapeutic swallowing study should always be performed in collaboration between a trained speech/language pathologist and a radiologist. Focus during the examination is the oral and pharyngeal phases of deglutition. The swallowing function is tested with various bolus volumes and textures. Implementation of trial therapeutic strategies is another important component of the examination. The study is recorded on a dynamic medium making it possible to analyse structural movements in relation to constant flow after the examination. After the examination the SLP and the radiologist document a collaborative report.
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References
Adnerhill I, Ekberg O, Groher ME (1989) Determining normal bolus size for thin liquids. Dysphagia 4:1
Ashford J, McCabe D, Wheeler-Hegland K, Frymark T, Mullen R, Musson N, Schooling T, Hammond CS (2009) Evidence-based systematic review: oropharyngeal dysphagia behavioral treatments: part III—impact of dysphagia treatments on populations with neurological disorders. J Rehabil Res Dev 46(2):195–204
Baylow HE, Goldfarb R, Taveira CH, Steinberg RS (2009) Accuracy of clinical judgment of the chin-down posture for dysphagia during the clinical/bedside assessment as corroborated by videofluoroscopy in adults with acute stroke. Dysphagia 24(4):423–433
Bingjie L, Tong Z, Xinting S, Jianmin X, Guijun J (2010) Quantitative videofluoroscopic analysis of penetration-aspiration in post-stroke patients. Neurol India 58(1):42–47
Bodén K, Hallgren A, Witt Hedström H (2006) Effects of three swallow maneuvers analyzed by videomanometry. Acta Radiol 47(7):628–633
Bülow M, Olsson R, Ekberg O (1999) Videomanometric analysis of supraglottic swallow, effortful swallow and chin tuck in healthy volunteers. Dysphagia 14:67–72
Bülow M, Olsson R, Ekberg O (2001) Videomanometric analysis of supraglottic swallow, effortful swallow and chin tuck in patients with pharyngeal dysfunction. Dysphagia 16:190–195
Bülow M, Olsson R, Ekberg O (2003) Videoradiographic analysis of how carbonated thin thickened liquids affect the physiology of swallowing in subjects with aspiration on thin liquids. Acta Radiol 44:366–372
Carnaby G, Hankey GJ, Pizzi J (2006) Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol 5:31–37
De Pippo KL, Holas MA, Reding MJ (1992) Validation of the 3-ounce water swallow test for aspiration following stroke. Arch Neurol 49:1259–1261
Denk DM, Bigenzahn W (2005) Management of oropharyngeal dysphagia. Current status. HNO 53(7):661–672
Dodds WJ, Logemann JA, Stewart ET (1990a) Radiological assessment of abnormal oral and pharyngeal phases of swallow. AJR Am J Roentgenol 154:965–974
Dodds WJ, Stewart ET, Logemann J (1990b) Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol 154:993–1963
Donner M (1988) The evaluation of dysphagia by radiography and other methods of imaging. Dysphagia 1:49–50
Dziewas R, Warnecke T, Hamacher C, Oelenberg S, Teismann I, Kraemer C, Ritter M, Ringelstein EB, Schaebitz WR (2008) Do nasogastric tubes worsen dysphagia in patients with acute stroke? BMC Neurol 23 8:28
Ekberg O (1986) Posture of the head and pharyngeal swallow. Acta Radiol Diagn 27:691–696
Ekberg O (1990) The role of radiology in evaluation and treatment of neurologically-impaired patients with dysphagia. J Neurol Rehabil 4:65–73
Ekberg O (1992) Radiologic evaluation of swallowing. In: Groher ME (ed) Dysphagia. Diagnosis and management, 2nd edn. Butterworth-Heineman, Boston, pp 163–195
Ekberg O, Bülow M, Ekman S, Hall G, Stading M, Wendin K (2009) Effect of barium sulphate contrast medium on rheology and sensory texture attributes in a model food. Acta Radiol 50(2):131–138
Finestone HM, Foley NC, Woodbury MG, Greene-Finestone L (2001) Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies. Arch Phys Med Rehabil 82(12):1744–1746
Garcia JM, Chambers E, Molander M (2005) Thickened liquids: practice patterns of speech language pathologists. Am J Speech Lang Pathol 14(1):4–13
Gates J, Hartnell GG, Graminga GD (2006) Videofluoroscopy and swallowing studies for neurologic disease: a primer. Radiographics 26(1):e22
Groher ME, Crary MA, Carnaby Mann G, Vickers Z, Aguilar C (2006) The impact of rheologically controlled materials on the identifications of airway compromise on the clinical and videofluoroscopic swallowing examinations. Dysphagia 21(4):218–225
Heiss CJ, Goldberg L, Dzarnoski M (2010) Registered dieticians and speech-language pathologists: an important partnership in dysphagia management. J Am Diet Assoc 110(9):1290, 1292–1293
Huckabee ML, Steele CM (2006) An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal pressure during effortful swallow. Arch Phys Med Rehabil 87(8):1067–1072
Jones B, Donner MW (1989) How I do it: examination of the patient with dysphagia. Dysphagia 4:162–172
Kahrilas PJ, Logemann JA, Gibbons P (1992) Food intake by maneuver: an extreme compensation for impaired swallowing. Dysphagia 7:155–159
Lazarus CL, Logemann JA, Gibbons P (1993) Effects of manoeuvres on swallowing function in a dysphagic oral cancer patient. Head Neck 15:419–424
Lazzara G, Lazarus C, Logemann J (1986) Impact of thermal stimulation on the triggering of the swallow reflex. Dysphagia 1:73–77
Lim KB, Lee HJ, Lim SS, Choi YI (2009) Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke: a randomized controlled trial. J Rehabil Med 41(3):174–178
Linden P, Sibens A (1983) Dysphagia: predicting laryngeal penetration. Arch Phys Med Rehabil 64:281–283
Logemann JA (1983) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin
Logemann JA (1986) A manual for the videofluoroscopic evaluation of swallowing. College-Hill Press, Boston
Logemann JA (1995) Dysphagia: evaluation and treatment. Folia Phoniatr Logop 47(3):140–164
Logemann J (1998) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin
Logemann JA (2008) Treatment of oral and pharyngeal dysphagia. Phys Med Rehabil Clin N Am 19(4):803–816, ix
Logemann JA, Kahrilas PJ (1990) Relearning to swallow post CVA: application of maneuvers and indirect biofeedback: a case study. Neurology 40:1136–1138
Logemann JA, Kahrilas PJ, Kobara M, Vakil NB (1989) The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil 70:767–771
Logemann JA, Lazarus CL, Phillips Keely S, Sanches A, Rademaker AW (2000) Effectiveness of four hours of education in interpretation of radiographic studies. Dysphagia 15:180–183
Logemann JA, Rademaker A, Pauloski BR, Antinoja J, Bacon M, Bernstein M, Gaziano J, Grande B, Kelchner L, Kelly A, Klaben B, Lundy D, Newman L, Santa D, Stachowiak L et al (2008) What information do clinicians use in recommending oral versus nonoral feeding in oropharyngeal dysphagia patients? Dysphagia 23(4):378–384
Martin BJW (1994) Treatment of dysphagia in adults. In: Reiff Cherney L (ed) Clinical managements of dysphagia in adults and children. Aspen, Gaithersburg, pp 153–183
Martin BJW, Logemann JA, Shaker R, Dodds WJ (1993) Normal laryngeal valving patterns during three breath-hold manoeuvres: a pilot investigation. Dysphagia 8:11–20
Martin-Harris B, Jones B (2008) The videofluorographic swallowing study. Phys Med Rehabil Clin N Am 19:769–785
Martin-Harris B, Logemann JA, McMahon S, Schleicher MA, Sandidge J (2000) Clinical utility of the modified barium swallow. Dysphagia 15:136–141
Martin-Harris B, Brodsky MB, Michel Y, Castell DO, Schleicher M, Sandidge J, Maxwell R, Blair J (2008) MBS measurement tool for swallow impairment—MBSImp: establishing a standard. Dysphagia 23:392–405
McCabe D, Ashford J, Wheeler-Hegland K, Frymark T, Mullen R, Musson N, Hammond CS, Schooling T (2009) Evidence-based systemtic review: Oropharyngeal dysphagia behavioural treatments. Part IV—impact of dysphagia treatment on individuals’ postcancer treatments. J Rehabil Res Dev 46(2):205–214
McCulloch TM, Hoffman MR, Ciucci MR (2010) High-resolution manometry of pharyngeal swallow pressure events associated with head turn and chin tuck. Ann Otol Rhinol Laryngol 119(6):369–376
Murray J (1999) Videofluoroscopic examination. In: Manual of dysphagia assessment in adults. Singular, San Diego, pp 113–151
Nathadwarawala KM, Nicklin J, Wiles CM (1992) A timed test of swallowing capacity for neurological patients. J Neurol Neurosurg Psych 55:822–825
Nathadwarawala KM, Mc Groary A, Wiles CM (1994) Swallowing in neurological outpatients: use of a timed test. Dysphagia 9:120–129
Okada S, Saitoh E, Palmer JB, Matsuo K, Yokoyama M, Shigeta R, Baba M (2007) What is the chin-down posture? A questionnaire survey of speech language pathologists in Japan and in the United States. Dysphagia 22(3):204–209
Pauloski BR (2008) rehabilitation of dysphagia following head and neck cancer. Phys Med Rehabil Clin N Am 19(4):889–928, x
Rosenbek JC, Roecker EB, Wood JL, Robbins J (1996) Thermal application reduces the duration of stage transition in dysphagia after stroke. Dysphagia 11:225–233
Shaker R, Kern M, Bardan E, Taylor A, Stewart ET, Hoffamnn RG et al (1997) Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. Am J Physiol 272:G1518–G1522
Shanahan TK, Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ (1993) Chin-down posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil 74:736–739
Sonies BC (1993) Remediation challenges in treating dysphagia post head/neck cancer. A problem-oriented approach. Clin Commun Disord 3(4):21–26
Speyer R, Baijens L, Heijnen M, Zwijnenberg I (2010) Effects of therapy in oropharyngeal dysphagia by speech and language therapists: a systematic review. Dysphagia 25(1):40-65.
Splaingard ML, Hutchins B, Sulton LD, Chauhuri G (1988) Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment. Arch Phys Med Rehabil 69:637–640
Teismann IK, Steinsträter O, Warnecke T, Suntrup S, Ringelstein EB, Pantev C, Dziewas R (2009) Tactile thermal oral stimulation increases the cortical representation of swallowing. BMC Neurosci 10:71
Van der Kruis JG, Baijens LW, Speyer R, Zwijnenberg I (2010) Biomechanical analysis of hyoid bone displacement in videofluoroscopy: a systematic review of intervention effects. Dysphagia 26(2):171–182 . doi:10.1007/s00455-010-9318-9
Welch MV, Logemann JA, Rademaker AW, Kahrilas PJ (1993) Changes in pharyngeal dimensions effected by chin tuck. Arch Phys Med Rehabil 74:178–181
Wendin K, Ekman S, Bülow M, Ekberg O, Johansson D, Rothenberg E, Stading M (2010) Objective and quantitative definitions of modified food textures based on sensory and rheological methodology. Food Nutr Res 54:5134. doi:10.3402/fnr.v54i0.5134
Wheeler-Hegland KM, Rosenbeck JC, Sapienza CM (2008) Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res 51(5):1072–1087
Witte U, Huckabee ML, Doeltgen SH, Gumbley F, Robb M (2008) The effect of effortful swallow on pharyngeal manometric measurements during saliva and water swallowing in healthy participants. Arch Phys Med Rehabil 89(5):822–828
Zammit-Maempel I, Chapple C-L, Leslie P (2007) Radiation dose in videofluoroscopic swallow studies. Dysphagia 22(1):13–15
Zenner PM, Losinski DS, Mills RH (1995) Using cervical auscultation in the clinical dysphagia examination in long-term care. Dysphagia 10(1):27–31
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Bülow, M., Martin-Harris, B. (2011). The Therapeutic Swallowing Study. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_351
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DOI: https://doi.org/10.1007/174_2011_351
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