, Volume 2, Issue 3, pp 127–135 | Cite as

The influence of videofluoroscopy on the management of the dysphagic patient

  • Riva Sorin
  • S. Somers
  • Wendy Austin
  • Stella Bester
Original Articles


This pilot study was conducted to compare the results of clinical and videofluoroscopic examinations of ten patients with dysphagia of neurologic origin and to determine whether patient management was influenced by videofluoroscopic data. Results are discussed in relation to the advantages and limitations of both modes of evaluation of dysphagia. Seven of ten decisions concerning the institution of oral versus nonoral feeding were based on videofluoroscopy alone. In six of the seven cases aspiration was detected upon videofluoroscopic examination, although it was not suspected at bedside. In seven of ten cases, indirect therapy techniques were based on bedside examination alone. In six of ten cases, direct therapy techniques were based on both bedside and videofluoroscopic observations. Most decisions regarding food consistency and positioning were based on both procedures.

Key words

Videofluoroscopy Direct therapy Indirect therapy Dysphagia, evaluation Deglutition 


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  1. 1.
    Donner MW: Dysphagia.Dysphagia 1:1, 1986CrossRefGoogle Scholar
  2. 2.
    Groher ME:Dysphagia: Diagnosis and Management. Massachusetts: Butterworth Publishers, 1984Google Scholar
  3. 3.
    Logemann J:Evaluation and Treatment of Swallowing Disorders. San Diego: College Hill Press, 1983Google Scholar
  4. 4.
    Aguilar-Markulis N: Swallowing disorders in adults: assessment and intervention, unpublished paper, Department of Communication Disorders and Sciences, State University of New York, Buffalo, 1984Google Scholar
  5. 5.
    Siebens AA, Linden P: Dynamic imaging for swallowing reeducation.Gastrointest Radiol 10:251–253, 1985PubMedCrossRefGoogle Scholar
  6. 6.
    Jones B, Kramer SS, Donner MW: Dynamic imaging of the pharynx.Gastrointest Radiol 10:213–224, 1985PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc 1988

Authors and Affiliations

  • Riva Sorin
    • 1
  • S. Somers
    • 2
  • Wendy Austin
    • 3
  • Stella Bester
    • 3
  1. 1.Department of Speech-Language PathologySt. Peter's HospitalCanada
  2. 2.Department of RadiologyMc Master University Medical CenterCanada
  3. 3.Department of Speech-Language PathologyChedoke-Mc Master HospitalsHamiltonCanada

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