Dysphagia

, Volume 29, Issue 1, pp 2–16

Implementation of High-resolution Manometry in the Clinical Practice of Speech Language Pathology

  • Molly A. Knigge
  • Susan Thibeault
  • Timothy M. McCulloch
Review Article

DOI: 10.1007/s00455-013-9494-5

Cite this article as:
Knigge, M.A., Thibeault, S. & McCulloch, T.M. Dysphagia (2014) 29: 2. doi:10.1007/s00455-013-9494-5

Abstract

Visual imaging modalities, videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic evaluation of swallow, for assessment of oropharyngeal dysphagia have been part of the speech language pathologist’s (SLPs) armamentarium for the diagnosis and treatment of dysphagia for decades. Recently, the addition of high-resolution manometry (HRM) has enabled the SLP to evaluate pharyngeal pressures and upper esophageal sphincter relaxation. Taken together, the use of visual imaging modalities with HRM can improve interpretation of swallowing physiology and facilitate more effective treatment planning. The goal of this article is to describe a clinical paradigm using HRM as an adjunct to VFSS, by the SLP, in the assessment of complex dysphagia. Moreover, in three cases described, the value of manometric measurements in elucidating swallowing imaging studies and documenting physiologic change in response to treatment is highlighted. As technology in this area is evolving, so will the clinical use of HRM by the SLP. Limitations of current HRM systems and applications are discussed.

Keywords

Deglutition Deglutition disorders High-resolution manometry Pharynx Upper esophageal sphincter 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Molly A. Knigge
    • 1
  • Susan Thibeault
    • 1
  • Timothy M. McCulloch
    • 1
  1. 1.Division of Otolaryngology-Head and Neck Surgery, Department of SurgeryUniversity of Wisconsin – MadisonMadisonUSA

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