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Dysphagia pp 565–580Cite as

The Therapeutic Swallowing Study

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

When selecting an instrumental procedure to assess oral and pharyngeal swallowing dysfunction videoradiography is the only technique where the entire swallowing sequence could be analyzed. Accordingly this is an excellent tool for the dysphagia therapist in the management of dysphagic patients.

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References

  • Adnerhill I, Ekberg O, Groher ME (1989) Determining normal bolus size for thin liquids. Dysphagia 4:1

    Article  CAS  PubMed  Google Scholar 

  • Arenaz Búa B, Bülow M (2014) Validation in Swedish of Sydney swallow questionnaire. BMC Res Notes 7:742

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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. Epub 2009 May 30

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Bodén K, Hallgren A, Witt Hedström H (2006) Effects of three swallow maneuvers analyzed by videomanometry. Acta Radiol 47(7):628–633

    Article  PubMed  Google Scholar 

  • Bonilha HS, Humphries K, Balir J, Hill EG, McGrattan K, Carnes B, Huda W, Martin-Harris B (2013) Radiation exposure time during MBSS: influence of swallowing impairment severity, medical diagnosis, clinician experience, and standardized protocol use. Dysphagia 28(1):77–85

    Article  PubMed  Google Scholar 

  • Bülow M, Olsson R, Ekberg O (1999) Videomanometric analysis of supraglottic swallow, effortful swallow and chin tuck in healthy volunteers. Dysphagia 14:67–72

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Cabib C, Ortega O, Kumru H, Palomeras E, Vilardell N, Alvarez-Berdugo D, Muriana D, Rofes L, Terré R, Mearin F, Clavé P (2016) Neurorehabilitation strategies for poststroke oropharyngeal dysphagia: from compensation to the recovery of swallowing function. Ann N Y Acad Sci 1380(1):121–138. doi:10.1111/nyas.13135. Epub 2016 Jul 11

    Article  PubMed  Google Scholar 

  • Carnaby G, Hankey GJ, Pizzi J (2006) Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet neurol 5(1):31–37

    Article  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • Denk DM, Bigenzahn W (2005) Management of oropharyngeal dysphagia. Current status. HNO 53(7):661–672

    Article  PubMed  Google Scholar 

  • Dodds WJ, Logemann JA, Stewart ET (1990a) Radiological assessment of abnormal oral and pharyngeal phases of swallow. AJR Am J Roentgenol 154:965–974

    Article  CAS  PubMed  Google Scholar 

  • Dodds WJ, Stewart ET, Logemann J (1990b) Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol 154:993–963

    Google Scholar 

  • Donner M (1988) The evaluation of dysphagia by radiography and other methods of imaging. Dysphagia 1:49–50

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Ekberg O (1986) Posture of the head and pharyngeal swallow. Acta Radiol Diagn 27:691–696

    Article  CAS  Google Scholar 

  • Ekberg O (1990) The role of radiology in evaluation and treatment of neurologically-impaired patients with dysphagia. J Neurol Rehabil 4:65–73

    Google Scholar 

  • Ekberg O (1992) Radiologic evaluation of swallowing. In: Groher ME (ed) Dysphagia. Diagnosis and management, 2nd edn. Butterworth-Heineman, Boston, pp 163–195

    Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Elmståhl S, Bülow M, Ekberg O, Petersson M, Tegner H (1999) Treatment of dysphagia improves nutritional conditions in stroke patients. Dysphagia 14(2):61–66

    Article  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Gates J, Hartnell GG, Graminga GD (2006) Videofluoroscopy and swallowing studies for neurologc disease: a primer. Radiographics 26(1):e22

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Jaffer NM, Ng E, Au FW, Steele CM (2015) Fluoroscopic evaluation of oropharyngeal dysphagia: anatomic, technical, and common etiologic factors. AJR Am J Roentgenol 204(1):49–58. doi:10.2214/AJR.13.12374

    Article  PubMed  PubMed Central  Google Scholar 

  • Jones B, Donner MW (1989) How I do it: examination of the patient with dysphagia. Dysphagia 4:162–172

    Article  CAS  PubMed  Google Scholar 

  • Kahrilas PJ, Logemann JA, Gibbons P (1992) Food intake by maneuver: an extreme compensation for impaired swallowing. Dysphagia 7:155–159

    Article  CAS  PubMed  Google Scholar 

  • Kang SH, Kim DK, Seo KM, Seo J (2011) Usefulness of videofluoroscopic swallow study with mixed consistency food for patients with stroke or other brain injuries. J Korean Med Sci 26(3):425–430. E pub 2011 Feb 25

    Article  PubMed  PubMed Central  Google Scholar 

  • Lazarus CL, Logemann JA, Gibbons P (1993) Effects of manoeuvres on swallowing function in a dysphagic oral cancer patient. Head Neck 15:419–424

    Article  CAS  PubMed  Google Scholar 

  • Lazzara G, Lazarus C, Logemann J (1986) Impact of thermal stimulation on the triggering of the swallow reflex. Dysphagia 1:73–77

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Linden P, Sibens A (1983) Dysphagia: predicting laryngeal penetration. Arch Phys Med Rehabil 64:281–283

    PubMed  CAS  Google Scholar 

  • Logemann JA (1983) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin, TX

    Google Scholar 

  • Logemann JA (1986) A manual for the videofluoroscopic evaluation of swallowing. College-Hill Press, Boston

    Google Scholar 

  • Logemann JA (1995) Dysphagia: evaluation and treatment. Folia Phoniatr Logop 47(3):140–164

    Article  CAS  PubMed  Google Scholar 

  • Logemann J (1998) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin, TX

    Google Scholar 

  • Logemann JA (2008) Treatment of oral and pharyngeal dysphagia. Phys Med Rehabil Clin N AM 19(4):803–816, ix

    Article  PubMed  Google Scholar 

  • Logemann JA, Kahrilas PJ (1990) Relearning to swallow postCVA: application of maneuvers and indirect biofeedback. A case study. Neurology 40:1136–1138

    Article  CAS  PubMed  Google Scholar 

  • Logemann JA, Kahrilas PJ, Kobara M, Vakil NB (1989) The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil 70:767–771

    PubMed  CAS  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • 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 (2008) What information do clinicians use in recommending oral versus nonoral feeding in oropharyngeal dysphagia patients? Dysphagia 23(4):378–384. Epub 2008 Aug 1

    Article  PubMed  PubMed Central  Google Scholar 

  • Martin BJW (1994) Treatment of dysphagia in adults. In: Reiff Cherney L (ed) Clinical managements of dysphagia in adults and children. Aspen Publishers, Inc., Gaithersburg, MD, pp 153–183. Chap. 6

    Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Martin-Harris B, Jones B (2008) The videofluorographic swallowing study. Phys Med Rehabil Clin N Am 19:769–785

    Article  PubMed  PubMed Central  Google Scholar 

  • Martin-Harris B, Logemann JA, McMahon S, Schleicher MA, Sandidge J (2000) Clinical utility of the modified barium swallow. Dysphagia 15:136–141

    Article  CAS  PubMed  Google Scholar 

  • 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. doi:10.1007/s00455-008-9185-9

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • Michou E, Mastan A, Ahmed S, Mistry S, Hamdy S (2012) Examining the role of carbonation and temperatureon water swallowing performance: a swallowing reaction-time study. Chem Senses 37(9):799–807

    Article  PubMed  Google Scholar 

  • Miller S, Kühn D, Jungheim M, Ptok M (2014) How reliable are non-instrumental assessment tools for dysphagia? HNO 62(9):654–660. doi:10.1007/s00106-014-2865-x

    Article  PubMed  CAS  Google Scholar 

  • Murray J (1999) Videofluoroscopic examination. In: Manual of dysphagia assessment in adults. Singular Publishing Group Inc., San Diego, London, pp 113–151. Chap. 3

    Google Scholar 

  • Nathadwarawala KM, Nicklin J, Wiles CM (1992) A timed test of swallowing capacity for neurological patients. J Neurol Neurosurg Psych 55:822–825

    Article  CAS  Google Scholar 

  • Nathadwarawala KM, Mc Groary A, Wiles CM (1994) Swallowing in neurological outpatients. use of a timed test. Dysphagia 9:120–129

    Article  CAS  PubMed  Google Scholar 

  • Nordin NA, Miles A, Allen J (2017) Measuring competency development in objective evaluation of videofluoroscopic swallowing studies. Dysphagia. 32(3):427–436. doi:10.1007/s00455-016-9776-9. Epub 2017 Jan 11

    Article  PubMed  Google Scholar 

  • 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. Epub2007 April 10

    Article  PubMed  Google Scholar 

  • Pauloski BR (2008) rehabilitation of dysphagia following head and neck cancer. Phys Med Rehabil Clin N Am 19(4):889–928, x

    Article  PubMed  PubMed Central  Google Scholar 

  • Pisegna JM, Langmore SE (2016) Parameters of instrumental swallowing evaluations: describing a diagnostic dilemma. Dysphagia 31(3):462–472. doi:10.1007/s00455-016-9700-3. Epub 2016 Mar 17

    Article  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Sdravoue K, Walshe M, Dagdilelis L (2011) Effect of carbonated liquids on oropharyngeal swallowing measures in people with neurogenic dysphagia. Dysphagia. doi:10.1007/s00455-011-9359-8

  • 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

    PubMed  CAS  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Shaw Bonilha H, Humphries K, Blair J, Hill EG, McGrattan K, Carnes B, Huda W, Martin Harris B (2013) Radiation exposure time during MBSS: influence of swallowing impairment severity, medical diagnosis, clinician experience, and standardized protocol use. Dysphagia 28(1):77–85. doi:10.1007/s00455-012-9415-z. Published online 2012 Jun 13. PMCID: PMC3477506 NIHMSID: NIHMS386358

    Article  Google Scholar 

  • Sonies BC (1993) Remediation challenges in treating dysphagia post head/neck cancer. A problem-oriented approach. Clin Commun Disord 3(4):21–26. fall

    PubMed  CAS  Google Scholar 

  • 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. E pub 2009 Sep 17

    Article  PubMed  Google Scholar 

  • 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

    PubMed  CAS  Google Scholar 

  • Stokely SL, Molfenter SM, Steele CM (2014) Effects of barium concentration on oropharyngeal swallow timing measures. Dysphagia 29(1):78–82. doi:10.1007/s00455-013-9485-6. Epub 2013 Sep 18

    Article  PubMed  Google Scholar 

  • 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 30(10):71

    Article  Google Scholar 

  • 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. Dec 17(Epub ahead of print)

    Google Scholar 

  • Welch MV, Logemann JA, Rademaker AW, Kahrilas PJ (1993) Changes in pharyngeal dimensions effected by chin tuck. Arch Phys Med Rehabil 74:178–181

    PubMed  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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. Epub 2008 Aug 26

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Zammit-Maempel I, Chapple C-L, Leslie P (2007) Radiation dose in videofluoroscopic swallow studies. Dysphagia 22(1):13–15

    Article  PubMed  Google Scholar 

  • Zenner PM, Losinski DS, Mills RH (1995) Using cervical auscultation in the clinical dysphagia examination in long-term care. Dysphagia 10(1):27–31

    Article  CAS  PubMed  Google Scholar 

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Bülow, M. (2017). The Therapeutic Swallowing Study. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_89

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