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Dysphagia

pp 1–9 | Cite as

BaByVFSSImP© A Novel Measurement Tool for Videofluoroscopic Assessment of Swallowing Impairment in Bottle-Fed Babies: Establishing a Standard

  • Bonnie Martin-HarrisEmail author
  • Kathryn A. Carson
  • Jeanne M. Pinto
  • Maureen A. Lefton-Greif
Original Article

Abstract

Aim

This investigation tested the construct validity of the first standardized assessment tool, the BaByVFSS Impairment Profile, (BaByVFSSImP©), developed for the quantification of swallowing observations made from videofluoroscopic swallow studies (VFSS) in bottle-fed babies.

Method

Construct validity of the measures was tested using descriptive methods and confirmatory factor analysis (CFA) of swallowing scores obtained from a cohort of bottle-fed babies (median age 3 months 1 day, interquartile range 1 month 4 days–7 months 4 days) sequentially referred for VFSS based on clinical signs, symptoms, or risk factors associated with dysphagia and/or aspiration. Main outcome measures were emergence of functional domains derived from swallowing component impairment scores.

Results

Confirmatory factor analysis resulted in 21 significant components (factor loadings ≥ 0.5) grouping into five functional domains labeled for common contribution to overall swallowing function. The tool was organized into the BaByVFSSImP. Clinical relevance was explored using correlational analyses between domain scores, maximum penetration/aspiration scores, feeding status, and caregiver burden.

Interpretation

Quantification of physiologic swallowing impairment captured by BaByVFSSImP holds promise for identification of physiologically based targets for intervention, clinical decisions regarding enteral feeding, and tracking the trajectory of swallowing impairment throughout development in young children.

Keywords

Infant VFSS MBS Reliability Dysphagia Deglutition Deglutition disorders 

Notes

Acknowledgements

The authors wish to thank the families for partaking in this project. Our gratitude is expressed for the contributions of the Speech Language Pathologists that were involved in this work including Kate Davidson, M.S., M. Cara Erskine, M. Ed., Jeannine Hoch, M.A., Sandra B. Martin, M.S., Heather Mcghee, M.S., Katlyn McGrattan, Ph.D., Keeley McKelvey, M.S., and Melissa Montiel, M.S. This work was supported by the National Institutes of Health Grants NIDCD 5R01DC011290-05 (ML-G and BM-H). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Communication Sciences and Disorders, Department of Otolaryngology Head and Neck Surgery, Department of Radiation Oncology, School of Communication, Feinberg School of MedicineNorthwestern UniversityEvanstonUSA
  2. 2.Department of Otolaryngology Head and Neck Surgery, Evelyn Trammell Institute for Voice and Swallowing, College of MedicineMedical University of South CarolinaCharlestonUSA
  3. 3.Research ServiceEdward Hines, Jr. VA HospitalHinesUSA
  4. 4.Department of Epidemiology, Johns Hopkins Bloomberg School of Public HealthWelch Center for Prevention, Epidemiology and Clinical ResearchBaltimoreUSA
  5. 5.Department of MedicineThe Johns Hopkins University School of MedicineBaltimoreUSA
  6. 6.Eudowood Division of Pediatric Respiratory Sciences, Department of PediatricsThe Johns Hopkins University School of Medicine, David M. Rubenstein BuildingBaltimoreUSA
  7. 7.Eudowood Division of Pediatric Respiratory Sciences, Department of PediatricsThe Johns Hopkins University School of Medicine, David M. Rubenstein BuildingBaltimoreUSA
  8. 8.Department of Otolaryngology-Head and Neck SurgeryThe Johns Hopkins University School of MedicineBaltimoreUSA
  9. 9.Department of Physical Medicine and RehabilitationThe Johns Hopkins University School of MedicineBaltimoreUSA

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