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Abstract

Difficulty with swallowing, also known as dysphagia, is a common condition. The prevalence of dysphagia ranges from 16 to 22 % [1, 2]. Dysphagia in adults could be due to a number of causes, primarily including neurological causes, aging, and head and neck cancer. Over the past decade, the assessment of dysphagia has been continually evolving, with speech-language pathologist services being increasingly sought after for the management of individuals with dysphagia. Assessment of dysphagia is multidisciplinary. The members of a multidisciplinary team vary depending on the primary causes of dysphagia. However, the core team members involved in the assessment of dysphagia often include a speech-language pathologist, otolaryngologist, radiologist, gastroenterologist, and dietician. Accurate assessment of individuals with dysphagia is critical to decrease morbidity secondary to aspiration pneumonia and reduce the health-care costs associated with long-term hospitalization for management of aspiration pneumonia [3].

Keywords

Instrumental Assessment Modify Barium Swallow Modify Barium Swallow Study Bolus Transit Time Hyolaryngeal Excursion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Bloem BR, Lagaay AM, van Beek W, Haan J, Roos RA, Wintzen AR. Prevalence of subjective dysphagia in community residents aged over 87. BMJ. 1990;300:721–2.CrossRefPubMedCentralPubMedGoogle Scholar
  2. 2.
    Kjellen G, Tibbling L. Manometric oesophageal function, acid perfusion test and symptomatology in a 55-year-old general population. Clin Physiol. 1981;1:405–15.CrossRefPubMedGoogle Scholar
  3. 3.
    Odderson IR, Keatron J, McKenna BS. Swallow management in patients on an acute stroke pathway: quality is cost effective. Arch Phys Med Rehabil. 1995;76:1130–3.CrossRefPubMedGoogle Scholar
  4. 4.
    Langemore SE, Logemann JA. After the clinical bedsider examination: what next? J Speech Lang Pathol. 1991;9:13–20.CrossRefGoogle Scholar
  5. 5.
    Logemann JA. Evaluation and treatment of swallowing disorders. San Diego: College-Hill Press; 1983.Google Scholar
  6. 6.
    Lim SH, Lieu PK, Phua SY, et al. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia. 2001;16:1–6.CrossRefPubMedGoogle Scholar
  7. 7.
    American Speech-Language-Hearing Association. Clinical indicators for instrumental assessment of dysphagia [Guidelines]. Available from www.asha.org/policy. 2000.
  8. 8.
    Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11:93–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Martin-Harris B, Brodsky MB, Michel Y, et al. MBS measurement tool for swallow impairment–MBSImp: establishing a standard. Dysphagia. 2008;23:392–405.CrossRefPubMedCentralPubMedGoogle Scholar
  10. 10.
    Kendall KA, McKenzie S, Leonard RJ, Goncalves MI, Walker A. Timing of events in normal swallowing: a videofluoroscopic study. Dysphagia. 2000;15:74–83.CrossRefPubMedGoogle Scholar
  11. 11.
    Langmore SE, Schatz K, Olsen N. Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia. 1988;2:216–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Aviv JE, Martin JH, Keen MS, Debell M, Blitzer A. Air pulse quantification of supraglottic and pharyngeal sensation: a new technique. Ann Otol Rhinol Laryngol. 1993;102:777–80.CrossRefPubMedGoogle Scholar
  13. 13.
    Bastian RW, Riggs LC. Role of sensation in swallowing function. Laryngoscope. 1999;109:1974–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Aviv JE. Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope. 2000;110:563–74.CrossRefPubMedGoogle Scholar
  15. 15.
    Jafari S, Prince RA, Kim DY, Paydarfar D. Sensory regulation of swallowing and airway protection: a role for the internal superior laryngeal nerve in humans. J Physiol. 2003;550:287–304.CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    Langmore SE, Schatz K, Olson N. Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. Ann Otol Rhinol Laryngol. 1991;100:678–81.CrossRefPubMedGoogle Scholar
  17. 17.
    Spechler SJ, Castell DO. Classification of oesophageal motility abnormalities. Gut. 2001;49:145–51.CrossRefPubMedCentralPubMedGoogle Scholar
  18. 18.
    Knigge MA, Thibeault S, McCulloch TM. Implementation of high-resolution manometry in the clinical practice of speech language pathology. Dysphagia. 2014;29:2–16.CrossRefPubMedCentralPubMedGoogle Scholar
  19. 19.
    Chen AY, Frankowski R, Bishop-Leone J, et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127:870–6.PubMedGoogle Scholar
  20. 20.
    McHorney CA, Bricker DE, Robbins J, Kramer AE, Rosenbek JC, Chignell KA. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: II. Item reduction and preliminary scaling. Dysphagia. 2000;15:122–33.CrossRefPubMedGoogle Scholar
  21. 21.
    McHorney CA, Robbins J, Lomax K, et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002;17:97–114.CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Department of Speech and Hearing SciencesIndiana UniversityBloomingtonUSA

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