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].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
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.
Langemore SE, Logemann JA. After the clinical bedsider examination: what next? J Speech Lang Pathol. 1991;9:13–20.
Logemann JA. Evaluation and treatment of swallowing disorders. San Diego: College-Hill Press; 1983.
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.
American Speech-Language-Hearing Association. Clinical indicators for instrumental assessment of dysphagia [Guidelines]. Available from www.asha.org/policy. 2000.
Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11:93–8.
Martin-Harris B, Brodsky MB, Michel Y, et al. MBS measurement tool for swallow impairment–MBSImp: establishing a standard. Dysphagia. 2008;23:392–405.
Kendall KA, McKenzie S, Leonard RJ, Goncalves MI, Walker A. Timing of events in normal swallowing: a videofluoroscopic study. Dysphagia. 2000;15:74–83.
Langmore SE, Schatz K, Olsen N. Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia. 1988;2:216–9.
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.
Bastian RW, Riggs LC. Role of sensation in swallowing function. Laryngoscope. 1999;109:1974–7.
Aviv JE. Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope. 2000;110:563–74.
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.
Langmore SE, Schatz K, Olson N. Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. Ann Otol Rhinol Laryngol. 1991;100:678–81.
Spechler SJ, Castell DO. Classification of oesophageal motility abnormalities. Gut. 2001;49:145–51.
Knigge MA, Thibeault S, McCulloch TM. Implementation of high-resolution manometry in the clinical practice of speech language pathology. Dysphagia. 2014;29:2–16.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer India
About this chapter
Cite this chapter
Patel, R. (2015). Assessment of Swallowing Disorders. In: Mankekar, G. (eds) Swallowing – Physiology, Disorders, Diagnosis and Therapy. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2419-8_4
Download citation
DOI: https://doi.org/10.1007/978-81-322-2419-8_4
Publisher Name: Springer, New Delhi
Print ISBN: 978-81-322-2418-1
Online ISBN: 978-81-322-2419-8
eBook Packages: MedicineMedicine (R0)