Accuracy of clinical swallowing evaluation for diagnosis of dysphagia in children with laryngomalacia or glossoptosis

2016 ◽  
Vol 52 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Marisa Gasparin ◽  
Cláudia Schweiger ◽  
Denise Manica ◽  
Antônio Carlos Maciel ◽  
Gabriel Kuhl ◽  
...  
Keyword(s):  
Swallowing Evaluation ◽  
Clinical Swallowing Evaluation

scholarly journals Clinical swallowing evaluation in multiple sclerosis at a reference center in the center-west of Brazil

2020 ◽  
Vol 6 (7) ◽  
pp. 51166-51178
Author(s):  
Inez Janaina de Lima Amaral ◽  
Valeriana de Castro Guimarães ◽  
Denise Sisterolli Diniz ◽  
Marcos Alexandre Diniz Carneiro
Keyword(s):  
Multiple Sclerosis ◽  
Reference Center ◽  
Swallowing Evaluation ◽  
Clinical Swallowing Evaluation

scholarly journals Interdisciplinary evaluation of dysphagia: clinical swallowing evaluation and videoendoscopy of swallowing

2009 ◽  
Vol 75 (6) ◽  
pp. 776-787 ◽  
Author(s):  
Marina de Sordi ◽  
Lucia Figueiredo Mourão ◽  
Ariovaldo Armando da Silva ◽  
Luciana Claudia Leite Flosi
Keyword(s):  
Swallowing Evaluation ◽  
Clinical Swallowing Evaluation

scholarly journals Reassessment of Poststroke Dysphagia in Rehabilitation Facility Results in Reduction in Diet Restrictions

2021 ◽  
Vol 10 (8) ◽  
pp. 1714
Author(s):  
Anna Maria Pekacka-Egli ◽  
Radoslaw Kazmierski ◽  
Dietmar Lutz ◽  
Katarzyna Pekacka-Falkowska ◽  
Adam Maszczyk ◽  
...  
Keyword(s):  
Oral Intake ◽  
Diagnostic Procedures ◽  
Rehabilitation Center ◽  
Neurological Rehabilitation ◽  
Stroke Patients ◽  
Swallowing Evaluation ◽  
Diet Management ◽  
Functional Oral Intake Scale ◽  
Clinical Swallowing Evaluation ◽  
Diet Level

Background: Dysphagia assessment in postacute stroke patients can decrease the incidence of complications like malnutrition, dehydration, and aspiration pneumonia. It also helps to avoid unnecessary diet restrictions. The aim of this study is to verify if regular reassessment of dysphagia would change the diet management of postacute stroke patients in rehabilitation settings. Methods: This single-center retrospective study included 63 patients referred to an inpatient neurological rehabilitation center between 2018–2019. A standardized clinical swallowing evaluation and Fiberoptic Endoscopic Evaluation of Swallowing (FEES) were performed. Diet level according to Functional Oral Intake Scale (FOIS) was evaluated. As the primary endpoint, the FOIS values based on diagnostic procedures were assessed at hospital discharge, rehabilitation admission, and after FEES. Results: 19 women (30%) and 44 men (70%), with a mean age of 75 y (SD ± 10.08), were enrolled. The intergroup ANOVA revealed significant differences (p < 0.001) between dietary prescriptions in an acute care setting and following clinical and endoscopic reassessment in the rehabilitation center. Diet recommendations changed in 41 of 63 (65%) enrolled patients (p < 0.001). Conclusion: Instrumental diagnostic by FEES during the early convalescence period of stroke patients leads to clinically relevant changes to diet restrictions and lower rates of pneumonia. Our findings underline the need for regular and qualitative dysphagia diagnostics in stroke patients participating in neurological rehabilitation.

Comparing Simultaneous Clinical Swallow Evaluations and Fiberoptic Endoscopic Evaluations of Swallowing: Findings and Consequences

2015 ◽  
Vol 24 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Steven B. Leder
Keyword(s):  
Clinical Utility ◽  
Flow Characteristics ◽  
Intervention Strategies ◽  
Endoscopic Evaluation ◽  
Silent Aspiration ◽  
Anatomy And Physiology ◽  
Swallowing Evaluation ◽  
Clinical Swallowing Evaluation ◽  
Laryngeal Anatomy ◽  
Oral Diet

Introduction: Simultaneous blinded comparisons between the results of a clinical swallowing evaluation (CSE) and fiberoptic endoscopic evaluation of swallowing (FEES) were performed. Methods: Raters were two groups of speech-language pathologists (SLPs) with expertise in dysphagia. One group analyzed the FEES video alone and the other group analyzed the CSE video alone. No consistent agreement was found between the CSE and FEES raters regarding pharyngeal and laryngeal anatomy and physiology, bolus flow characteristics, and oral diet recommendations. Results: There was also no consensus on the need for instrumental testing. Watching the CSE video alone prevented expert SLPs who use a CSE from determining pharyngeal and laryngeal anatomy and physiology, bolus flow characteristics, silent aspiration, and making informed diet recommendations and intervention strategies. Watching the FEES video alone allowed expert SLPs who use FEES to determine pharyngeal and laryngeal anatomy and physiology and bolus flow characteristics and make evidence-based oral diet recommendations. Discussion: A CSE does not have good clinical utility for determining pharyngeal dysphagia. The consequences of these results will be discussed.

scholarly journals The relation between aspiration and oropharyngeal components of swallowing in Amyotrophic Lateral Sclerosis (ALS)

2018 ◽  
Author(s):  
Bárbara Cardoso Miranda ◽  
Lucia Figueiredo Mourao ◽  
Daniela Pinheiro Lima
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Outpatient Clinic ◽  
Moderate Correlation ◽  
Swallowing Evaluation ◽  
Clinical Swallowing Evaluation ◽  
Pharyngeal Function ◽  
Lateral Sclerosis

The aim of this study is to examine the relation between aspiration and oral and pharyngeal components of swallowing in patients with ALS. 19 participants diagnosed with ALS followed in outpatient clinic at HC-Unicamp, the patients were underwent to a clinical swallowing evaluation (indirect and direct) and modified barium swallowing evaluation. Results: 63.2% of the participants showed aspiration. Oral escape in the interlabial region with no progression to the anterior lip, slow/weak movement during bolus transport and decreased the wave of the pharyngeal contraction were observed. And also, the results showed positive and moderate correlation between the presence of aspiration and pharyngeal wave pharyngeal function instead of oral phase.

Swallowing Evaluation by Estimating Bolus Velocity Changes due to Different Viscosities

2020 ◽  
Author(s):  
Takato Matsuzaki ◽  
Yutaka Suzuki ◽  
Morimasa Tanimoto ◽  
Keisuke Masuyama ◽  
Masashi Osano ◽  
...  
Keyword(s):  
Swallowing Evaluation ◽  
Velocity Changes

scholarly journals The accuracy of the bedside swallowing evaluation for detecting aspiration in survivors of acute respiratory failure

2017 ◽  
Vol 39 ◽  
pp. 143-148 ◽  
Author(s):  
Ylinne T. Lynch ◽  
Brendan J. Clark ◽  
Madison Macht ◽  
S. David White ◽  
Heather Taylor ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Swallowing Evaluation
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