Folia Phoniatrica et Logopaedica

 

Videofluoroscopic Evaluation in the Assessment of Swallowing Disorders in Paediatric and Adult Populations

O’Donoghue S.a · Bagnall A.b

Author affiliations

aDepartment of Speech and Language Therapy, Charing Cross Hospital, and bDepartment of Speech and Language Therapy, Hammersmith Hospital, London, UK

Keywords: AssessmentVideofluoroscopyDysphagia protocolPaediatrics

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Folia Phoniatr Logop 1999;51:158–171
https://doi.org/10.1159/000021494

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: July 30, 1999
Issue release date: July – October

Number of Print Pages: 14
Number of Figures: 0
Number of Tables: 0

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: https://www.karger.com/FPL

Abstract

Videofluoroscopic swallow studies (VFSS) are often considered the ‘gold standard’ technique to assess dysphagia. Despite this status, unanimous agreement has not been reached regarding the protocol for this procedure. Review of the literature reveals two main schools of thought. The first advocates a uniform, standardised protocol used with all patients. The second argues for functional, tailor-made studies, which aim to elicit a sample of swallowing representative of typical feeding patterns. This paper reviews the literature on VFSS methodology and evaluates the applicability of protocols to the paediatric population. Broadly speaking, adult protocols tend towards uniform procedures, whereas paediatric studies aim to be more individualised and tailor-made. Clinical recommendations based upon VFSS are examined in the light of validity and reliability issues. The need for standardisation of the VFSS procedure is highlighted. The question is raised whether it is possible to achieve uniformity and consistency between clinicians and still perform patient-centered, tailor-made VFSSs, which are truly representative of a patient’s swallow function. It is revealed that dysphagia specialists should achieve greater consistency in the VFSS procedure before claiming to be implementing a ‘gold standard’ technique.



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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: July 30, 1999
Issue release date: July – October

Number of Print Pages: 14
Number of Figures: 0
Number of Tables: 0

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: https://www.karger.com/FPL

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1999, Vol.51, No. 4-5

July – October

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