Videofluoroscopic Swallow Study and Dysphagia

Powerful Essays
Running head: VIDEOFLUOROSCOPIC SWALLOW STUDY

The Videofluoroscopic Swallow Study and Dysphagia

The Videofluoroscopic Swallow Study and Dysphagia
The videofluoroscopic evaluation of swallowing, also known as the modified barium swallow, is considered to be the “gold standard” in the identification and evaluation of dysphagia (McMullough, Wertz, Rosenbek, & Dinneen, 1999). According to Wilcox, Liss, and Siegel (1996) “the procedure incorporates a set of modifications in bolus size, texture, patient positioning, and radiographic focus to facilitate optimum visualization of the oral-pharyngeal-laryngeal structures and their function during swallowing” (pg. 144). The Speech-Language Pathologist utilizes radiographic, or X-ray technology, to visualize the structure and function of the swallow.
The American Speech-Language-Hearing Association (ASHA) reports that the videofluoroscopic swallow study is the primary diagnostic tool utilized by Speech-Language Pathologist’s in dysphagia (2004). Although no one professional is attributed to the development of the procedure, Jeri A. Logemann has been one of the primary professionals in the development and delivery of this procedure (Logemann, 1994).
According to the American Speech-Language-Hearing Association (2004) the prevalence of swallowing disorders in individuals 50 years and older is up to 22%. The videofluoroscopic swallow study (VFSS) is used with infants, children, and adults who demonstrate characteristics of a swallowing disorder (2004). The VFSS has been effective in identifying both aspiration and silent aspiration in patients with nasopharyngeal cancer (Chang et al., 2003). In a class three, cross-sectional case study Chang et al. reported that the VFSS was effective in identifying silent aspiration in 96.8% (60/62) of patients (2003). According to the class two clinical study performed by O 'Neil-Pirozzi, Lisiecki, Momose, Connors, and Milliner (2003), the modified barium swallow (MBS) test was



References: American Speech-Language-Hearing Association (2001). Code of Ethics (revised). ASHA Supplement, 23, pp. 13-15. American Speech-Language-Hearing Association (2001) American Speech-Language-Hearing Association (2004). Knowledge and skills needed by speech-language pathologists performing videofluoroscopic swallowing studies. ASHA Supplement 24, 178-183. American Speech-Language-Hearing Association Aviv, J. E., Sataoloff, R. T., Cohen, M., Spitzer, J., Ma, G., Bhayani, R., et al. (2001). Cost-effectiveness of two types of dysphagia care in head and neck cancer: a preliminary report- brief article. Ear, Nose, and Throat Journal, 1-4. Chang, Y Shelley, G. L. (1995). Is this an ethical dilemma? must we have a MSS on every dysphagia patient? a possible solution... American Speech-Language-Hearing Association, 4(3), 19-20. Stoeckli, S Wilcox, F., & Liss, J. M., Siegel, G.M. (1996). Interjudge agreement in videofluoroscopic studies of swallowing. Journal of Speech and Hearing Research, 39, 144-152.

You May Also Find These Documents Helpful

  • Better Essays

    Case Study Dysphagia

    • 916 Words
    • 4 Pages

    Dysphagia Case Study Dysphagia is a condition when a person has difficulty swallowing food or liquids. “Dysphagia may also be associated with pain. In some cases, swallowing may be impossible. Occasional difficulty swallowing, which may occur when you eat too fast or don't chew your food well enough, usually isn't cause for concern. But persistent dysphagia may indicate a serious medical condition requiring treatment”(Mayo1). Depending on what is causing the swallowing problem will determine the…

    • 916 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Essay On Dysphagia

    • 462 Words
    • 2 Pages

    Although the term “dysphagia” is often regarded as a symptom or sign, it can be used to describe a medical condition in its own right. Many people that suffer from dysphagia are unaware of it – in such cases, it may go undiagnosed and untreated. This raises the risk of aspiration pneumonia, a serious lung infection that can develop after the accidental inhalation of saliva or food particles. Undiagnosed dysphagia may also lead to dehydration and malnutrition. A physical examination and a variety…

    • 462 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Dysphagia In Nursing

    • 637 Words
    • 3 Pages

    Having difficulty swallowing can make each day feel like an eternity. Dysphagia, a problem most of us will not have to experience in our life time, that of not being able to eat or drink due to difficulty swallowing, but for those who have experienced a debilitating illness or trauma know all too well what that experience is like. Dysphagia occurs after damage to the sensory function of the muscles or nerves in the throat. Dysphagia can occur due to several reasons such as stroke, brain/spinal cord…

    • 637 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Swallow

    • 900 Words
    • 4 Pages

    Marianne Rallyo TGE 4 Midterm Paper 29 October 2012 Swallow by Thosapol Boriboon and Inday Vargas by Ahmed Parfan Are you one of those people who loves art so much that you could spend hours studying, criticizing and complimenting it? Well, I certainly am not one of them. It is not because I hate art, but because I am simply uninterested. However, if I am to visit a museum, art can grasp my attention for a short amount of time, but I lose interest when I am not obliged to view them anymore…

    • 900 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Causes Of Dysphagia

    • 646 Words
    • 3 Pages

    \section{What can cause dysphagia} There are different causes for dysphagia that can be classified in three categories : neurological, structural and mechanical, and the neck or head condition \cite{clave}, \cite{paper5}, \cite{cook}, \cite{clave2}. \subsection{Patients with neurological diseases:} Neurological diseases can cause dysphagia because muscles involved in the swallowing process are less controllable by the brain. Moreover, the sensors that should detect the bolus in the pathway, may…

    • 646 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Barium Swallow Case Study

    • 636 Words
    • 3 Pages

    The video that I observed was an adult that was given a modified barium swallow (MBS). The adult was given thin liquids to complete the MBS. The MBS observes all stages of swallowing. The oral preparatory stage of swallowing was not clearly observed in the video. However, the oral transport, pharyngeal, and esophageal stages of swallowing were observed. During the oral transport stage, the tongue forms a groove that pushes the bolus posteriorly. However, it was observed that the patient's tongue…

    • 636 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Dysphagia Research Paper

    • 1029 Words
    • 5 Pages

    Dysphagia is a term that covers the broad spectrum of swallowing disorders. These disorders are conditions that effect the swallowing process within children and adults, rendering them defenseless not only physically but emotionally. Swallowing disorders can occur in different stages of the swallowing process such as: the oral phrase, pharyngeal phase, esophageal phase. Regardless of the phase the disorders have developed, symptoms include coughing during or right after eating or drinking, recurring…

    • 1029 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Hard to Swallow

    • 739 Words
    • 3 Pages

    Hard to swallow The play" Hard to Swallow" telling the tragic story of young Catharine Dunbar. Catherine Dunbar, who suffers from anorexia, stopped eating when she was about 15 years old and died, after a long and hard period of pain and suffering, when she was about 23 years old. Who or what facts are responsible for Catherine's anorexia? Is it her fathers' attitude? The mothers' approach? The medical authorities? Herself? From my view it is the fault of many events, and not just…

    • 739 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Swallows of Kabul

    • 931 Words
    • 4 Pages

    cruelty against the people in Kabul. The Taliban’s acts are limitless, especially towards the women of Kabul. From the public executions, mistreatment of women, and their strict laws, they show no remorse, which demonstrated true cruelty. In the novel Swallows of Kabul by Yasmina Khadra some truly experience cruelty more than others. Whether being the one treated cruel of treating others cruel, the Taliban, women, and Kabul in general experience cruelty in everyday life. The Taliban is taking over Kabul…

    • 931 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Swallow the Air

    • 486 Words
    • 2 Pages

    The opening line of swallow the air draws into Mays quest with its controversial and worry-some tone "I remember the day I found out my mother was head sick" In the same paragraph we see Tara using strong emotive language in an attempt to make us sympathise with her mother "Mums sad emerald eyes bled through her black canvas and tortured willow hair." Just from these few lines at the beginning of the story we are already alerted to the profound problems surrounding May, penetrating her security.…

    • 486 Words
    • 2 Pages
    Good Essays