A combined approach to the assessment of neurological dysphagia

Price, Geoffrey J.; Jones, Caroline; Charlton, Rosemary A.; Allen, Christopher

doi:10.1111/j.1365-2273.1987.tb00187.x

Cited by 16 publications

(7 citation statements)

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“…The ''Dysphagia Profile'' [3], developed at Charing Cross Hospital, London, is a means of ranking observations using a 5-point scale. This profile measures eight aspects of swallowing: lip function, tongue function and bolus control; soft palate function; triggering of the swallow reflex; pharyngeal motility, aspiration; cricopharyngeal function; and upper esophageal obstruction.…”

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confidence: 99%

A Study of Interrater Reliability when Using Videofluoroscopy as an Assessment of Swallowing

1998

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Videofluoroscopic assessment of swallowing is widely used in clinical settings. The interpretation of such assessments depends on subjective visual judgments but the reliability of these judgments has been poorly researched. This study measured interrater reliability of judgments, made by speech pathologists, of videofluoroscopic images of subjects swallowing liquid and semisolid boluses. A 5-point rating scale was used in three conditions: individually after careful reading; together with other speech pathologists in group discussion; and individually after the group discussion. Analysis of the ratings for the three conditions revealed that the level of agreement among raters was generally higher for semisolid swallows than for liquid swallows. The highest levels of agreement occurred for ratings made after group discussions. The levels of agreement were lowest when raters worked alone, relying only on reading the scale. Individual rating after group discussion resulted in higher levels of agreement than sole reliance on reading the scale. Factors influencing the levels of interrater agreement, including the timing of observations, bolus consistency, the quality of the image, and the complexity of the task, are discussed.

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confidence: 99%

A Study of Interrater Reliability when Using Videofluoroscopy as an Assessment of Swallowing

1998

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“…Developed from the Charing Cross profile [11], this videofluoroscopy assessment has since evolved to be a guided 4-point rating scale, with established validity and reliability data from studies of experienced clinicians' use of the scale.…”

Section: Teaching and Learning Of Dysphagia And Videofluoroscopymentioning

confidence: 99%

Educational Issues in Teaching Dysphagia to Speech Pathologists

Perry¹

1999

Folia Phoniatr Logop

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This paper examines current practices in teaching speech pathology students dysphagia theory and practice in Australia, with comment and contrast from speech pathology courses in the UK. There is wide diversity in terms of the time allocated to this subject on undergraduate courses, in ways of teaching and achieving clinical practicum in these areas and in evaluating the learning outcomes and competence of students. Against the background of changing work experience in the health sector, where dysphagia increasingly forms a significant proportion of a speech pathologist’s caseload, the challenge for educators is to provide a dynamic, integrated, modern curriculum where dysphagia forms a significant component of the course. This paper examines some of the current educational issues and discusses teaching and learning paradigms in this area.

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“…The SLP is regarded as an important member of the dysphagia team (Jones & Altschuler, 1987;Price et al, 1987).…”

Section: Speec~ Therapy For Dysphagia Management Is Acclaimed In the mentioning

confidence: 99%

“…Emphasis on evaluation of the oropharyngeal dysphagias is due to the fact t~at, at this stage, many more neurological cisorders can be implicated than in esophageal dysphagia (Barrett, Fullerton, Wyatt, & O'Neill, 1987;Kramer, 1988;Silverman & Elfant, 1979). Analysis of impaired swallowing has shown variations of neural organization within individuals whic~ complicates assessment (Groher, 1984;Price, Jones, Charlton, & Allen, 1987).…”

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The preparation and involvement of Oregon speech-language pathologists in dysphagia

Gaynor¹

2000

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Speech-language pathologists (SLPs) have become involved in the evaluation and treatment of swallowing dysfunction, called "dysphagia ."Increasing demand for servicing this disorder has resulted in management by various professionals. Due to their knowledge of the functioning of the larynx, pharynx, and or al cavity, SLPs may be particularly involved.Dysphagia often involves aspiration risks. homes, home health agencies, and private practice. Seventytwo percent of the subjects have been involved with dysphagia management for less than 10 years; 79% treated between 1 and 10 patients for dysphagia the month prior to filling out the questionnaire; and 81% have provided other staff in their settings with in-service on dysphagia.Responses indicated that universities have provided the least amount of preparation for dysphagia. Seventeen subjects specified no university training for dysphagia. All but one noted they had received some training through workshops. The amount of formal university or workshop background for dysphagia management was considerably less than on-the-job training. Eighteen subjects received training at university level, in workshops, and on-the-job.

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A combined approach to the assessment of neurological dysphagia

Cited by 16 publications

References 1 publication

A Study of Interrater Reliability when Using Videofluoroscopy as an Assessment of Swallowing

A Study of Interrater Reliability when Using Videofluoroscopy as an Assessment of Swallowing

Educational Issues in Teaching Dysphagia to Speech Pathologists

The preparation and involvement of Oregon speech-language pathologists in dysphagia

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