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Speech-language pathology managers’ perceptions of a videofluoroscopic swallow study eLearning programme to support training and service delivery ...
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Speech-language pathology managers’ perceptions of a videofluoroscopic swallow study eLearning programme to support training and service delivery ...
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Speech-language pathology managers’ perceptions of a videofluoroscopic swallow study eLearning programme to support training and service delivery ...
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Speech language therapy services for children in Small Island Developing States – the situation in the Maldives
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Client perspectives on living with dysphagia in the community
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Clinical reasoning and hypothesis generation in expert clinical swallowing examinations
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Knowing the costs of change: an introduction to health economic analyses and considerations for their use in implementation research
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Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice
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Speech-language pathology managers’ perceptions of a videofluoroscopic swallow study eLearning programme to support training and service delivery
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Patient perceptions of living with head and neck lymphoedema and the impacts to swallowing, voice and speech function
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Practices, knowledge and inter‐professional relationships between speech pathologists and radiation therapists managing patients with head and neck cancer
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Elizabeth Usher memorial lecture: Expanding scope of practice - inspiring practice change and raising new considerations
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Telepractice for the delivery of pediatric feeding services: A survey of practice investigating clinician perceptions and current service models in Australia
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Impact of carbonation on neurogenic dysphagia and an exploration of the clinical predictors of a response to carbonation
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Abstract:
Background: The need for effective compensatory strategies in neurogenic dysphagia management has led to the exploration of sensory enhancement strategies (SES), such as carbonated liquids. Despite some positive findings, evidence related to the efficacy of carbonation as an SES is limited. Aims: To determine if carbonated thin liquids reduced dysphagia symptoms and to explore clinical factors associated with response to carbonation. Methods & Procedures: Participants (n = 29) with neurogenic dysphagia demonstrating deep penetration or aspiration on thin liquids during videofluoroscopic swallow studies (VFSS) completed a set protocol: discrete sips of non-carbonated thin fluids (DS-NC) followed by discrete sips of carbonated thin fluids (DS-C) and then consecutive sips of carbonated fluids (CS-C). The impact of carbonation was identified through changes to swallow physiology (videofluoroscopy dysphagia scale—VDS) and depth of airway compromise (penetration-aspiration scale—PAS). Demographic variables including genetic taste type, cranial nerve function and key results from the VDS were examined for association with carbonation response using both individual parameter analysis and exploratory cluster analysis. Outcomes & Results: Significant (p < 0.05) improvements in PAS scores were noted in DS-C and CS-C conditions compared with DS-NC. Total VDS score was also significantly (p < 0.05) reduced (i.e., improved function) in the DS-NC condition. Individual variability in response to carbonation was noted and no clear clinical factors associated with carbonation response in the current set of parameters were identified. Conclusion & Implications: Findings support that carbonated thin fluids sometimes result in neurogenic dysphagia symptom reduction. However, identifying the clinical characteristics of patients who may benefit from trials of carbonation needs further investigation.
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Keyword:
1203 Language and Linguistics; 3310 Linguistics and Language; 3616 Speech and Hearing; aspiration; carbonated beverages; deglutination disorders; dysphagia; predictors
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URL: https://espace.library.uq.edu.au/view/UQ:88dc69b
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Dysphagia care for adults in the community setting commands a different approach: perspectives of speech–language therapists
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An investigation of taste intensity, palatability, effervescence, and sip volumes of carbonated liquid stimuli for use in videofluoroscopic studies
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Speech and language therapists’ reflections on developing and maintaining confidence in tracheoesophageal speech rehabilitation
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Delegation models in dysphagia management: current policy, clinical perceptions and practice patterns
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Impact of thermo-tactile stimulation on the speed and efficiency of swallowing: A systematic review
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