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Author: Joan C. Arvedson
Publisher:
ISBN: 9780979924538
Category : Deglutition disorders in children
Languages : en
Pages : 130
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Book Description
Developed in order to give the reader an opportunity to gain experience in reading radiographic swallow studies, in order to improve and test one's skills with infants and children, through the use of the manual in conjunction with the 25 swallowing studies on the DVD.
Author: Joan C. Arvedson
Publisher:
ISBN: 9780979924538
Category : Deglutition disorders in children
Languages : en
Pages : 130
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Book Description
Developed in order to give the reader an opportunity to gain experience in reading radiographic swallow studies, in order to improve and test one's skills with infants and children, through the use of the manual in conjunction with the 25 swallowing studies on the DVD.
Author: Joan C. Arvedson
Publisher: Communication Skill Builders/Therapy Skill Builders
ISBN: 9780761632283
Category : Children
Languages : en
Pages : 0
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Book Description
Focuses on videofluoroscopic studies in children and reviews a child's anatomy and motor development as they relate to feeding. The text gives a brief history of the modified barium swallow study, outlines the phases of swallowing and anatomic differences between infants and adults, and lists the reasons why most adult studies are not applicable to paediatrics. Using illustrations and tables, the authors describe the procedures for conducting a videofluoroscopic swallow study (VFSS) in infants and older children, discuss interpretation of results and define needs for future research. It also presents guidelines for referring clients for videofluoroscopic studies and describes the procedure.
Author: Joan C. Arvedson
Publisher: Plural Publishing
ISBN: 1944883525
Category : Medical
Languages : en
Pages : 619
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Book Description
Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York
Author: J. Scott McMurray
Publisher: Springer Nature
ISBN: 3030261913
Category : Medical
Languages : en
Pages : 511
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Book Description
This text provides a comprehensive review of the assessment and management of pediatric voice and swallow disorders from the perspectives of both the pediatric laryngologist as well as the speech-language pathologist whose collaboration is critical to effective clinical care. All chapters are written by experts in dual fields and formatted to present a straightforward approach to diagnosing and managing each disorder, including descriptions of relevant operative interventions. Multiple intraoperative photographs and illustrations depicting how to perform each surgical procedure are also included. Multidisciplinary Management of Pediatric Voice and Swallowing Disorders will serve as a useful step-by-step guide and resource not only for otolaryngologists and speech-language pathologists, but all members of the pediatric aerodigestive team and other providers caring for children affected by voice and swallowing disorders.
Author: Isuru Dharmarathna
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Swallowing, as one of the critical life-skills for newborn infants and brain-developing children, is one of the most complex physiological mechanisms involving the upper aerodigestive system. Due to increased survival rates of infants with complex medical etiologies, prematurity, and severe disabilities, the prevalence of infants and children diagnosed with swallowing disorders is rising. Videofluoroscopic study of swallowing (VFSS) provides visualization of oral, pharyngeal, and esophageal phases of swallowing, as well as airway during swallowing. It is one of the most common instrumental swallowing assessment tools. However, the current practice of pediatric VFSS is non-standardized and subjective, both in choice of the administration protocol and in the assessment of recorded images, resulting in limited reliability and credibility. Given that VFSS entails radiation exposure and is an expensive instrumental assessment, we believe it should be optimized to obtain maximal clinically significant information on swallowing biomechanics in children. In this thesis, we obtained objective quantitative VFSS measures in a large cohort of children from 0-21 years (n=553). Our aims were to (1) study the potential of these measures to determine the risk of swallow impairments in children such as penetration-aspiration and post-swallow residue, (2) provide clinicians with threshold scores/ reference values of objective quantitative swallow measures to identify children at risk of swallowing impairments and (3) develop a standard protocol of objective quantitative swallow measures for children, which will aid objective VFSS interpretation in children. We identified vital measures including bolus clearance ratio (BCR), pharyngeal constriction ratio (PCR), total pharyngeal transit time (TPT), coordination of airway closure with bolus transit (BP1AEcl), maximum opening of PES during a swallow (PESmax) and duration to maximum hyoid elevation (Hdur) to describe swallow biomechanics with satisfactory rater-reliability. The protocol for objective interpretation of pediatric VFSS will aid clinicians in describing swallow biomechanics in children. Further, the threshold scores can be used to identify children at risk that will require closer observation and potential intervention before sequelae of swallow impairments are seen. Through utilizing VFSS to its full potential, meaningful comparison of swallowing skills over time and treatment effects can be made and will lead to clinicians offering more individualized treatment for children with swallowing disorders.
Author: Julina Ongkasuwan
Publisher: Springer
ISBN: 3319970259
Category : Medical
Languages : en
Pages : 314
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Book Description
Pediatric dysphagia is a clinical problem that crosses disciplines. Children may be seen by numerous medical specialties including pediatric otolaryngology, gastroenterology, pulmonology, speech pathology, occupational therapy, and lactation consultants. The myriad approaches to the diagnosis and management of dysphagia is confusing for both clinicians and families; resulting in recurrent trips to medical professionals. Feeding is integral to socialization and to bonding between infants and parents. Disruptions in feeding development can be extremely taxing emotionally and economically for families. Children with dysphagia are some of the most challenging patients even for clinicians who specialize in their care. This text provides the reader with a comprehensive understanding of swallowing and presents a practical, evidence-based approach to the diagnosis and management of swallowing difficulties in children. It also highlights particular clinical challenges and controversies in the management of pediatric dysphagia. It is unique in that it incorporates the perspectives of multiple types of clinicians that care for these patients including otolaryngologists, gastroenterologists, pulmonologists, speech pathologists, occupational therapists and lactation consultants. In doing so, this text will encourage cross-specialty pollination of ideas and knowledge as well as stimulate further research in the field. Part 1 of the text begins with an overview of the anatomy and physiology of swallowing with a focus on normal development as we currently understand it. It also discusses new information regarding reflexive interactions between the larynx and esophagus that potentially influence swallowing. It then moves on to a discussion of the advantages and limitations of currently available diagnostic modalities and highlights current controversies regarding frame rate, radiation exposure, breastfeeding infants, and grading of studies. Additionally, it reviews the current literature regarding medical and behavioral-based therapy options, including thickening options, oromotor therapy, and controversies concerning strict NPO. Part 2 addresses specific diagnoses which can cause or be associated with dysphagia such as prematurity, velopharyngeal insufficiency, ankyloglossia, laryngeal clefts, laryngomalacia, vocal fold paralysis, and cricopharyngeal dysfunction. The text goes on to explore the pathophysiology and treatment options for each. Anatomic, inflammatory, and neuromuscular esophageal causes of dysphagia are also evaluated. In addition, it delves into the impact of craniofacial anomalies, sialorrhea and psychological factors on swallowing. Finally, it discusses how a multidisciplinary aerodigestive team can help streamline multidisciplinary care for individual patients. It will incorporate information pertinent to the different roles, tools and views of a multidisciplinary dysphagia team, including how pediatric otolaryngologists, gastroenterologists, pulmonologists, speech language pathologists, occupational therapists, and dieticians can collaborate to provide optimal evaluation and care of these often challenging patients, especially for those who are at high-risk of complications related to aspiration.
Author: Cyndi Stein-Rubin
Publisher: Taylor & Francis
ISBN: 1040138977
Category : Medical
Languages : en
Pages : 441
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Book Description
Learning to assess speech and language disorders and write diagnostic reports may be an overwhelming experience, especially when most texts don’t cover both topics at once. With that in mind, A Guide to Clinical Assessment and Professional Report Writing in Speech-Language Pathology, Second Edition combines the latest assessment protocols and diagnostic techniques with vital diagnostic report writing tools into a single definitive guide. Cyndi Stein-Rubin, Renee Fabus, and their contributors recognize that clinical assessment is inextricably linked to report writing and have updated this Second Edition to synthesize the two. Following the introductory chapters, which discuss the basics of assessment and report writing, each subsequent chapter focuses on a particular disorder, provides in-depth assessment tools, and presents a corresponding sample report. Key Features: An inventory and explanation of formal and informal assessment measures A glossary of key vocabulary Sample case histories with assessment tools Relevant and useful interview questions Each disorder’s background and characteristics Assessment parameters A differential diagnosis section A model report The accessible format of A Guide to Clinical Assessment and Professional Report Writing in Speech-Language Pathology, Second Edition will help students learn how to assess and document speech and language disorders and will also make for a perfect reference for them as clinicians for years to come.
Author: David N. Tuchman
Publisher: Singular
ISBN:
Category : Language Arts & Disciplines
Languages : en
Pages : 288
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Book Description
Keywords: Occupational Therapy, Occupational Therapist, OT
Author: Laura Fuller
Publisher:
ISBN:
Category : Deglutition disorders in children
Languages : en
Pages : 126
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Book Description
Infants swallow rapidly, increasing the risk that an open airway may coincide with milk transit through the pharynx and result in airway violation. Swallow incoordination is often described in infants with feeding difficulties but it is not known whether this represents pathological incoordination or normal physiologic variability in a developing child. This retrospective study explored the relationship between objective fluoroscopic measures of swallowing variability and aspiration in infants. Methods Videofluoroscopic Swallowing Studies (VFSS) of fifty bottle-feeding infants referred with feeding concerns (aged 5days - 9months) were included. All infants were bottle-fed and recorded mid-feed for a 20-second loop at 30 frames per second. Each swallow in the 20- second loop (n=349 swallows) was analysed using objective digital measures of timing, displacement and coordination (Swallowtail, Belldev Medical, LLC). Measures of swallowing frequency, suck to swallow ratio, residue, regurgitation and penetration-aspiration were obtained. Results Variability in pharyngeal timing and displacement was identified across all infants but did not correlate with aspiration (p>.05). 16 infants (32%) aspirated, however aspiration did not occur on every swallow (rate 10-50% of swallows). Swallowing frequency varied from 1-15 and suck to swallow ratios varied from 1:1-6:1 between infants. More than three sucks per swallow correlated with higher incidence of aspiration (p
Author: Lynn S. Wolf
Publisher: Psychological Corporation
ISBN:
Category : Health & Fitness
Languages : en
Pages : 506
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Book Description
Presents a comprehensive, multidimensional approach to feeding problems. Ms. Wolf and Ms. Glass assist the feeding specialist in acquiring the knowledge and skills to take an active and effective part in the process of assessment and management of infant feeding. James F. Bosma, M.D., says, "This unique book describes the insights and skills in evaluation and care of dysphagic infants that are being demonstrated by a growing number of occupational, physical, and speech therapists and nurses." Book jacket.
