Variability of Swallowing Physiology in Infants with Feeding Difficulties

Variability of Swallowing Physiology in Infants with Feeding Difficulties PDF 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

Variability of Swallowing Physiology in Infants with Feeding Difficulties

Variability of Swallowing Physiology in Infants with Feeding Difficulties PDF 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

Pediatric Swallowing and Feeding

Pediatric Swallowing and Feeding PDF 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

Disorders of Feeding and Swallowing in Infants and Children

Disorders of Feeding and Swallowing in Infants and Children PDF 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

Pediatric Dysphagia Resource Guide

Pediatric Dysphagia Resource Guide PDF Author: Kelly Dailey Hall
Publisher: Singular
ISBN:
Category : Language Arts & Disciplines
Languages : en
Pages : 252

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Book Description
This guide presents up-to-date, pertinent information on pediatric dysphagia, condensed into an accessible guide for speech-language pathologists working with children with swallowing disorders. It covers information regarding normal aspects of neurodevelopment, oral-motor feeding skills, and anatomy/physiology of swallowing. Case studies, charts, graph, indexes, and reproducible forms are especially helpful for the new speech-language pathology graduate.

Feeding and Swallowing Disorders in Infancy

Feeding and Swallowing Disorders in Infancy PDF 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.

Dysphagia Evaluation and Treatment

Dysphagia Evaluation and Treatment PDF Author: Eiichi Saitoh
Publisher: Springer
ISBN: 9811050325
Category : Medical
Languages : en
Pages : 207

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Book Description
This book presents a comprehensive approach to treating dysphagia that has been successfully applied in actual rehabilitation settings. Its main purposes are firstly to equip readers with a strong conceptual understanding of swallowing evaluation and treatment, secondly to provide guidance on the procedure of practical comprehensive dysphagia rehabilitation in real-world settings, and thirdly to update readers on the latest diagnostic and treatment technologies. To do so, it employs the concept of swallowing rehabilitation pioneered at Fujita Health University Rehabilitation. The book is divided into 4 major sections, the first of which introduces readers to the general aspects and the principle of deglutition. In turn, Part II offers clinical approaches to both non-instrumental and instrumental evaluation of swallowing. Part III addresses treatment options in swallowing rehabilitation, especially exercises based on motor learning. Lastly, Part IV highlights three clinical cases demonstrating clinical approaches in dysphagic patients. Readers will find this text useful both as an initial guide and a reference work for assisting clinicians, allowing them to further expand swallowing assessment and treatment, and facilitating the development of swallowing rehabilitation in real-world settings in education and rehabilitation.

Neurogenic Dysphagia

Neurogenic Dysphagia PDF Author: Tobias Warnecke
Publisher: Springer Nature
ISBN: 3030421406
Category : Medical
Languages : en
Pages : 416

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Book Description
This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Dysphagia - E-Book

Dysphagia - E-Book PDF Author: Michael E. Groher
Publisher: Elsevier Health Sciences
ISBN: 0323187021
Category : Medical
Languages : en
Pages : 352

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Book Description
Develop the understanding and clinical reasoning skills you’ll need to confidently manage dysphagia in professional practice! This logically organized, evidence-based resource reflects the latest advancements in dysphagia in an approachable, student-friendly manner to help you master the clinical evaluation and diagnostic decision-making processes. Realistic case scenarios, detailed review questions, and up-to-date coverage of current testing procedures and issues in pediatric development prepare you for the conditions you’ll face in the clinical setting and provide an unparalleled foundation for professional success. Comprehensive coverage addresses the full spectrum of dysphagia to strengthen your clinical evaluation and diagnostic decision-making skills. Logical, user-friendly organization incorporates chapter outlines, learning objectives, case histories, and chapter summaries to reinforce understanding and create a more efficient learning experience. Clinically relevant case examples and critical thinking questions throughout the text help you prepare for the clinical setting and strengthen your decision-making skills. Companion Evolve Resources website clarifies key diagnostic procedures with detailed video clips.

Dysphagia

Dysphagia PDF Author: Julie A. Y. Cichero
Publisher: John Wiley & Sons
ISBN: 047002917X
Category : Medical
Languages : en
Pages : 580

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Book Description
This book offers a concise, readable explanation of the theory of dysphagia and bridges that with material on clinical application. Covering both adult and paediatric swallowing assessment, treatment and management, the book will provide clinicians with common clinical presentations of dysphagia and a framework for a problem based learning approach.

Preterm Birth

Preterm Birth PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030910159X
Category : Medical
Languages : en
Pages : 791

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Book Description
The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.