Dysphagia: Gelatin-Based Desserts, Thickening, and Amyotrophic Lateral Sclerosis
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Dysphagia: Gelatin-Based Desserts, Thickening, and Amyotrophic Lateral Sclerosis
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These SIG 13 articles underscore the importance of being up to date of dysphagia
intervention as the diagnosis has many complexities in assessment and treatment.
Larsen et al. surmise that current characteristics and physiological rationale may
overestimate the skills required for gelatin-based desserts and inappropriately classify
them as nontransitional foods. Therefore, as with all products, individual gelatin-based
desserts should be tested at the time of presentation to the patient. Mancopes et al.
discuss the importance of strategies for facilitating safe and functional bottle feeding in
children with dysphagia include selecting nipples that reduce flow rate, pacing, altered
positioning, and thickening liquid consistencies. Their study aims to determine the
impact of slightly thick liquids on swallowing through retrospective review of a
convenience sample of clinical videofluoroscopies (VFSS) from 60 bottle-fed children (21
male, mean age 9.9 months) referred due to suspected aspiration. Garand et al. perform
a retrospective analysis of persons with amyotrophic lateral sclerosis using modified
barium swallow studies and recommend use of functional scales to help evaluate and
treat this special population.
Learning
Outcomes
You
will be able to:
- complete International Dysphagia Diet Standardisation Initiative testing with
gelatin-based products in clinical settings
- describe the effect of slightly thick liquids on rates of penetration in bottle-fed
children
- list two clinical assessment tools to document amyotrophic lateral sclerosis
severity
Assessment Type
Self-assessment—Think about what you learned and
report on the Completion Form how you will use your new knowledge.
Articles in This
Course
- Characterizing Gelatin-Based Desserts Using International Dysphagia Diet
Standardisation Initiative Testing Methods by Deirdre Larsen, Mathew Vansant, and
Meghan Eisenhardt, published in SIG 13, Published online December 20, 2023
- The Effectiveness of Slightly Thick Liquids for Improving Swallowing in Bottle-Fed
Children With Aerodigestive Concerns by Renata Mancopes, Cheryl J. Hersh, Rebecca
Baars, Vanessa Panes, Jessica Sorbo, Danielle Sutton, Melanie Peladeau-Pigeon, Mary
S. Fracchia, and Catriona M. Steele, published in SIG 13, Published online December 15, 2023
- Linking Oropharyngeal Swallowing Physiology and Functional Clinical Predictors in
Amyotrophic Lateral Sclerosis by Kendrea L. (Focht) Garand, Angela M. Malek, and
Kevin Renz Ambrocio, published in
SIG 13, Published online December 12, 2023
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