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Special Interest Group 13 - Swallowing and Swallowing Disorders (Dysphagia)

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Palliative Care Perspective on Dysphagia Management
Format(s): SIG Perspectives and Exam
These Perspectives (SIG 13) presents clinicians with information across many aspects of feeding and swallowing. Firstly Kendrea Garand, Taylor Thomas, and Rajarshi Dey discuss the physiology of laterality in the clearance of boluses from the pharynx. Next, Jennifer Wilson, Amanda Simmons, and Jillian McCarthy then take us through an interesting description of speech-language pathologists’ experiences and education in pediatric dysphagia and encourage the incorporation of intensive education in this high-risk topic, via various avenues. In the final three articles, Pamela Smith, Jinxu Bridget Xia, and Claire Radford et al., present an in-depth and elaborate perspective on managing patients with dysphagia through a palliative care lens, across the lifespan.
Dysphagia and Continuum of Care
Format(s): SIG Perspectives and Exam
These Perspectives (SIG 13) include a variety of topics in dysphagia across the age continuum and across the many settings that speech-language pathologists (SLPs) address dysphagia. Parker Huston, Robert Dempster, and Lauren Garbacz provide readers with an overview of common evidence-based psychological techniques used in the treatment of adolescents with feeding disorders, including motivational interviewing and cognitive behavioral techniques. The goal of this paper is to provide a high-level overview of these concepts so that providers outside of psychology may utilize some of these techniques in therapy, when referral to a behavioral specialist or psychologist is not feasible. Next, authors Lauren Madhoun and Robert Dempster discuss the psychosocial aspects of feeding in the neonatal intensive care unit NICU and immediately following NICU discharge. Joanne Patterson extends the discussion to the adult population by describing a biopsychosocial intervention that combines cognitive behavioral with dysphagia therapy, termed Cognitive-Behavioral Enhanced Swallowing Therapy (CB-EST) and its application in managing head and neck cancer patients with dysphagia. Finally, authors Kortney Eng, Maria Jose Flores, Elisabeth Gerrity, Nupur Sinha, Katherine Imbeau, Laddie Erbele, and Cary Yeh share details from their study investigating the effect of high-flow nasal cannula (HFNC) on swallow physiology in healthy adults. We hope these articles will be of significant value to practicing clinicians and to students learning about dysphagia.
Assessment and Treatment Approaches for Dysphagia Management Across the Lifespan
Format(s): SIG Perspectives and Exam
These Perspectives (SIG 13) articles present clinicians with useful information to help assess and treat feeding and swallowing disorders in a variety of patient populations across the lifespan. Daniel Croake and Vrushali Angadi provide an overview of evidence regarding prophylactic and reactive gastrostomy tubes in individuals with head and neck cancer, to better facilitate joint decision-making of percutaneous gastrostomy (PEG) tube timing with the patient and care team. Hema Desai and Audrey Lim extend the discussion to pediatric dysphagia by summarizing the application of neurobehavioral interventions as part of feeding treatment for infants with congenital heart defects.
Neuromuscular Electrical Stimulation and Other Topics in Dysphagia SIG 13
Format(s): SIG Perspectives and Exam
These Perspectives (SIG 13) articles review the functional anatomy underlying different pharyngeal swallow mechanics and swallowing performance goals, discuss the application of neuromuscular electrical stimulation in the treatment of dysphagia, and provide critical information to help clinicians build assessment skills and provide evidence-based options for mothers who breastfeed their infants.
High-Resolution Pharyngeal Manometry in Dysphagia SIG 13
Format(s): SIG Perspectives and Exam
These Perspectives (SIG 13) articles discuss the use of high-resolution pharyngeal manometry in the assessment and treatment of dysphagia in pediatrics and adults. Additionally, we present an educational piece discussing considerations in clinical decision-making concerning the initiation of safe oral alimentation in patients on high-flow nasal cannula.
Perspectives, SIG 13, Vol. 3, Part 4, 2018
Format(s): SIG Perspectives and Exam
This collection of articles reviews and presents current evidence related to novel treatment approaches in dysphagia management across the lifespan. Georgia Malandraki and Kate Hutcheson begin by providing clinicians with an overview of intensive dysphagia therapy programs; more specifically the Intensive Dysphagia Rehabilitation (IDR) approach and the MD Anderson Swallowing Boot Camp protocol for patients with neurogenic dysphagia and dysphagia after treatment for head and neck cancer (HNC) respectively. Next, Maggie-Lee Huckabee and Emma Burnip summarize the conceptual basis for skill training in dysphagia management and review the existing evidence to support its clinical application. Finally, Emily Zimmerman and Kelsey Thompson extend the discussion to the pediatric population and provide a detailed review of new technologies used for dysphagia management in infants, along with their current evidence collection of articles primarily focused on the evidence-based use of screening techniques to identify swallowing disorders in patients with a variety of medical diagnoses.
Perspectives, SIG 13, Vol. 3, Part 3, 2018
Format(s): SIG Perspectives and Exam
Authors Carmin Bartow, Nina Collins, Eugene Kopp, and Oscar Guillamondegui discuss the goals, development, and benefits of a multidisciplinary tracheostomy team in the acute care setting, while highlighting the role of the speech-language pathologist as an integral member of this team. Next, authors Arwen Jackson, Shaunda Harendt and Christopher Baker provide a review of existing evidence and propose a model of collaborative decision-making to guide clinicians managing swallowing disorders in children with tracheostomies. Further, authors Allison Holman, Gemma Clunie, Justin Roe, and Tessa Goldsmith describe the nature of laryngotracheal stenosis in adults as well as the diagnosis and management options for dysphagia in this population following surgery. Lastly, authors Steven Leder and Heather Warner investigate if clinicians are using evidence from the literature to guide clinical bedside swallow examinations (CSE) by comparing ratings of the exact same swallows from simultaneously recorded CSE and fiberoptic endoscopic evaluation of swallowing assessments.
Perspectives, SIG 13, Vol. 3, Part 2, 2018
Format(s): SIG Perspectives and Exam
This collection of articles primarily focused on the evidence-based use of screening techniques to identify swallowing disorders in patients with a variety of medical diagnoses. Kara Maharay and Kelly Salmon reviewed specific dysphagia screening tools for the neurologic population and provided readers with tips for implementing a screening protocol for patients with acute stroke, with a focus on multidisciplinary collaboration. Next, Joy Gaziano and Stephanie Watts provided an overview of the utility of screening for esophageal impairments during videofluoroscopic swallow studies. Mario Alberto Landera, Donna S. Lundy, and Amanda Demane extended the discussion by describing key considerations for speech-language pathologists (SLPs) managing dysphagia in patients with head and neck cancers and the importance of SLP participation in the multidisciplinary head and neck tumor board. Finally, Debra Suiter provided clinicians with an overview of some of the challenges and controversies associated with current dysphagia screening tools.
Perspectives, SIG 13, Vol. 3, Part 1, 2018
Format(s): SIG Perspectives and Exam
The five articles presented in Part 1 elaborated on several vital issues within the topic of dysphagia. Authors Jessica Zarzour, Loretta Johnson, and Cheri Canon discussed strategies to employ to minimize clinician and patient exposure to radiation during a fluoroscopic evaluation of the swallow. In the second article, authors Tsega Temtem and Mark Corkins educated the audience on the development and function of the gastrointestinal tract and the mechanism of digestion of foods into nutrients and waste. Next, author Adele Evans presented an extraordinary perspective of the laryngeal system focusing on the differences between the infant and adult laryngeal anatomy and its subsequent impact on laryngeal function. The application of the popular Ice Chip Protocol and the concept of safe aspiration are discussed by authors Susan Langmore and Jessica Pisegna. Lastly, authors Jamie Mahurin-Smith and Catherine Genna comprehensively highlighted the importance of providing competent assistance to breastfeeding mothers.
Perspectives, SIG 13, Vol. 2, Part 4, 2017
Format(s): SIG Perspectives and Exam
Angela Malek, Kendrea Garand, and John Luque provided a concise overview of the different types of clinical research study designs using examples from the swallowing literature. Joanne Patterson and Camilla Dawson extended the discussion by providing us with tips and tools to critically appraise qualitative literature. Further, Dr. Katherine Hutcheson provided an overview of the basic steps to translate a clinical question into a research question and discussed practical considerations for planning a research study. Dr. Bonnie Martin Harris, Dr. Kendrea Garand, and Dr. Kate Humphries presented a thorough review of the innovation, dissemination and implementation of the Modified Barium Swallow Impairment Profile (MBSImP©TM) for clinicians. Finally, Clare Burns and Laurelie Wall discussed key considerations for speech-language pathologists to use telepractice services in the management of patients with head and neck cancer.

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