Clinical validity of the SWAL-QOL and SWAL-CARE outcome tools with respect to bolus flow measures.


:The aim of this study was to quantify the association between a dysphagia-specific quality of life (SWAL-QOL) and quality of care (SWAL-CARE) questionnaire and four measures of bolus flow. Three hundred eighty-six people with oropharyngeal dysphagia completed a videofluoroscopic examination of their swallowing structure and physiology. They also completed the SWAL-QOL and SWAL-CARE surveys. Measures of bolus flow patterns for each swallow were analyzed from videofluoroscopic recordings and correlated with the SWAL-QOL and SWAL-CARE scale scores. The SWAL-QOL and SWAL-CARE scales were modestly related to the four measures of the bolus flow. The SWAL-QOL and SWAL-CARE were most related to measures of oral transit duration and total swallow duration. The SWAL-QOL and SWAL-CARE scales were least related to pharyngeal transit duration. Results were stronger for semisolid trials than for liquid trials. Results were generally weak for the Penetration Aspiration Scale. For all of the significant relationships, the greater the bolus flow severity, the worse the quality of life. The observed modest correlations suggest that patient-centered quality-of-life measures and clinician-driven bolus flow measures provide distinct yet complementary information about oropharyngeal dysphagia. Both sets of measures should be used in dysphagia effectiveness and outcomes research.






McHorney CA,Martin-Harris B,Robbins J,Rosenbek J




Has Abstract


2006-07-01 00:00:00












  • Dietary management of swallowing disorders.

    abstract::Two major concerns in the dietary management of the dysphagic patient are to maintain adequate nutrition and to ensure safety during oral feeding. Dysphagic patients require modifications of standard hospital diets. Kitchen or nursing staff must remove from standard diet trays solid foods and liquids that pose swallow...


    pub_type: 杂志文章,评审


    authors: Martin AW

    更新日期:1991-01-01 00:00:00

  • Sequential swallowing of liquid in elderly adults: cup or straw?

    abstract::This article describes the study of the characteristics of sequential swallowing of 100 ml of liquid (dyed water) in two swallowing trials, directly from a cup and through a straw, in healthy elderly individuals. The aim of the study was to determine whether differences in the swallowing pattern are influenced by the ...


    pub_type: 杂志文章


    authors: Veiga HP,Fonseca HV,Bianchini EM

    更新日期:2014-04-01 00:00:00

  • Swallowing Disorders in Sjögren's Syndrome: Prevalence, Risk Factors, and Effects on Quality of Life.

    abstract::This epidemiological investigation examined the prevalence, risk factors, and quality-of-life effects of swallowing disorders in Sjögren's syndrome (SS). One hundred and one individuals with primary or secondary SS (94 females, 7 males; mean age 59.4, SD = 14.1) were interviewed regarding the presence, nature, and imp...


    pub_type: 杂志文章


    authors: Pierce JL,Tanner K,Merrill RM,Miller KL,Kendall KA,Roy N

    更新日期:2016-02-01 00:00:00

  • Effects of consistent food presentation on efficiency of eating and nutritive value of food consumed by children with severe neurological impairment.

    abstract::The purpose of this investigation was to determine what implications consistent presentation of food, delivered by an assistive feeding device at a position regarded as optimal, would have for the maintenance of food intake, duration of meals, and efficiency of eating. The trial employed an AB within-subjects design a...


    pub_type: 临床试验,杂志文章


    authors: Pinnington L,Hegarty J

    更新日期:1999-01-01 00:00:00

  • Swallowing apraxia: a disorder of the Praxis system?

    abstract::The purpose of this review is to evaluate the disorder of swallowing apraxia and determine how it fits into the praxis system. Swallowing apraxia, a proposed disorder of lingual, labial, and mandibular coordination, has been observed before bolus transfer during the oral stage of swallowing. Although frequently discus...


    pub_type: 杂志文章


    authors: Daniels SK

    更新日期:2000-07-01 00:00:00

  • Achalasia evolving from segmental aperistalsis.

    abstract::A 17-year-old woman was evaluated for dysphagia. Radiologic study revealed a rigid segment 10 cm long in the midesophagus, which was found to be aperistaltic on manometric evaluation. The rest of the esophagus and the lower esophageal sphincter were manometrically normal. Four years later the patient was seen for eval...


    pub_type: 杂志文章


    authors: Meshkinpour H,Mason RG

    更新日期:1992-01-01 00:00:00

  • A Systematic Review of the Influence of Bolus Characteristics on Respiratory Measures in Healthy Swallowing.

    abstract::There have been a number of studies on the effect of bolus volume, consistency, texture, temperature and taste on the oropharyngeal swallowing physiology. However, its influence on the respiratory function associated with swallow is not well understood. This study aimed at systematically analysing and documenting the ...


    pub_type: 杂志文章,评审


    authors: Krishnan G,Goswami SP,Rangarathnam B

    更新日期:2020-12-01 00:00:00

  • Anterior cervical osteophytes causing dysphagia and dyspnea: an uncommon entity revisited.

    abstract::Large anterior cervical osteophytes can occur in degeneration of the cervical spine or in diffuse idiopathic skeletal hyperostosis (DISH). We present the case of an 83-year-old patient with progressive dysphagia and acute dyspnea, necessitating emergency tracheotomy. Voluminous anterior cervical osteophytes extending ...


    pub_type: 杂志文章


    authors: Giger R,Dulguerov P,Payer M

    更新日期:2006-10-01 00:00:00

  • Potential for Volitional Control of Resting Pressure at the Upper Oesophageal Sphincter in Healthy Individuals.

    abstract::Resting pressure at the upper oesophageal sphincter (UOS) has been reported to be susceptible to factors such as emotional stress or respiration. This exploratory study investigated the potential for behavioural modulation of UOS resting pressure in healthy adults to increase our understanding of volitional control of...


    pub_type: 杂志文章


    authors: Winiker K,Gozdzikowska K,Guiu Hernandez E,Kwong SL,Macrae P,Huckabee ML

    更新日期:2020-06-18 00:00:00

  • Artificial control of glottic adduction for aspiration by orderly recruitment in the canine.

    abstract::Laryngeal adduction for swallowing chiefly involves contraction of the thyroarytenoid and lateral cricoarytenoid muscles to seal the glottic chink. Vocal cord elongation supplements closure through cricoarytenoid activation. Relaxation of the posterior cricoarytenoid muscle is also involved in the swallowing process. ...


    pub_type: 杂志文章


    authors: Broniatowski M,Vito KJ,Shah B,Shields RW,Strome M

    更新日期:1997-04-01 00:00:00

  • Developmental approach to pediatric neurogenic dysphagia.

    abstract::The approach to children with neurogenic dysphagia is unique due to their development, growth, and behavior. Multiple streams of development (cognitive, oral-motor, fine and gross motor) have direct and indirect effects on feeding. Provision of an appropriate feeding program requires that the multiple needs, abilities...


    pub_type: 杂志文章


    authors: Christensen JR

    更新日期:1989-01-01 00:00:00

  • Voice Outcomes in Surgical Repair of Zenker's Diverticulum.

    abstract::The purpose of the study was to define the impact of Zenker's diverticula on voice and potential benefit from repair. Retrospective chart review of prospectively collected data from eleven patients with a Zenker's diverticulum treated surgically in a tertiary care center from November 2014 through January 2016. The vo...


    pub_type: 杂志文章


    authors: Schoeff S,Freeman M,Daniero J

    更新日期:2017-10-01 00:00:00

  • Differential Response Pattern of Oropharyngeal Pressure by Bolus and Dry Swallows.

    abstract::The aim of this study was to determine if bolus and dry swallow showed similar pressure changes in the oropharynx using our newly developed device. A unique character of it includes that baropressure can be measured with the sensor being placed in the balloon and can assess the swallowing mechanics in terms of pressur...


    pub_type: 杂志文章


    authors: Hasegawa M,Kurose M,Okamoto K,Yamada Y,Tsujimura T,Inoue M,Sato T,Narumi T,Fujii N,Yamamura K

    更新日期:2018-02-01 00:00:00

  • Prevalence of aspiration and laryngeal penetration in patients with unilateral vocal fold motion impairment.

    abstract::The adverse consequences of aspiration in regard to patient health and quality of life are well documented. It is generally accepted that the probability of aspiration is increased in patients with unilateral vocal fold motion impairment, however, the incidence and proposed mechanism of aspiration vary depending on th...


    pub_type: 杂志文章


    authors: Heitmiller RF,Tseng E,Jones B

    更新日期:2000-10-01 00:00:00

  • Economic Analysis of a Three-Arm RCT Exploring the Delivery of Intensive, Prophylactic Swallowing Therapy to Patients with Head and Neck Cancer During (Chemo)Radiotherapy.

    abstract::Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides...


    pub_type: 杂志文章,随机对照试验


    authors: Wall LR,Kularatna S,Ward EC,Cartmill B,Hill AJ,Isenring E,Byrnes J,Porceddu SV

    更新日期:2019-10-01 00:00:00

  • Surface EMG measurements at the throat during dry and wet swallowing.

    abstract::Within the sphere of dysphagia management, there is a growing need for the development of noninvasive methods of quantification of swallowing disorders. The purpose of the present investigation was to determine if surface electromyogram (EMG) at the throat could be measured during swallowing. Surface EMG was measured ...


    pub_type: 杂志文章


    authors: Gupta V,Reddy NP,Canilang EP

    更新日期:1996-07-01 00:00:00

  • Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review.

    abstract::Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may le to outcomes of aspiration pneumonia ranging from hospitalization to death. Therefore, an early identification of risk followed by an accurate diagnosis of oropharyngeal dysphagia is fun...


    pub_type: 杂志文章,评审


    authors: Kertscher B,Speyer R,Palmieri M,Plant C

    更新日期:2014-04-01 00:00:00

  • The Relationship Between Lesion Localization and Dysphagia in Acute Stroke.

    abstract::Factors that can facilitate early identification of individuals at risk of dysphagia such as stroke location are potentially of great benefit. The aim of this study was to examine the role of hemisphere and lesion location in assessing dysphagia pattern and airway invasion as identified through the use of validated, s...


    pub_type: 杂志文章


    authors: Daniels SK,Pathak S,Mukhi SV,Stach CB,Morgan RO,Anderson JA

    更新日期:2017-12-01 00:00:00

  • Dysphagia in inflammatory myopathy: self-report, incidence, and prevalence.

    abstract::This study compared self-reported incidence and prevalence of dysphagia in inflammatory myopathy diseases with instrumental data from videofluoroscopy in a cohort of 18 patients with inflammatory myopathies (inclusion body myositis, polymyositis, and dermatomyositis). We found a high self-report of incidence of dyspha...


    pub_type: 杂志文章


    authors: Mulcahy KP,Langdon PC,Mastaglia F

    更新日期:2012-03-01 00:00:00

  • Dysphagia in bulimia nervosa.

    abstract::The findings on 13 patients with bulimia nervosa referred for evaluation of salivary glands and swallowing patterns are presented. Each patient completed a medical, oral, and social history questionnaire. A complete oral examination supported by appropriate dental radiographs and photographs was conducted. Unstimulate...


    pub_type: 杂志文章


    authors: Roberts MW,Tylenda CA,Sonies BC,Elin RJ

    更新日期:1989-01-01 00:00:00

  • Systematic desensitization of oral hypersensitivity in a patient with a closed head injury.

    abstract::A 36-year-old man who had sustained a closed head injury displayed extreme fear of being stimulated in the oral cavity, of being presented with foods, and of swallowing. The patient's fear increased his muscle tone and hypersensitivity in the facial and oral area, thereby preventing assessment of his dysphagia. We des...


    pub_type: 杂志文章


    authors: Brown GE,Nordloh S,Donowitz AJ

    更新日期:1992-01-01 00:00:00

  • Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection.

    abstract::Early identification of dysphagia by screening is recommended best practice for patients admitted to hospital with acute stroke. Screening can reduce the risk of pneumonia and promote stroke recovery, yet some institutions do not utilize a formal screening protocol. This study assessed the accuracy of informal dysphag...


    pub_type: 杂志文章


    authors: Sherman V,Flowers H,Kapral MK,Nicholson G,Silver F,Martino R

    更新日期:2018-10-01 00:00:00

  • Moving Forward with Dysphagia Care: Implementing Strategies during the COVID-19 Pandemic and Beyond.

    abstract::Growing numbers of SARS-CoV-2 cases coupled with limited understanding of transmissibility and virulence, have challenged the current workflow and clinical care pathways for the dysphagia provider. At the same time, the need for non-COVID-19-related dysphagia care persists. Increased awareness of asymptomatic virus ca...


    pub_type: 杂志文章,评审


    authors: Fritz MA,Howell RJ,Brodsky MB,Suiter DM,Dhar SI,Rameau A,Richard T,Skelley M,Ashford JR,O'Rourke AK,Kuhn MA

    更新日期:2020-06-09 00:00:00

  • Limited value of overhead films in esophageal studies.

    abstract::In 200 barium examinations of the esophagus, the routine use of three overhead films made no substantive contribution to better diagnosis. These data suggest that except as requested by the fluoroscopist, overhead films may be omitted from esophageal studies. ...


    pub_type: 杂志文章


    authors: Schultz EH Jr

    更新日期:1989-01-01 00:00:00

  • Confirmation of no causal relationship between tracheotomy and aspiration status: a direct replication study.

    abstract::Debate continues regarding an association between tracheotomy and aspiration status. The aim of this research was to perform a direct replication study to investigate further the causal relationship, if any, between tracheotomy and aspiration. Twenty-five consecutive adult hospitalized patients participated. Inclusion...


    pub_type: 杂志文章


    authors: Leder SB,Ross DA

    更新日期:2010-03-01 00:00:00

  • Modulation of activity in swallowing motor cortex following esophageal acidification: a functional magnetic resonance imaging study.

    abstract::Esophageal acid exposure induces sensory and motility changes in the upper gastrointestinal tract; however, the mechanisms involved and the effects on activity in the brain regions that control swallowing are unknown. The aim of this study was to examine functional changes in the cortical swallowing network as a resul...


    pub_type: 杂志文章


    authors: Paine PA,Hamdy S,Chitnis X,Gregory LJ,Giampietro V,Brammer M,Williams S,Aziz Q

    更新日期:2008-06-01 00:00:00

  • A study of the early stage of Dysphagia in amyotrophic lateral sclerosis.

    abstract::In amyotrophic lateral sclerosis (ALS) patients, dysphagia eventually occurs independent of time of onset. We studied dysphagia conditions in the early stage of ALS, principally at the oral phase. Videofluoroscopic and manometric studies were conducted on 11 patients (5 males and 6 females, age range = 47-82 years) wh...


    pub_type: 杂志文章


    authors: Kawai S,Tsukuda M,Mochimatsu I,Enomoto H,Kagesato Y,Hirose H,Kuroiwa Y,Suzuki Y

    更新日期:2003-01-01 00:00:00

  • Relationship Between Laryngeal Sensory Deficits, Aspiration, and Pneumonia in Patients with Dysphagia.

    abstract::The laryngeal adductor reflex (LAR) is an airway protective reflex that manifests as a brief vocal fold closure in response to laryngeal stimulation. This study examined if the absence of the LAR in response to touch delivered by a laryngoscope is associated with penetration/aspiration or pneumonia in patients with dy...


    pub_type: 杂志文章


    authors: Kaneoka A,Pisegna JM,Inokuchi H,Ueha R,Goto T,Nito T,Stepp CE,LaValley MP,Haga N,Langmore SE

    更新日期:2018-04-01 00:00:00

  • Surface electromyography in preoperative evaluation and postoperative monitoring of Zenker's diverticulum.

    abstract::Patients with Zenker's diverticulum (ZD) underwent surface electromyography (sEMG) evaluation to determine sEMG patterns specific for ZD. Group 1 comprised patients with proven long-standing ZD that refused surgical treatment (n = 11, age mean = 55.7 years). Group 2 comprised surgically operated on patients with ZD (n...


    pub_type: 杂志文章


    authors: Vaiman M

    更新日期:2006-01-01 00:00:00

  • A prospective assessment of the characteristics of dysphagia in myasthenia gravis.

    abstract::Fatigable muscle weakness is the clinical hallmark of the human autoimmune disease myasthenia gravis (MG). Weakness of the oropharyngeal muscles produces dysphagia, which continues to be a major source of morbidity in MG. In this study we prospectively assessed 20 patients with myasthenia gravis who described difficul...


    pub_type: 杂志文章


    authors: Colton-Hudson A,Koopman WJ,Moosa T,Smith D,Bach D,Nicolle M

    更新日期:2002-04-01 00:00:00