Image-based measurement of post-swallow residue: the normalized residue ratio scale.

Abstract:

:Post-swallow residue is considered a sign of swallowing impairment. Existing methods for capturing post-swallow residue (perceptual and quantitative) have inherent limitations. We employed several different perceptual and quantitative (ratio) methods for measuring post-swallow residue on the same 40 swallows and addressed the following questions: (1) Do perceptual and quantitative methods demonstrate good agreement? (2) What differences in precision are apparent by measurement method (one-dimensional, two-dimensional, and circumscribed area ratios)? (3) Do residue ratios agree strongly with residue area measures that are anatomically normalized? Based on the findings of this series of questions, a new method for capturing residue is proposed: the Normalized Residue Ratio Scale (NRRS). The NRRS is a continuous measurement that incorporates both the ratio of residue relative to the available pharyngeal space and the residue proportionate to the size of the individual. A demonstration of this method is presented to illustrate the added precision of the NRRS measurement in comparison to other approaches for measuring residue severity.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Pearson WG Jr,Molfenter SM,Smith ZM,Steele CM

doi

10.1007/s00455-012-9426-9

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

167-77

issue

2

eissn

0179-051X

issn

1432-0460

journal_volume

28

pub_type

杂志文章,评审
  • Assessment of swallowing by oropharyngoesophageal scintigraphy in patients with amyotrophic lateral sclerosis.

    abstract::Amyotrophic lateral sclerosis (ALS) is the most common degenerative motor neuron disease in adults, and dysphagia is one of its most frequent and disabling symptoms. Oropharyngoesophageal scintigraphy (OPES) permits a functional and semiquantitative study of the various stages of swallowing. We studied 28 ALS patients...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-006-9052-5

    authors: Fattori B,Grosso M,Bongioanni P,Nacci A,Cristofani R,AlSharif A,Licitra R,Matteucci F,Rossi B,Rubello D,Ursino F,Mariani G

    更新日期:2006-10-01 00:00:00

  • Surgical treatment for locally advanced (T4) squamous cell carcinoma of the thoracic esophagus.

    abstract::It is still difficult to decide on the treatment modalities for advanced esophageal carcinoma when the prognostic factors of T4 esophageal cancer are not fully understood. In this article, we report that among 71 patients with T4 thoracic esophageal cancer, 49 underwent esophagectomy, 9 had curative resection (R0 grou...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0069-0

    authors: Tachibana M,Dhar DK,Kinugasa S,Yoshimura H,Shibakita M,Ohno S,Ueda S,Fujii T,Kohno H,Nagasue N

    更新日期:2002-10-01 00:00:00

  • Surface Electromyographic Biofeedback and the Effortful Swallow Exercise for Stroke-Related Dysphagia and in Healthy Ageing.

    abstract::Dysphagia is common after stroke, leading to adverse outcome. The Effortful Swallow (ES) is recommended to improve swallowing but it is not known if dysphagic patients can increase muscle activity during the exercise or if age affects performance. Providing surface electromyographic (sEMG) biofeedback during dysphagia...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10129-8

    authors: Archer SK,Smith CH,Newham DJ

    更新日期:2020-05-22 00:00:00

  • Biomechanical analysis of hyoid bone displacement in videofluoroscopy: a systematic review of intervention effects.

    abstract::This systematic review explores studies using biomechanical analysis of hyoid bone displacement in videofluoroscopy of swallowing as a spatial outcome parameter to evaluate intervention effects. Two authors independently carried out the literature search using the electronic databases Embase, PubMed, and Cochrane Libr...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-010-9318-9

    authors: van der Kruis JG,Baijens LW,Speyer R,Zwijnenberg I

    更新日期:2011-06-01 00:00:00

  • Patient Adherence to Dysphagia Recommendations: A Systematic Review.

    abstract::Patient adherence to treatment recommendations is an important issue for healthcare providers, in a multitude of specialties, and is critical when assessing the efficacy and effectiveness of a particular treatment approach. Patients who have swallowing impairment often require complex and specific interventions requir...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9852-9

    authors: Krekeler BN,Broadfoot CK,Johnson S,Connor NP,Rogus-Pulia N

    更新日期:2018-04-01 00:00:00

  • Esophageal motility, heartburn, and gastroesophageal reflux: variations in clinical presentation of esophageal dysphagia.

    abstract::Dysphagia is a potentially important symptom, often leading to the finding of an anatomical or motility disorder of the esophagus. Dysphagia and heartburn represent two of the most common symptoms associated with esophageal motility disorders. To explore the relationship of symptomatic esophageal dysphagia and heartbu...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02412689

    authors: Decktor DL,Allen ML,Robinson M

    更新日期:1990-01-01 00:00:00

  • Predictors of aspiration pneumonia: how important is dysphagia?

    abstract::Aspiration pneumonia is a major cause of morbidity and mortality among the elderly who are hospitalized or in nursing homes. Multiple risk factors for pneumonia have been identified, but no study has effectively compared the relative risk of factors in several different categories, including dysphagia. In this prospec...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009559

    authors: Langmore SE,Terpenning MS,Schork A,Chen Y,Murray JT,Lopatin D,Loesche WJ

    更新日期:1998-04-01 00:00:00

  • Nutritional considerations for the pureed diet texture in dysphagic elderly.

    abstract::In long-term care facilities little attention is given to the nutritional density, flavor, and presentation of the pureed diet texture. Use of the food processor to puree food offers opportunities for the development of pureed meals that are flavorful and appealing. This article presents guidelines that foodservice de...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493438

    authors: Hotaling DL

    更新日期:1992-01-01 00:00:00

  • Modern solid state computerized manometry of the pharyngoesophageal segment.

    abstract::There has been renewed interest in the use of manometry of the pharyngoesophageal segment in the investigation of pharyngeal dysphagia. Advances in technology have alleviated previous difficulties presented by factors such as the rapid response rate of the striated muscle and asymmetry of the upper esophageal sphincte...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF01354550

    authors: Castell JA,Castell DO

    更新日期:1993-01-01 00:00:00

  • Oral and pharyngeal transit of a paste bolus in Chagas' disease.

    abstract::We measured the oral and pharyngeal transit of a paste bolus in 20 patients with Chagas' disease and 21 controls. Each subject swallowed of a 10-ml paste bolus prepared with 50 ml of water and 4.5 g of instant food thickener labeled with 55.5 MBq of 99m technetium phytate. After the scintigraphic recording of the tran...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-007-9101-8

    authors: Gomes FR,Secaf M,Kubo TT,Dantas RO

    更新日期:2008-03-01 00:00:00

  • Dysphagia--ingestion or deglutition?: a proposed paradigm.

    abstract::The current classifications of dysphagia are based on local structural or central nervous system pathology causing dysfunction of the aerodigestive tract. The result is a clinical science grounded in the analysis of the swallow with its lingual, pharyngeal, and esophageal stages. Adding bolus preparation to the swallo...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/PL00009537

    authors: Leopold NA,Kagel MC

    更新日期:1997-10-01 00:00:00

  • Does a Water Protocol Improve the Hydration and Health Status of Individuals with Thin Liquid Aspiration Following Stroke? A Randomized Controlled Trial.

    abstract::The benefit of water protocols for individuals with thin liquid aspiration remains controversial, with mixed findings from a small number of randomized controlled trials (RCTs). This study aimed to contribute to the evidence of the effectiveness of water protocols with a particular emphasis on health outcomes, especia...

    journal_title:Dysphagia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00455-016-9694-x

    authors: Murray J,Doeltgen S,Miller M,Scholten I

    更新日期:2016-06-01 00:00:00

  • Implementation of high-resolution manometry in the clinical practice of speech language pathology.

    abstract::Visual imaging modalities, videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic evaluation of swallow, for assessment of oropharyngeal dysphagia have been part of the speech language pathologist's (SLPs) armamentarium for the diagnosis and treatment of dysphagia for decades. Recently, the addition of high-...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-013-9494-5

    authors: Knigge MA,Thibeault S,McCulloch TM

    更新日期:2014-02-01 00:00:00

  • Supranuclear control of swallowing.

    abstract::Swallowing is an act requiring complex sensorimotor integration. Using a variety of methods first used to study limb physiology, initial efforts to study swallowing have yielded information that multiple cortical and subcortical regions are active participants. Not surprisingly, the regions activated appear to overlap...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-009-9249-5

    authors: Leopold NA,Daniels SK

    更新日期:2010-09-01 00:00:00

  • Effect of aging on the deglutitive oral, pharyngeal, and esophageal motor function.

    abstract::Aging affects some members of the swallowing orchestra and spares the others. It seems that changes in the pharynx of the elderly are more of a positive nature than a negative one and reflect an adaptation to age-induced structural changes of the upper esophageal sphincter. In the esophagus, the positive change in deg...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF00301914

    authors: Shaker R,Lang IM

    更新日期:1994-10-01 00:00:00

  • Unusual Cause of Dysphagia in a Post-Stroke Patient.

    abstract::Vallecular cysts are formed when the duct of a mucous gland or lingual tonsillar crypt is dilated owing to obstruction from inflammation, irritation, or trauma. Small cysts are usually asymptomatic; however, cyst growth results in dysphagia, odynophagia, and acute airway complications. As complete transoral laser exci...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9796-0

    authors: Kwon SH,Seo HG

    更新日期:2017-10-01 00:00:00

  • Assessing Hyolaryngeal Excursion: Comparing Quantitative Methods to Palpation at the Bedside and Visualization During Videofluoroscopy.

    abstract:PURPOSE:Hyolaryngeal excursion (HE) is typically assessed via palpation during clinical swallowing exams (CSE) or visually during videofluoroscopy (VFSS). Minimal evidence exists to support the use of these perceptual methods for judging HE. We investigated whether binary judgment of HE differentiates quantitative meas...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9927-2

    authors: Brates D,Molfenter SM,Thibeault SL

    更新日期:2019-06-01 00:00:00

  • Bolus location at the initiation of the pharyngeal stage of swallowing in healthy older adults.

    abstract::This study characterized the vertical position of the bolus head at the onset of the pharyngeal swallow in healthy older adults. Lateral-view videofluoroscopic (VF) images were obtained from ten healthy volunteers (age-71.6 +/- 7.5 years, mean+/- SD) as they swallowed 5-cc thin liquid barium aliquots. For each swallow...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-005-0023-z

    authors: Stephen JR,Taves DH,Smith RC,Martin RE

    更新日期:2005-10-01 00:00:00

  • Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal Dysphagia.

    abstract::We tested two hypotheses using surface electrical stimulation in chronic pharyngeal dysphagia: that stimulation (1) lowered the hyoid bone and/or larynx when applied at rest, and (2) increased aspiration, penetration, or pharyngeal pooling during swallowing. Bipolar surface electrodes were placed on the skin overlying...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-006-9029-4

    authors: Ludlow CL,Humbert I,Saxon K,Poletto C,Sonies B,Crujido L

    更新日期:2007-01-01 00:00:00

  • The Challenges of Esaphagogastric Junction Outflow Obstruction, Is It Really a Diagnosis? Creating a Systematic Clinical Approach for EGJOO.

    abstract::Esophagogastric junction outflow obstruction (EGJOO) is currently diagnosed according to the Chicago Classification V3 by an elevated median integrated relaxation pressure on high resolution manometry. However, EGJOO may not be an accurate diagnosis, as it may be based on abnormal IRP from an artifact, affected by nar...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10156-5

    authors: Tadros M,Yodice M

    更新日期:2020-07-16 00:00:00

  • Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation on Swallowing Function and Quality of Life of Post-stroke Patients.

    abstract::Repetitive transcranial magnetic stimulation (rTMS) is one of the non-invasive techniques, which is used to modulate cortical regions in patients with stroke. The aim of this single blind, controlled study was to investigate the effect of rTMS on swallowing function and quality of life of mono-hemispheric post-stroke ...

    journal_title:Dysphagia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00455-018-09965-6

    authors: Ünlüer NÖ,Temuçin ÇM,Demir N,Serel Arslan S,Karaduman AA

    更新日期:2019-06-01 00:00:00

  • Number of Gastrointestinal Symptoms is a Useful Means of Identifying Patients with Cancer for Dysphagia.

    abstract::Dysphagia is a symptom suggestive of severe underlying pathology, although its causes include organic and non-organic disorders. The epidemiology of dysphagia is, however, poorly understood. We evaluated the prevalence of dysphagia in outpatients in Japan, measured the proportion ultimately found to have an organic ca...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9712-z

    authors: Tsukamoto M,Manabe N,Kamada T,Hirai T,Hata J,Haruma K,Inoue K

    更新日期:2016-08-01 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...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9845-8

    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

  • 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 ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-006-9049-0

    authors: Giger R,Dulguerov P,Payer M

    更新日期:2006-10-01 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...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550010019

    authors: Daniels SK

    更新日期:2000-07-01 00:00:00

  • "Wet Voice" as a predictor of penetration and aspiration in oropharyngeal dysphagia.

    abstract::This article describes the results of a study that investigated how well wet phonation can predict penetration and/or aspiration of ingested material in dysphagic patients. Voice samples of 23 subjects with neurologic oropharyngeal dysphagia were collected immediately after each subject had swallowed nine different bo...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550010005

    authors: Warms T,Richards J

    更新日期:2000-04-01 00:00:00

  • Radiation Safety in Videofluoroscopic Swallowing Study: Systematic Review.

    abstract::Videofluoroscopic swallowing study (VFSS) is generally used to diagnose dysphagia and oropharyngeal aspiration during swallowing movement. Patients and bolus-feeding operators (such as occupational therapist and speech language pathologist) may undergo multiple VFSS procedure, placing them at risk for more radiation e...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10112-3

    authors: Hong JY,Hwang NK,Lee G,Park JS,Jung YJ

    更新日期:2021-02-01 00:00:00

  • Esophageal Function Tests are Not Associated with Barium Swallow Findings in Advanced Lung Disease.

    abstract::Gastroesophageal reflux disease and esophageal dysmotility are common in patients with advanced lung disease (ALD) and are associated with worse outcomes. Assessing esophageal function in these patients is relevant for determining pulmonary transplant eligibility and prognosticating post-transplant outcomes. Barium Sw...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10113-2

    authors: Posner S,Mehta K,Parish A,Niedzwiecki D,Gupta RT,Fisher DA,Leiman DA

    更新日期:2020-10-01 00:00:00

  • A retrospective analysis of the pharyngeal swallow in patients with a clinical diagnosis of GERD compared with normal controls: a pilot study.

    abstract::In gastroesophageal reflux disease (GERD), there is a reverse flow of gastric contents up through the esophagus and potentially into the pharynx. Some patients who have GERD have reported difficulty in oropharyngeal swallowing. This study was designed to determine whether differences in the pharyngeal swallow exist in...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0056-5

    authors: Mendell DA,Logemann JA

    更新日期:2002-07-01 00:00:00

  • Gender effects on airway closure in normal subjects.

    abstract::The present study was designed to examine age and gender differences with respect to the duration of laryngeal closure, the onset of laryngeal closure in relation to the first cricopharyngeal opening, and the duration of cricopharyngeal opening for six different groups: normal younger men and women (22-29 years), norm...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9257-5

    authors: Kurosu A,Logemann JA

    更新日期:2010-12-01 00:00:00