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-resolution manometry (HRM) has enabled the SLP to evaluate pharyngeal pressures and upper esophageal sphincter relaxation. Taken together, the use of visual imaging modalities with HRM can improve interpretation of swallowing physiology and facilitate more effective treatment planning. The goal of this article is to describe a clinical paradigm using HRM as an adjunct to VFSS, by the SLP, in the assessment of complex dysphagia. Moreover, in three cases described, the value of manometric measurements in elucidating swallowing imaging studies and documenting physiologic change in response to treatment is highlighted. As technology in this area is evolving, so will the clinical use of HRM by the SLP. Limitations of current HRM systems and applications are discussed.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Knigge MA,Thibeault S,McCulloch TM

doi

10.1007/s00455-013-9494-5

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

2-16

issue

1

eissn

0179-051X

issn

1432-0460

journal_volume

29

pub_type

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