A. See the Dysphagia Evidence Map for summaries of the available research on this topic. This might include information concerning the individuals health and diagnosis, prognosis, cognition, social situation, cultural values, economic status, motivation, and personal choice. Journal of Pharmacy Practice and Research,52(4), 283-293. The Journal of Nutrition, Health & Aging, 22(8), 10031009. International Archives of Otorhinolaryngology, 20(1), 1317. Logemann, J. Effortful Swallow | SpringerLink PURPOSE To increase tongue base retraction and pressure during the pharyngeal phase of the swallow and reduce the amount of food residue in the valleculae of the throat. Swallowing Exercises | National Foundation of Swallowing Disorders https://doi.org/10.1007/s00455-015-9657-7. An inspection of the oral mechanism, cranial nerve assessment, and other observations such as. https://doi.org/10.1056/NEJM199104253241703, Spechler, S. (1999). Effects of Effortful Swallow on Cardiac Autonomic Regulation Several tools have demonstrated reasonable sensitivity, but reproducibility and consistency of these protocols have not been established (OHoro et al., 2015). The VFSS is also known as the modified barium swallow study (MBSS) and is a radiographic procedure used to gain further information regarding dysphagia. Thickened liquids for children and adults with oropharyngeal dysphagia: The complexity of rheological considerations. Such knowledge increases pertinent communication with other health care providers and facilitates selection of the best treatment options for individual patients (Groher & Crary, 2010). Evaluation and management of oropharyngeal dysphagia in different types of dementia: A systematic review. SLPs may encounter patients approaching the end of life. PDF Efficacy of exercises to rehabilitate dysphagia: A critique of the Physiology & Behavior, 174, 155161. Dysphagia, 31(3), 424433. A non-instrumental swallowing assessment may include a medical chart review as well as an assessment or consideration of, During or following bolus delivery during per os (P.O.) . Swallowing disorder basics. A., Nicosia, M. A., Roecker, E. B., Carnes, M. L., & Robbins, J. The FEES is a portable procedure that may be completed in outpatient clinic space or at bedside by passing an endoscope transnasally (Langmore et al., 1988).