Videofluoroscopy Part 7: Using Videofluoroscopy for Treatment Planning
Presented by Catriona Steele
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Nonfinancial: Catriona Steele is a member of the board of directors for the Dysphagia Research Society and International Dysphagia Diet Standardisation Initiative (IDDSI). She is an associate editor of the Dysphagia journal and is an editorial board member for the Journal of Texture Studies. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.
A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for people experiencing dysphagia. However, a lack of standardized VFSS practice currently exists, and many clinicians lack knowledge regarding best practice. In this course, we will explore how videofluoroscopy can be used for treatment planning, using texture modification, the chin-down posture, and the effortful swallow as example interventions.
Meet your instructor
Catriona Steele
Dr. Catriona M. Steele is the director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute. She also teaches in the graduate department of speech-language pathology at the University of Toronto. Prior to completing her PhD, Dr. Steele worked as a medical speech-language pathologist for…
Chapters & learning objectives
1. Videofluoroscopy as a Tool for Measuring Treatment Effect
In this chapter, we will explore the difference between compensatory and rehabilitative interventions for dysphagia and describe how videofluoroscopy can be used as a tool for measuring treatment effect.
2. Use of the Chin-Down Posture in Videofluoroscopy
The chin-down posture is an example of a commonly used intervention for dysphagia. In this chapter, we will use a case study methodology to illustrate how videofluoroscopy can be used to determine the impact of the chin-down posture and decide when it should be recommended for a patient.
3. Measuring the Effect of Thickened Liquids on Swallowing Safety and Efficiency
Thickened liquids are one of the most common interventions recommended for managing penetration/aspiration in people with dysphagia. However, there is controversy about the effectiveness of this intervention. In this chapter, we will discuss the physiological mechanism behind thin liquid aspiration and the rationale for considering thicker liquids as a compensatory intervention. We will discuss evidence from a videofluoroscopy demonstrating the effect of thickening on swallowing safety and describe how a clinician can use videofluoroscopy to determine whether thickened liquids are likely to be helpful in a particular patient.
4. Measuring the Effect of the Effortful Swallow on Swallowing Safety and Efficiency
The effortful swallow is an example of a commonly used intervention for dysphagia. In this chapter, we will illustrate how videofluoroscopy can be used to measure outcomes of using the effortful swallow.
More courses in this series
Videofluoroscopy Part 1: Indicators for the Exam
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Videofluoroscopy Part 2: How to Design the Exam
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Videofluoroscopy Part 3: Contrast Media
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Videofluoroscopy Part 4: Equipment and Pulse Rate
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Videofluoroscopy Part 5: Evaluation of Swallowing Safety
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Videofluoroscopy Part 6: Evaluation of Swallowing Efficiency
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Videofluoroscopy Part 7: Using Videofluoroscopy for Treatment Planning
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