AJR ARRS Membership
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rasley, A.
Right arrow Articles by Dodds, W. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rasley, A.
Right arrow Articles by Dodds, W. J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

American Journal of Roentgenology, Vol 160, 1005-1009, Copyright © 1993 by American Roentgen Ray Society

ARTICLES

Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture

A Rasley, JA Logemann, PJ Kahrilas, AW Rademaker, BR Pauloski and WJ Dodds
Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL 60208.

OBJECTIVE. We investigated the frequency with which changes in the position of a patient's head or body eliminated aspiration of liquid barium during videofluoroscopic swallowing studies in patients with oropharyngeal dysphagia. We also studied factors that influenced the effect of posture on aspiration. SUBJECTS AND METHODS. The study group comprised 165 patients consecutively referred for videofluoroscopic examination of the oropharyngeal stages of swallowing in whom aspiration of barium occurred while swallowing 1, 3, 5, or 10 ml of thin liquid barium or drinking barium from a cup. When aspiration occurred, the patient changed to one of five postures (chin down, chin up, head rotated, head tilted, and lying down), selected on the basis of the specific swallowing abnormality causing the aspiration. RESULTS. Changes in head or body position eliminated aspiration of at least one bolus of barium in 127 (77%) of the 165 patients, and of all four boluses plus drinking barium from a cup in 41 patients (25%). Postural changes were less beneficial in preventing aspiration in patients with substantial language or cognitive defects or restricted head movement. CONCLUSIONS. Postural techniques can eliminate aspiration of barium of at least small volumes in most patients. Expansion of the oropharyngeal swallowing study to include the effect of various postures can be done with minimal risk of increased aspiration.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 ANN INTERN MEDHome page
J. Robbins, G. Gensler, J. Hind, J. A. Logemann, A. S. Lindblad, D. Brandt, H. Baum, D. Lilienfeld, S. Kosek, D. Lundy, et al.
Comparison of 2 Interventions for Liquid Aspiration on Pneumonia Incidence: A Randomized Trial
Ann Intern Med, April 1, 2008; 148(7): 509 - 518.
[Abstract] [Full Text] [PDF]

Home page
 JSLHRHome page
J. A. Logemann, G. Gensler, J. Robbins, A. S. Lindblad, D. Brandt, J. A. Hind, S. Kosek, K. Dikeman, M. Kazandjian, G. D. Gramigna, et al.
A Randomized Study of Three Interventions for Aspiration of Thin Liquids in Patients With Dementia or Parkinson's Disease
J Speech Lang Hear Res, February 1, 2008; 51(1): 173 - 183.
[Abstract] [Full Text] [PDF]

Home page
 JSLHRHome page
J. Robbins, S. G. Butler, S. K. Daniels, R. Diez Gross, S. Langmore, C. L. Lazarus, B. Martin-Harris, D. McCabe, N. Musson, and J. Rosenbek
Swallowing and Dysphagia Rehabilitation: Translating Principles of Neural Plasticity Into Clinically Oriented Evidence
J Speech Lang Hear Res, February 1, 2008; 51(1): S276 - S300.
[Abstract] [Full Text] [PDF]

Home page
 Clin TrialsHome page
D. K Brandt, J. A Hind, J. Robbins, A. S Lindblad, G. Gensler, G. Gill, H. Baum, D. Lilienfeld, J. A Logemann, and Communication Sciences and Disorders Clinical Tria
Challenges in the design and conduct of a randomized study of two interventions for liquid aspiration
Clinical Trials, October 1, 2006; 3(5): 457 - 468.
[Abstract] [PDF]

Home page
 ChestHome page
C. A. Smith Hammond and L. B. Goldstein
Cough and Aspiration of Food and Liquids Due to Oral-Pharyngeal Dysphagia: ACCP Evidence-Based Clinical Practice Guidelines
Chest, January 1, 2006; 129(1_suppl): 154S - 168S.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
B. Bates, J. Y. Choi, P. W. Duncan, J. J. Glasberg, G. D. Graham, R. C. Katz, K. Lamberty, D. Reker, and R. Zorowitz
Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Adult Stroke Rehabilitation Care: Executive Summary
Stroke, September 1, 2005; 36(9): 2049 - 2056.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
P. W. Duncan, R. Zorowitz, B. Bates, J. Y. Choi, J. J. Glasberg, G. D. Graham, R. C. Katz, K. Lamberty, and D. Reker
Management of Adult Stroke Rehabilitation Care: A Clinical Practice Guideline
Stroke, September 1, 2005; 36(9): e100 - e143.
[Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
C Ertekin, N Yuceyar, I Aydogdu, and H Karasoy
Electrophysiological evaluation of oropharyngeal swallowing in myotonic dystrophy
J. Neurol. Neurosurg. Psychiatry, March 1, 2001; 70(3): 363 - 371.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the American Roentgen Ray Society.