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1

Miwa, Hiroyasu. "Swallowing Time Measurement System using Swallowing Sound." Abstracts of the international conference on advanced mechatronics : toward evolutionary fusion of IT and mechatronics : ICAM 2015.6 (2015): 306–7. http://dx.doi.org/10.1299/jsmeicam.2015.6.306.

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2

Wall, Laurelie R., Elizabeth C. Ward, Bena Cartmill, Anne J. Hill, and Sandro V. Porceddu. "Examining user perceptions of SwallowIT: A pilot study of a new telepractice application for delivering intensive swallowing therapy to head and neck cancer patients." Journal of Telemedicine and Telecare 23, no. 1 (July 9, 2016): 53–59. http://dx.doi.org/10.1177/1357633x15617887.

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Consumer feedback and end-user perceptions provide important information regarding the clinical acceptability of new telepractice systems. This pilot investigation aimed to evaluate end-user perceptions of a new asynchronous telepractice application, ‘ SwallowIT’, designed to support patients to remotely complete intensive swallowing therapy during curative chemoradiotherapy (CRT) treatment for head and neck cancer (HNC). Insights were sought from 15 patients with oropharyngeal cancer who used SwallowIT to complete supported home swallowing therapy. Perceptions were evaluated via structured questionnaires, completed following initial orientation to SwallowIT and on completion of CRT. Semi-structured phone interviews were conducted ≥3 months post-treatment. The majority of patients reported positive initial perceptions towards SwallowIT for comfort (87%), confidence (87%), motivation (73%) and support (87%). No statistically significant change in perceptions was observed from baseline to end of CRT ( p > 0.05). Thematic analysis of interviews revealed four main themes: the ease of use of SwallowIT, motivating factors, circumstances which made therapy difficult, and personal preferences for service-delivery models. These preliminary findings demonstrate that SwallowIT was well-perceived by the current group of HNC consumers and suggest that SwallowIT may be well-accepted as an alternate service-delivery model for delivering intensive swallowing therapy during CRT.
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3

DiIorio, Colleen, and Mary E. Price. "SWALLOWING." AJN, American Journal of Nursing 90, no. 7 (July 1990): 38–46. http://dx.doi.org/10.1097/00000446-199007000-00028.

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4

Kalloo, Anthony N., James H. Lewis, Kathleen Maher, and Stanley B. Benjamin. "Swallowing." Digestive Diseases and Sciences 34, no. 7 (July 1989): 1117–20. http://dx.doi.org/10.1007/bf01536384.

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5

Lazarus, Cathy L. "Graduate Curriculum on Swallowing and Swallowing Disorders." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 11, no. 3 (October 2002): 4. http://dx.doi.org/10.1044/sasd11.3.4.

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6

Horiguchi, S. "Swallowing Rehabilitation." Nihon Kikan Shokudoka Gakkai Kaiho 69, no. 2 (2018): 170. http://dx.doi.org/10.2468/jbes.69.170.

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7

Moorhouse, Tobias Edward, and Adrian Bellwood. "Swallowing difficulty." InnovAiT: Education and inspiration for general practice 9, no. 2 (February 2016): 99–108. http://dx.doi.org/10.1177/1755738015622654.

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8

Bremner, R. M., S. F. Hoeft, M. Costantini, P. F. Crookes, C. G. Bremner, and T. R. DeMeester. "Pharyngeal Swallowing." Annals of Surgery 218, no. 3 (September 1993): 364–70. http://dx.doi.org/10.1097/00000658-199309000-00015.

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9

Merlo, Angela, and Sidney Cohen. "Swallowing Disorders." Annual Review of Medicine 39, no. 1 (February 1988): 17–28. http://dx.doi.org/10.1146/annurev.me.39.020188.000313.

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10

Travis, John. "Swallowing Shigella." Science News 149, no. 19 (May 11, 1996): 302. http://dx.doi.org/10.2307/3979569.

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11

Unwin, D. "Stone swallowing." Veterinary Record 135, no. 21 (November 19, 1994): 511. http://dx.doi.org/10.1136/vr.135.21.511.

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12

Golf, Svein. "Swallowing Syncope." Acta Medica Scandinavica 201, no. 1-6 (April 24, 2009): 585–86. http://dx.doi.org/10.1111/j.0954-6820.1977.tb15752.x.

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13

Koyama, Yuji, Yoshihide Ota, Kazuo Sakaizumi, Naoshi Simoda, Mitsuhiko Kodama, Minoru Toyokura, and Yoshihisa Masakado. "Swallowing Appliance." American Journal of Physical Medicine & Rehabilitation 93, no. 11 (November 2014): 1008–13. http://dx.doi.org/10.1097/phm.0000000000000168.

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14

Macleod, A. D., Jane Vella-Brincat, and Chris Frampton. "Swallowing capsules." Palliative Medicine 17, no. 6 (September 2003): 559. http://dx.doi.org/10.1177/026921630301700616.

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15

Domenech, Edgar, and James Kelly. "SWALLOWING DISORDERS." Medical Clinics of North America 83, no. 1 (January 1999): 97–113. http://dx.doi.org/10.1016/s0025-7125(05)70090-0.

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16

Buchin, Peter J. "Swallowing Disorders." Otolaryngologic Clinics of North America 21, no. 4 (November 1988): 663–76. http://dx.doi.org/10.1016/s0030-6665(20)31492-4.

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17

Khosh, M. Morad, and Yosef P. Krespi. "Swallowing physiology." Operative Techniques in Otolaryngology-Head and Neck Surgery 8, no. 4 (December 1997): 182–84. http://dx.doi.org/10.1016/s1043-1810(97)80027-9.

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18

Senker, Peter. "Swallowing Secrets." Capitalism Nature Socialism 27, no. 2 (April 2, 2016): 138–40. http://dx.doi.org/10.1080/10455752.2016.1178888.

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19

Domini, John. "Tail Swallowing." American Book Review 27, no. 1 (2005): 14. http://dx.doi.org/10.1353/abr.2005.0015.

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20

Sotirović, Jelena. "Swallowing disorders." Galenika Medical Journal 1, no. 4 (2022): 77–83. http://dx.doi.org/10.5937/galmed2204081s.

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Dysphagia represents the impairment of swallowing liquids and/or solid food and may occur due to an impairment of any part of the swallowing mechanism. Swallowing disorder has significant morbidity and mortality due to the possibility of malnutrition, loss of muscle mass, dehydration, aspiration, and aspirational pneumonia. Furthermore, it may significantly affect the quality of life and treatment of comorbidities. The purpose of this scoping review was to provide an overview of current guidelines and published literature (PubMed) to identify patients at risk for dysphagia eligible for further examinations, and treatment. Swallowing is a partly voluntary, and partly involuntary action. It can be divided into the oral, pharyngeal, and esophageal phases. Although swallowing disorders can occur in all age groups, they occur most often in the elderly, neurological patients, and patients with head and neck cancer. The diagnostic protocol for dysphagia includes a detailed history, physical examination of all structures involved in the act of swallowing, radiologic examinations (barium swallow test, videofluoroscopic swallow study, CT/MRI), endoscopic procedures (rigid or fiberoptic) and specific questionnaires to evaluate dietary intake, nutritional status and dysphagia-related quality of life. Therapeutic modalities include medications, correction of metabolic and nutritional deficits, bolus consistency modification, postural adjustments and swallow manoeuvers, specific exercise treatment, and surgery. Recently, an increasing number of studies have been published on sensory stimulation, which involves applying techniques like thermal and chemical stimulation, as well as neurostimulation in patients with dysphagia. Identifying persons at risk and treatment of dysphagia may prevent potentially fatal complications, reduce hospital length of stay and improve tolerance to the treatment of comorbidities.
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21

Mew, John. "Infantile swallowing." American Journal of Orthodontics and Dentofacial Orthopedics 137, no. 3 (March 2010): 298. http://dx.doi.org/10.1016/j.ajodo.2010.01.010.

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22

Logemann, Jeri A. "Swallowing disorders." Best Practice & Research Clinical Gastroenterology 21, no. 4 (August 2007): 563–73. http://dx.doi.org/10.1016/j.bpg.2007.03.006.

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23

Kirk, Allan D. "Toothbrush Swallowing." Archives of Surgery 123, no. 3 (March 1, 1988): 382. http://dx.doi.org/10.1001/archsurg.1988.01400270122020.

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24

Hiss, S. "Coordination of breathing and swallowing: swallowing apnea duration." Otolaryngology - Head and Neck Surgery 129, no. 2 (August 2003): P118. http://dx.doi.org/10.1016/s0194-5998(03)00998-7.

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25

HIGASHIJIMA, Misako. "Effects of Swallowing Posture Maneuvers on Swallowing Functions." Asian Journal of Occupational Therapy 6, no. 1 (2007): 15–21. http://dx.doi.org/10.11596/asiajot.6.15.

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26

Seo, Haeni, Seong Hee Choi, Kyoungjae Lee, and Chul-Hee Choi. "Comparisons of Temporal Characteristics of Respiration and Swallowing Coordination between Young and Elderly." Communication Sciences & Disorders 26, no. 3 (September 30, 2021): 641–58. http://dx.doi.org/10.12963/csd.21820.

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Objectives: The relationship between breathing and swallowing is very dynamic during swallowing and these are highly temporally coordinated to protect the airway. The ability to protect airways during swallowing deteriorates with aging. In this study, we attempted to compare the breathing-swallowing pattern and temporal change in the respiration and swallowing coordination between young and elderly adults in Korea.Methods: A total of 80 normal people, including 40 young and 40 elderly people participated in this study. For measurement of breathing and swallowing coordination, Digital Swallowing Workstation<sup>TM</sup> was used during a 5 mL water swallowing task. Temporal parameters related to breathing-swallowing including AS (acoustic start), AP (acoustic peak), AD (acoustic duration), SAS (swallowing apnea or respiration pause start), SAD (swallowing apena duration), sES (submental sEMG start), sEP (submental sEMG peak), sED (submental sEMG duration). Additionally, DHI (Dysphagia Handicap Index) was evaluated for self-assessment of the degree of difficulty swallowing.Results: Older adults displayed delayed swallowing-related acoustic signal measurements, swallowing apnea measurements, surface EMG measurements, and delayed sequential coordination time of swallowing-related structures during swallowing. There were no significant differences according to gender. Furthermore, a significant positive correlation was observed between the total K-DHI scores and as well as swallowing apnea duration in the elderly.Conclusion: In the older population, the different breathing-swallowing pattern from that of young adults may increase the risk of dysphagia. In addition, swallowing delays due to aging can be an indicator of elderly swallowing disorders. Moreover, an increase in apnea time during swallowing may be a phenomenon that appears as a mechanism for airway protection in the elderly. However, the high correlation between apnea time and K-DHI score in the elderly may make it difficult to maintain respiration for a long time during swallowing as the respiratory function decreases due to aging, which may increase the risk of experiencing symptoms such as choking and affect the degree of subjective swallowing disorder. This suggests that even if classified as a normal elderly person without a pathological swallowing disorder, swallowing training is needed to prevent swallowing disorders and to enhance swallowing ability for older people with degraded swallowing-related abilities.
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27

Tumanggor, Meszadena, Nunung F. Sitepu, and Kiking Ritarwan. "Latihan Menelan terhadap Kemampuan Menelan Pasien Stroke yang Mengalami Disfagia." Journal of Telenursing (JOTING) 5, no. 1 (March 31, 2023): 405–15. http://dx.doi.org/10.31539/joting.v5i1.5323.

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This study aims to identify and compare the effect of interventional swallowing exercises on swallowing ability in stroke patients who experience dysphagia. The method used is a quantitative method with a one-group pre-test-post-test approach. Respondents in this study were stroke patients who underwent moderate category of dysphagia, totaling 35 respondents. Initial data collection was started using the Nursing Bedside Swallowing Screening dysphagia assessment sheet. Then, the researcher used the Mann Assessment of Swallowing Ability (MASA) to assess the patient's swallowing ability. The results showed a significant difference (p<0.05) in the swallowing capacity of the respondents before and after the swallowing training intervention. The conclusion of this study, swallowing exercises are effective in improving the swallowing ability of stroke patients who experience dysphagia. Keywords: Dysphagia, Swallowing Ability, Stroke
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28

Oku, Yoshitaka. "Neural Mechanisms of Swallowing and Airway Protection During Swallowing." Koutou (THE LARYNX JAPAN) 32, no. 01 (June 1, 2020): 1–7. http://dx.doi.org/10.5426/larynx.32.1.

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29

Martin-Harris, Bonnie, and Maureen Lefton-Greif. "Toward Board Recognized Specialists in Swallowing and Swallowing Disorders." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 11, no. 4 (December 2002): 18–19. http://dx.doi.org/10.1044/sasd11.4.18-a.

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30

Sonies, Barbara, and Jeri Logemann. "Clinical and research issues in swallowing and swallowing disorders." Dysphagia 1, no. 1 (March 1986): 41–43. http://dx.doi.org/10.1007/bf02408240.

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31

Keren, Samuel, Eitan Argaman, and Moshe Golan. "Solid swallowing versus water swallowing: manometric study of dysphagia." Digestive Diseases and Sciences 37, no. 4 (April 1992): 603–8. http://dx.doi.org/10.1007/bf01307587.

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32

Ou, Meijun, Lihui Zhu, Hong Chen, Guifen Wang, Furong Chen, and Zhirui Xiao. "Perioperative change trajectories and predictors of swallowing function and swallowing-related quality of life in patients with oral cancer: a longitudinal observational study." BMJ Open 13, no. 12 (December 2023): e075401. http://dx.doi.org/10.1136/bmjopen-2023-075401.

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ObjectiveTo determine change trajectories and predictors of swallowing function and swallowing-related quality of life (QoL) in perioperative patients with oral cancer.DesignLongitudinal observational study.SettingA tertiary cancer hospital in Hunan Province, China.ParticipantsPatients with oral cancer scheduled for surgery were recruited using convenience sampling.Primary and secondary outcome measuresThe primary outcomes were swallowing function and swallowing-related QoL. The secondary outcomes were the predictors of the swallowing function and swallowing-related QoL.MethodsThe participants completed the sociodemographic and clinical data questionnaire, Nutritional Risk Screening 2002 and MD Anderson Dysphagia Inventory before surgery, 7 days after operation and 1 month after operation. Data were analysed using t-test, analysis of variance and generalised linear models.ResultsAmong 138 participants who completed all the three surveys, 41 (29.71%) had moderate to severe dysphagia before surgery. Swallowing function and swallowing-related QoL changed over time, showing the trend of decline first and then increase. Preoperative swallowing function and swallowing-related QoL were affected by sex, lymphocyte level, preoperative nutritional risk and primary tumour site. At 7 days postoperatively, tracheotomy affected swallowing function. At 1 month postoperatively, age and marital status influenced swallowing function, whereas age, type of job and preoperative nutritional risk influenced swallowing-related QoL.ConclusionsOur study demonstrates that perioperative patients with oral cancer generally faced swallowing disorders, especially in the acute phase after surgery. Healthcare providers should pay attention to the swallowing function of perioperative patients with oral cancer, especially those with preoperative nutritional risk, tongue tumour, tracheotomy, age <60 years, and no spouse and the employed patients, and provide available interventions, such as swallowing and nutritional therapy, as early as possible to improve their swallowing function. Meanwhile, doctors should recommend the most evidence-based treatment options, such as reconstruction or not, preoperative chemotherapy or not, to patients.
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Jung, Yu Sang, MinYoung Kim, Kyunghoon Min, Jong Moon Kim, Eun Young Han, Kye Hee Cho, and Sang Hee Im. "Impact of nasogastric tube feeding on swallowing function in patients with dysphagia: a pilot study." Neurology Asia 26, no. 4 (September 2021): 809–15. http://dx.doi.org/10.54029/2021smr.

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During dysphagia treatment, direct oral swallowing therapy is applied to some patients temporarily fed via nasogastric tube. However, the risk of aspiration in oral swallowing while nasogastric tube in situ may be disregarded in a standard videofluoroscopic swallowing study performed without a nasogastric tube. To evaluate the diagnostic significance of nasogastric tube in situ videofluoroscopic swallowing study of nectar and pureed diet compared to the standard videofluoroscopic swallowing study without nasogastric tube. Videofluoroscopic swallowing study records of dysphagia patients conducted between June and August 2017 in a university hospital were collected for review. Rosenbek’s penetration-aspiration scale, diagnostic criteria of aspiration were used to define aspiration. videofluoroscopic dysphagia scale for videofluoroscopic swallowing study with or without nasogastric tube were compared for nectar and pureed diet swallowing. Patients had various duration of nasogastric tube feeding. Paired T-test comparing the videofluoroscopic dysphagia scales for videofluoroscopic swallowing study with or without nasogastric tube revealed significant aggravation of swallowing dysfunction in nectar drinking while nasogastric tube in situ. This aggravation was noted in 19% (n=4) of patients who suffered from stroke regardless of nasogastric tube duration. Nasogastric tube in situ videofluoroscopic swallowing study, at least of nectar drinking could be beneficial in selecting a safe candidate for direct oral swallowing therapy in conjunction with the conventional nasogastric tube removed videofluoroscopic swallowing study.
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34

Pearson, William G., Jacline V. Griffeth, and Alexis M. Ennis. "Functional Anatomy Underlying Pharyngeal Swallowing Mechanics and Swallowing Performance Goals." Perspectives of the ASHA Special Interest Groups 4, no. 4 (August 15, 2019): 648–55. http://dx.doi.org/10.1044/2019_pers-sig13-2018-0014.

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Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.
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Miyagi, Shigeyuki, Syo Sugiyama, Keiko Kozawa, Sueyoshi Moritani, Shin-ichi Sakamoto, and Osamu Sakai. "Classifying Dysphagic Swallowing Sounds with Support Vector Machines." Healthcare 8, no. 2 (April 21, 2020): 103. http://dx.doi.org/10.3390/healthcare8020103.

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Swallowing sounds from cervical auscultation include information related to the swallowing function. Several studies have been conducted on the screening tests of dysphagia. The literature shows a significant difference between the characteristics of swallowing sounds obtained from different subjects (e.g., healthy and dysphagic subjects; young and old adults). These studies demonstrate the usefulness of swallowing sounds during dysphagic screening. However, the degree of classification for dysphagia based on swallowing sounds has not been thoroughly studied. In this study, we investigate the use of machine learning for classifying swallowing sounds into various types, such as normal swallowing or mild, moderate, and severe dysphagia. In particular, swallowing sounds were recorded from patients with dysphagia. Support vector machines (SVMs) were trained using some features extracted from the obtained swallowing sounds. Moreover, the accuracy of the classification of swallowing sounds using the trained SVMs was evaluated via cross-validation techniques. In the two-class scenario, wherein the swallowing sounds were divided into two categories (viz. normal and dysphagic subjects), the maximum F-measure was 78.9%. In the four-class scenario, where the swallowing sounds were divided into four categories (viz. normal subject, and mild, moderate, and severe dysphagic subjects), the F-measure values for the classes were 65.6%, 53.1%, 51.1%, and 37.1%, respectively.
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36

Jordan Hazelwood, R., Kent E. Armeson, Elizabeth G. Hill, Heather Shaw Bonilha, and Bonnie Martin-Harris. "Identification of Swallowing Tasks From a Modified Barium Swallow Study That Optimize the Detection of Physiological Impairment." Journal of Speech, Language, and Hearing Research 60, no. 7 (July 12, 2017): 1855–63. http://dx.doi.org/10.1044/2017_jslhr-s-16-0117.

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Purpose The purpose of this study was to identify which swallowing task(s) yielded the worst performance during a standardized modified barium swallow study (MBSS) in order to optimize the detection of swallowing impairment. Method This secondary data analysis of adult MBSSs estimated the probability of each swallowing task yielding the derived Modified Barium Swallow Impairment Profile (MBSImP™©; Martin-Harris et al., 2008) Overall Impression (OI; worst) scores using generalized estimating equations. The range of probabilities across swallowing tasks was calculated to discern which swallowing task(s) yielded the worst performance. Results Large-volume, thin-liquid swallowing tasks had the highest probabilities of yielding the OI scores for oral containment and airway protection. The cookie swallowing task was most likely to yield OI scores for oral clearance. Several swallowing tasks had nearly equal probabilities (≤ .20) of yielding the OI score. Conclusions The MBSS must represent impairment while requiring boluses that challenge the swallowing system. No single swallowing task had a sufficiently high probability to yield the identification of the worst score for each physiological component. Omission of swallowing tasks will likely fail to capture the most severe impairment for physiological components critical for safe and efficient swallowing. Results provide further support for standardized, well-tested protocols during MBSS.
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37

Speksnijder, Caroline M., Lucía Ortiz-Comino, Anton F. J. de Haan, Carolina Fernández-Lao, Remco de Bree, and Matthias A. W. Merkx. "Swallowing after Oral Oncological Treatment: A Five-Year Prospective Study." Cancers 15, no. 17 (September 1, 2023): 4371. http://dx.doi.org/10.3390/cancers15174371.

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Background: Swallowing rehabilitation in curative treated patients with oral cancer is still a challenge. Different factors may influence these patients’ swallowing function. The aim of this study was to identify factors associated with swallowing function up to 5 years after cancer treatment. Methods: Swallowing duration and frequency of 5 mL water and 15 mL applesauce were measured in 123 patients treated for oral cancer. Mixed model analyses were performed to identify associated factors. Results: Age influenced all measured swallowing outcomes. Assessment moment, gender, tumor location, maximum tongue force, and tactile sensory function of the tongue were associated with both water and applesauce swallowing duration, tumor classification was associated with water swallowing duration, and alcohol consumption was associated with applesauce swallowing duration. Assessment moment, cancer treatment, maximum tongue force, and tactile sensory function of the tongue were associated with water and applesauce swallowing frequency. Conclusion: Patients who are older at diagnosis, women, and patients who regularly consume alcohol before their treatment may have poorer swallow functioning after curative oral cancer treatment. Patients that fit these criteria should have their swallowing evaluated during clinical follow-ups and sent to swallowing therapy when needed. During this therapy, optimizing tongue function needs attention to maintain an optimal swallowing function.
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Bhattacharyya, Neil. "The Prevalence of Dysphagia among Adults in the United States." Otolaryngology–Head and Neck Surgery 151, no. 5 (September 5, 2014): 765–69. http://dx.doi.org/10.1177/0194599814549156.

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Objective To determine the prevalence of dysphagia, reported etiologies, and impact among adults in the United States. Study Design Cross-sectional analysis of a national health care survey. Subjects and Methods The 2012 National Health Interview Survey was analyzed, identifying adult cases reporting a swallowing problem in the preceding 12 months. In addition to demographic data, specific data regarding visits to health care professionals for swallowing problems, diagnoses given, and severity of the swallowing problem were analyzed. The relationship between swallowing problems and lost workdays was assessed. Results An estimated 9.44 ± 0.33 million adults (raw N = 1554; mean age, 52.1 years; 60.2% ± 1.6% female) reported a swallowing problem (4.0% ± 0.1%). Overall, 22.7% ± 1.7% saw a health care professional for their swallowing problem, and 36.9% ± 0.1.7% were given a diagnosis. Women were more likely than men to report a swallowing problem (4.7% ± 0.2% versus 3.3% ± 0.2%, P < .001). Of the patients, 31.7% and 24.8% reported their swallowing problem to be a moderate or a big/very big problem, respectively. Stroke was the most commonly reported etiology (422,000 ± 77,000; 11.2% ± 1.9%), followed by other neurologic cause (269,000 ± 57,000; 7.2% ± 1.5%) and head and neck cancer (185,000 ± 40,000; 4.9% ± 1.1%). The mean number of days affected by the swallowing problem was 139 ± 7. Respondents with a swallowing problem reported 11.6 ± 2.0 lost workdays in the past year versus 3.4 ± 0.1 lost workdays for those without a swallowing problem (contrast, +8.1 lost workdays, P < .001). Conclusion Swallowing problems affect 1 in 25 adults, annually. A relative minority seek health care for their swallowing problem, even though the subjective impact and associated workdays lost with the swallowing problem are significant.
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Shrotriya, Shiva, Calvin Abro, Fawzi Abu Rous, Rosemary Trimmer, Mukta Sharma, Supratik Rayamajhi, Bassam N. Estfan, and Declan Walsh. "Swallow screen and test in cancer patients." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e18288-e18288. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18288.

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e18288 Background: Swallowing is a complex process with four phases. It initiates digestion and is essential for proper nutrition. Difficulty swallowing independently correlated with cancer survival. We retrospectively evaluated the prevalence and incidence of difficulty swallowing in an acute care palliative medicine unit. BMI and survival were also examined. Methods: Electronic Medical Records (EMR) 2010-2012 was reviewed. Assessment comprised of 3 steps: nurse survey on patient condition (coma, intubation, PEG/feeing tube, respiratory distress), screening questionnaire and clinical swallowing test. Change in BMI from the day of admission to discharge calculated. Survival calculated from EMR and Social Security Death Index. Results: N = 261 with cancer identified; 47% known metastases. The mean age (± SD) was 68 ± 13 years. 55% females. 71% Caucasians and 25% African Americans. It was common in lung, gastrointestinal (GI) and genitourinary (GU) cancers. Clinical swallowing test was indicated in 94%. Prevalence of difficulty swallowing = 6%. Incidence of difficulty swallowing = 21%. Change in Body Mass Index (BMI) from 26 ± 7 (Mean ± SD) to 26 ± 6 on admission to discharge respectively. Median (25th, 75th percentile) survival: 25(13, 62) days. Conclusions: Difficulty swallowing was common in lung, GI and GU cancers. The incidence of difficulty swallowing in acute care palliative medicine unit was 21% and prevalence 6%. 75% with difficulty swallowing identified by nurse’s initial survey, 19% through screening questionnaires and 6% clinical swallowing test. Pneumonia/respiratory and GI problems were common. Swallowing evaluation critical for comprehensive cancer care.
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40

Byeon, Haewon. "Combined Effects of NMES and Mendelsohn Maneuver on the Swallowing Function and Swallowing–Quality of Life of Patients with Stroke-Induced Sub-Acute Swallowing Disorders." Biomedicines 8, no. 1 (January 12, 2020): 12. http://dx.doi.org/10.3390/biomedicines8010012.

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It is necessary to identify how to improve the swallowing-related quality of life, as well as the swallowing function, in order to evaluate the effect of treatments on swallowing disorders. This study aimed to prove the effects of a compound swallowing intervention (Mendelsohn maneuver + neuromuscular electrical stimulation (NMES)) on the swallowing function and the quality of life by applying the compound swallowing intervention to patients with sub-acute swallowing disorders due to cerebral infarction for eight weeks. This study analyzed 43 subjects who were diagnosed with swallowing disorders due to cerebral infarction. The experiment consisted of the Mendelsohn maneuver treatment group (n = 15), the NMES treatment group (n = 13), the compound intervention group (Mendelsohn maneuver + NMES; n = 15). The results of ANCOVA showed that the changes in Functional Dysphagia Scale (FDS) scores and Swallowing–Quality of Life (SWAL–QOL) score were different among groups. The compound intervention group had the highest FDS scores and SWAL–QOL score followed by Mendelsohn, and the NMES group had the lowest. The result of this study suggests that NMES can be more effective when it is combined with a traditional swallowing rehabilitation therapy rather than a single intervention method.
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41

Murray, Joe. "Food For Thought: Self-Criticism and Raising the Bar of Dysphagia Practice." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 18, no. 2 (June 2009): 68–77. http://dx.doi.org/10.1044/sasd18.2.68.

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Abstract The assessment and treatment of swallowing disorders have become central to the practice of the medical speech-language pathologist. The outcomes associated with swallowing and swallowing disorders are severe with aspiration pneumonia, malnutrition and dehydration, and reduced quality of life among the most concerning. Clinicians practicing in this area possess unequal skills, training, and experience, and there is considerable variation in practice in the field. This article focuses on variation and error in swallowing assessment with attention to reliability and accuracy of the videofluoroscopic swallowing assessment. In this self-critical overview of the practice, recommendations are made for developing a standardized assessment protocol, shared lexicon, and specialty recognition in the area of swallowing and swallowing disorders.
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42

Erensoy, Habib, Mehmet Ceylan, and Alper Evrensel. "Swallowing metal things." Journal of Neurobehavioral Sciences 1, no. 3 (2014): 98. http://dx.doi.org/10.5455/jnbs.1407841711.

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43

Shin, Takemoto. "Mechanism of swallowing." Nihon Kikan Shokudoka Gakkai Kaiho 40, no. 2 (1989): 84–85. http://dx.doi.org/10.2468/jbes.40.84.

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44

Yoshida, T. "Electromyography for Swallowing." Nihon Kikan Shokudoka Gakkai Kaiho 50, no. 2 (1999): 315. http://dx.doi.org/10.2468/jbes.50.315.

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45

Counter, Paul R., and Jen H. Ong. "Disorders of swallowing." Surgery (Oxford) 39, no. 9 (September 2021): 569–76. http://dx.doi.org/10.1016/j.mpsur.2021.07.007.

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46

Walton, Jenny, and Priyamal Silva. "Physiology of swallowing." Surgery (Oxford) 39, no. 9 (September 2021): 563–68. http://dx.doi.org/10.1016/j.mpsur.2021.07.003.

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47

Atkinson, Stacey. "Swallowing drink thickeners." Learning Disability Practice 18, no. 10 (November 30, 2015): 17. http://dx.doi.org/10.7748/ldp.18.10.17.s17.

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48

Atkinson, Stacey. "Swallowing drink thickeners." Learning Disability Practice 18, no. 9 (November 2, 2015): 17. http://dx.doi.org/10.7748/ldp.18.9.17.s22.

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49

Philipps, Jillian, Courtney Reinhart, Abby Rohde, Kristen Virgil, and Christy Moser. "Feeding and Swallowing." Journal of Occupational Therapy, Schools, & Early Intervention 5, no. 2 (April 2012): 90–104. http://dx.doi.org/10.1080/19411243.2012.701524.

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50

Rowan, L. "ASTROPHYSICS: Swallowing Planets." Science 302, no. 5643 (October 10, 2003): 201c—201. http://dx.doi.org/10.1126/science.302.5643.201c.

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