Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients
This study was designed to determine whether swallow rehabilitation outcomes were affected by the type of evaluation procedure utilized by the clinician. The two evaluation techniques compared were the bedside examination and videofluoroscopy (the modified barium swallow). Ten institutions participa...
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| Veröffentlicht in: | Dysphagia 1992-12, Vol.7 (4), p.179-186 |
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| container_title | Dysphagia |
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| creator | Logemann, J A Roa Pauloski, B Rademaker, A Cook, B Graner, D Milianti, F Beery, Q Stein, D Bowman, J Lazarus, C |
| description | This study was designed to determine whether swallow rehabilitation outcomes were affected by the type of evaluation procedure utilized by the clinician. The two evaluation techniques compared were the bedside examination and videofluoroscopy (the modified barium swallow). Ten institutions participated in this study, enrolling a total of 103 partial laryngectomized patients, 21 in the bedside arm and 82 in the videofluoroscopy arm. Data on recovery of oral intake were collected weekly. All patients received an X-ray study of swallow at 3 months after the operation. Mean time to oral intake of food was significantly lower in patients assessed with bedside examination. Overall swallow measures of transit times and swallow efficiencies after 3 months revealed significantly better function in the videofluoroscopy group. Results are discussed in terms of the visibility of swallow physiology with the two assessment techniques, the accuracy of therapy planning with the bedside examination versus videofluoroscopy and the ability of head and neck cancer patients to tolerate some aspiration without developing aspiration pneumonia. |
| doi_str_mv | 10.1007/bf02493468 |
| format | Article |
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Results are discussed in terms of the visibility of swallow physiology with the two assessment techniques, the accuracy of therapy planning with the bedside examination versus videofluoroscopy and the ability of head and neck cancer patients to tolerate some aspiration without developing aspiration pneumonia.</description><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Deglutition Disorders - diagnostic imaging</subject><subject>Deglutition Disorders - rehabilitation</subject><subject>Dentistry</subject><subject>Fluoroscopy</subject><subject>Head and Neck Neoplasms - rehabilitation</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Laryngectomy - methods</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Physical Examination</subject><issn>0179-051X</issn><issn>1432-0460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEURYMotVY37oWsXAijySSZj6UWq4WCGwV3QyZ500ZnkppkKP57I624enDf4cI9CF1ScksJKe_ajuS8ZryojtCUcpZnhBfkGE0JLeuMCPp-is5C-CCE5nXBJmhCec4rRqcoLoetVBG7DscNYG3k2roQjcJb7xTo0QN2FrsxKjcAHkCGFIVfPuxk37udsWvsYSNb05soo0m0sXgDUmNpNbagPrGSVoHH2_QGG8M5OulkH-DicGfobfH4On_OVi9Py_n9KlN5wWLWQpXWKaYqKDpgZSGoKiqdy5xWAkopWSlqwUXNUsZJpzVrRdu1stKKtoKxGbre96YtXyOE2AwmKOh7acGNoSkZoyWraQJv9qDyLgQPXbP1ZpD-u6Gk-VXcPCz-FCf46tA6tgPof3TvlP0AIzJ4UQ</recordid><startdate>199212</startdate><enddate>199212</enddate><creator>Logemann, J A</creator><creator>Roa Pauloski, B</creator><creator>Rademaker, A</creator><creator>Cook, B</creator><creator>Graner, D</creator><creator>Milianti, F</creator><creator>Beery, Q</creator><creator>Stein, D</creator><creator>Bowman, J</creator><creator>Lazarus, C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199212</creationdate><title>Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients</title><author>Logemann, J A ; Roa Pauloski, B ; Rademaker, A ; Cook, B ; Graner, D ; Milianti, F ; Beery, Q ; Stein, D ; Bowman, J ; Lazarus, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c263t-be8007c3c8e6fe37651c68d2a2185e7aa375954593d2a40fdd3b5bfba8dc1b533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - diagnosis</topic><topic>Deglutition Disorders - diagnostic imaging</topic><topic>Deglutition Disorders - rehabilitation</topic><topic>Dentistry</topic><topic>Fluoroscopy</topic><topic>Head and Neck Neoplasms - rehabilitation</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Laryngectomy - methods</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care)</topic><topic>Physical Examination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Logemann, J A</creatorcontrib><creatorcontrib>Roa Pauloski, B</creatorcontrib><creatorcontrib>Rademaker, A</creatorcontrib><creatorcontrib>Cook, B</creatorcontrib><creatorcontrib>Graner, D</creatorcontrib><creatorcontrib>Milianti, F</creatorcontrib><creatorcontrib>Beery, Q</creatorcontrib><creatorcontrib>Stein, D</creatorcontrib><creatorcontrib>Bowman, J</creatorcontrib><creatorcontrib>Lazarus, C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Dysphagia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Logemann, J A</au><au>Roa Pauloski, B</au><au>Rademaker, A</au><au>Cook, B</au><au>Graner, D</au><au>Milianti, F</au><au>Beery, Q</au><au>Stein, D</au><au>Bowman, J</au><au>Lazarus, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients</atitle><jtitle>Dysphagia</jtitle><addtitle>Dysphagia</addtitle><date>1992-12</date><risdate>1992</risdate><volume>7</volume><issue>4</issue><spage>179</spage><epage>186</epage><pages>179-186</pages><issn>0179-051X</issn><eissn>1432-0460</eissn><abstract>This study was designed to determine whether swallow rehabilitation outcomes were affected by the type of evaluation procedure utilized by the clinician. 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| fulltext | fulltext |
| identifier | ISSN: 0179-051X |
| ispartof | Dysphagia, 1992-12, Vol.7 (4), p.179-186 |
| issn | 0179-051X 1432-0460 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73317391 |
| source | MEDLINE; SpringerLink (Online service) |
| subjects | Deglutition - physiology Deglutition Disorders - diagnosis Deglutition Disorders - diagnostic imaging Deglutition Disorders - rehabilitation Dentistry Fluoroscopy Head and Neck Neoplasms - rehabilitation Head and Neck Neoplasms - surgery Humans Laryngectomy - methods Middle Aged Outcome Assessment (Health Care) Physical Examination |
| title | Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients |
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