Teledynamic Evaluation of Oropharyngeal Swallowing
Purpose: The objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing. Method: In this prospective cohort study, the authors evaluated 32 patients with a primary...
Gespeichert in:
| Veröffentlicht in: | Journal of speech, language, and hearing research language, and hearing research, 2011-12, Vol.54 (6), p.1497-1505 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1505 |
|---|---|
| container_issue | 6 |
| container_start_page | 1497 |
| container_title | Journal of speech, language, and hearing research |
| container_volume | 54 |
| creator | Malandraki, Georgia A McCullough, Gary He, Xuming McWeeny, Elizabeth Perlman, Adrienne L |
| description | Purpose: The objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing. Method: In this prospective cohort study, the authors evaluated 32 patients with a primary diagnosis of stroke or head/neck cancer. All patients participated in 2 separate fluoroscopic swallowing evaluations--one traditional on site and one telefluoroscopic off site--through the use of a telemedicine system. Agreement between sites was tested for 3 categories of variables: (a) overall severity of swallowing difficulty, (b) presence and extent of laryngeal penetration and aspiration as rated by the 8-point Penetration-Aspiration scale, and (c) treatment recommendations. Results: Results showed overall good agreement in subjective severity ratings (kappa = 0.636) and in Penetration-Aspiration scale ratings (mean absolute difference = 1.1 points) between the onsite and offsite clinicians. Agreement in treatment recommendations was moderate to high, ranging from 69.3% to 100%. Conclusions: The present study supports the feasibility and clinical utility of a telemedicine system for evaluating oropharyngeal swallowing. Given the difficulty and expertise needed to complete such evaluations, this study offers promising clinical avenues for patients in rural, remote, and underserved communities and countries where expert swallowing specialists are not available. |
| doi_str_mv | 10.1044/1092-4388(2011/10-0284) |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4165336</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A277674942</galeid><ericid>EJ951482</ericid><sourcerecordid>A277674942</sourcerecordid><originalsourceid>FETCH-LOGICAL-c729t-3e4b5b6fdda0a527888b3da46d66f0319c2abe44adbc8daa7401b28ce2f53cad3</originalsourceid><addsrcrecordid>eNqFkl1rFDEUhoMotq7-A9EFwdaLqfmaTHIjlLJ-UeiF9TpkMpnZlGyyncy09N_3DNuuXVk0gXyd5z0kOS9C7wk-IZjzzwQrWnAm5THFhMC2wFTyT8_QISlLWSiC6XNYP1IH6FXOVxga4eIlOqAUlxQEh4heuuCau2hW3s4XNyaMZvApzlM7v-jTemn6u9g5E-a_bk0I6dbH7jV60ZqQ3ZuHeYZ-f11cnn0vzi--_Tg7PS9sRdVQMMfrshZt0xhsSlpJKWvWGC4aIVrMiLLU1I5z09RWNsZUHJOaSutoWzJrGjZDXzZ512O9co11cehN0Over-BWOhmvdyPRL3WXbjQnomRMQIKjhwR9uh5dHvTKZ-tCMNGlMWslOJGKVeT_JKEEvpQoII__SQLFMJMYhhn68Bd6lcY-wpdNVFlxLrD6Q3UmOO1jm-AtdkqqT2lViYorToEq9lCdiw4enqJrPRzv8Cd7eOiNg0LvFXx8IlhCxYdlTmGczJB3QbEBbZ9y7l27LQjBevKmnlynJ9fpyZvT8eRNEL57Ws6t7NGLALzdAK73dhte_FQl4ZKye52M5TM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1025744609</pqid></control><display><type>article</type><title>Teledynamic Evaluation of Oropharyngeal Swallowing</title><source>MEDLINE</source><source>EBSCOhost Education Source</source><creator>Malandraki, Georgia A ; McCullough, Gary ; He, Xuming ; McWeeny, Elizabeth ; Perlman, Adrienne L</creator><creatorcontrib>Malandraki, Georgia A ; McCullough, Gary ; He, Xuming ; McWeeny, Elizabeth ; Perlman, Adrienne L</creatorcontrib><description>Purpose: The objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing. Method: In this prospective cohort study, the authors evaluated 32 patients with a primary diagnosis of stroke or head/neck cancer. All patients participated in 2 separate fluoroscopic swallowing evaluations--one traditional on site and one telefluoroscopic off site--through the use of a telemedicine system. Agreement between sites was tested for 3 categories of variables: (a) overall severity of swallowing difficulty, (b) presence and extent of laryngeal penetration and aspiration as rated by the 8-point Penetration-Aspiration scale, and (c) treatment recommendations. Results: Results showed overall good agreement in subjective severity ratings (kappa = 0.636) and in Penetration-Aspiration scale ratings (mean absolute difference = 1.1 points) between the onsite and offsite clinicians. Agreement in treatment recommendations was moderate to high, ranging from 69.3% to 100%. Conclusions: The present study supports the feasibility and clinical utility of a telemedicine system for evaluating oropharyngeal swallowing. Given the difficulty and expertise needed to complete such evaluations, this study offers promising clinical avenues for patients in rural, remote, and underserved communities and countries where expert swallowing specialists are not available.</description><identifier>ISSN: 1092-4388</identifier><identifier>EISSN: 1558-9102</identifier><identifier>DOI: 10.1044/1092-4388(2011/10-0284)</identifier><identifier>PMID: 22052284</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association (ASHA)</publisher><subject>Aged ; Agreements ; Aspiration ; Brain ; Cancer ; Cancer patients ; Computers ; Deglutition ; Deglutition - physiology ; Deglutition Disorders - diagnostic imaging ; Deglutition Disorders - etiology ; Deglutition Disorders - physiopathology ; Diagnostic Tests ; Dosage and administration ; Dysphagia ; Evaluation Methods ; Feasibility Studies ; Female ; Fluoroscopy - methods ; Fluoroscopy - statistics & numerical data ; Head and Neck Neoplasms - complications ; Health aspects ; Hospitals ; Human Body ; Human error ; Humans ; Hypotheses ; Internet ; Male ; Measurement Techniques ; Measures (Individuals) ; Middle Aged ; Neurological Impairments ; Observations ; Observer Variation ; Oropharynx - diagnostic imaging ; Oropharynx - physiology ; Patients ; Physical Health ; Physiology ; Prospective Studies ; Review boards ; Severity (of Disability) ; Severity of Illness Index ; Spectroscopy ; Speech Language Pathology ; Stroke - complications ; Stroke patients ; Telemedicine ; Telemedicine - methods ; Telemedicine - statistics & numerical data ; Video Recording - methods ; Video Recording - statistics & numerical data ; Video Technology</subject><ispartof>Journal of speech, language, and hearing research, 2011-12, Vol.54 (6), p.1497-1505</ispartof><rights>COPYRIGHT 2011 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Dec 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c729t-3e4b5b6fdda0a527888b3da46d66f0319c2abe44adbc8daa7401b28ce2f53cad3</citedby><cites>FETCH-LOGICAL-c729t-3e4b5b6fdda0a527888b3da46d66f0319c2abe44adbc8daa7401b28ce2f53cad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ951482$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22052284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malandraki, Georgia A</creatorcontrib><creatorcontrib>McCullough, Gary</creatorcontrib><creatorcontrib>He, Xuming</creatorcontrib><creatorcontrib>McWeeny, Elizabeth</creatorcontrib><creatorcontrib>Perlman, Adrienne L</creatorcontrib><title>Teledynamic Evaluation of Oropharyngeal Swallowing</title><title>Journal of speech, language, and hearing research</title><addtitle>J Speech Lang Hear Res</addtitle><description>Purpose: The objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing. Method: In this prospective cohort study, the authors evaluated 32 patients with a primary diagnosis of stroke or head/neck cancer. All patients participated in 2 separate fluoroscopic swallowing evaluations--one traditional on site and one telefluoroscopic off site--through the use of a telemedicine system. Agreement between sites was tested for 3 categories of variables: (a) overall severity of swallowing difficulty, (b) presence and extent of laryngeal penetration and aspiration as rated by the 8-point Penetration-Aspiration scale, and (c) treatment recommendations. Results: Results showed overall good agreement in subjective severity ratings (kappa = 0.636) and in Penetration-Aspiration scale ratings (mean absolute difference = 1.1 points) between the onsite and offsite clinicians. Agreement in treatment recommendations was moderate to high, ranging from 69.3% to 100%. Conclusions: The present study supports the feasibility and clinical utility of a telemedicine system for evaluating oropharyngeal swallowing. Given the difficulty and expertise needed to complete such evaluations, this study offers promising clinical avenues for patients in rural, remote, and underserved communities and countries where expert swallowing specialists are not available.</description><subject>Aged</subject><subject>Agreements</subject><subject>Aspiration</subject><subject>Brain</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Computers</subject><subject>Deglutition</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - diagnostic imaging</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Diagnostic Tests</subject><subject>Dosage and administration</subject><subject>Dysphagia</subject><subject>Evaluation Methods</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Fluoroscopy - methods</subject><subject>Fluoroscopy - statistics & numerical data</subject><subject>Head and Neck Neoplasms - complications</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Human Body</subject><subject>Human error</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Internet</subject><subject>Male</subject><subject>Measurement Techniques</subject><subject>Measures (Individuals)</subject><subject>Middle Aged</subject><subject>Neurological Impairments</subject><subject>Observations</subject><subject>Observer Variation</subject><subject>Oropharynx - diagnostic imaging</subject><subject>Oropharynx - physiology</subject><subject>Patients</subject><subject>Physical Health</subject><subject>Physiology</subject><subject>Prospective Studies</subject><subject>Review boards</subject><subject>Severity (of Disability)</subject><subject>Severity of Illness Index</subject><subject>Spectroscopy</subject><subject>Speech Language Pathology</subject><subject>Stroke - complications</subject><subject>Stroke patients</subject><subject>Telemedicine</subject><subject>Telemedicine - methods</subject><subject>Telemedicine - statistics & numerical data</subject><subject>Video Recording - methods</subject><subject>Video Recording - statistics & numerical data</subject><subject>Video Technology</subject><issn>1092-4388</issn><issn>1558-9102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkl1rFDEUhoMotq7-A9EFwdaLqfmaTHIjlLJ-UeiF9TpkMpnZlGyyncy09N_3DNuuXVk0gXyd5z0kOS9C7wk-IZjzzwQrWnAm5THFhMC2wFTyT8_QISlLWSiC6XNYP1IH6FXOVxga4eIlOqAUlxQEh4heuuCau2hW3s4XNyaMZvApzlM7v-jTemn6u9g5E-a_bk0I6dbH7jV60ZqQ3ZuHeYZ-f11cnn0vzi--_Tg7PS9sRdVQMMfrshZt0xhsSlpJKWvWGC4aIVrMiLLU1I5z09RWNsZUHJOaSutoWzJrGjZDXzZ512O9co11cehN0Over-BWOhmvdyPRL3WXbjQnomRMQIKjhwR9uh5dHvTKZ-tCMNGlMWslOJGKVeT_JKEEvpQoII__SQLFMJMYhhn68Bd6lcY-wpdNVFlxLrD6Q3UmOO1jm-AtdkqqT2lViYorToEq9lCdiw4enqJrPRzv8Cd7eOiNg0LvFXx8IlhCxYdlTmGczJB3QbEBbZ9y7l27LQjBevKmnlynJ9fpyZvT8eRNEL57Ws6t7NGLALzdAK73dhte_FQl4ZKye52M5TM</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Malandraki, Georgia A</creator><creator>McCullough, Gary</creator><creator>He, Xuming</creator><creator>McWeeny, Elizabeth</creator><creator>Perlman, Adrienne L</creator><general>American Speech-Language-Hearing Association (ASHA)</general><general>American Speech-Language-Hearing Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><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>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T9</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8A4</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>CPGLG</scope><scope>CRLPW</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20111201</creationdate><title>Teledynamic Evaluation of Oropharyngeal Swallowing</title><author>Malandraki, Georgia A ; McCullough, Gary ; He, Xuming ; McWeeny, Elizabeth ; Perlman, Adrienne L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c729t-3e4b5b6fdda0a527888b3da46d66f0319c2abe44adbc8daa7401b28ce2f53cad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Agreements</topic><topic>Aspiration</topic><topic>Brain</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Computers</topic><topic>Deglutition</topic><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - diagnostic imaging</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Diagnostic Tests</topic><topic>Dosage and administration</topic><topic>Dysphagia</topic><topic>Evaluation Methods</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Fluoroscopy - methods</topic><topic>Fluoroscopy - statistics & numerical data</topic><topic>Head and Neck Neoplasms - complications</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Human Body</topic><topic>Human error</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Internet</topic><topic>Male</topic><topic>Measurement Techniques</topic><topic>Measures (Individuals)</topic><topic>Middle Aged</topic><topic>Neurological Impairments</topic><topic>Observations</topic><topic>Observer Variation</topic><topic>Oropharynx - diagnostic imaging</topic><topic>Oropharynx - physiology</topic><topic>Patients</topic><topic>Physical Health</topic><topic>Physiology</topic><topic>Prospective Studies</topic><topic>Review boards</topic><topic>Severity (of Disability)</topic><topic>Severity of Illness Index</topic><topic>Spectroscopy</topic><topic>Speech Language Pathology</topic><topic>Stroke - complications</topic><topic>Stroke patients</topic><topic>Telemedicine</topic><topic>Telemedicine - methods</topic><topic>Telemedicine - statistics & numerical data</topic><topic>Video Recording - methods</topic><topic>Video Recording - statistics & numerical data</topic><topic>Video Technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malandraki, Georgia A</creatorcontrib><creatorcontrib>McCullough, Gary</creatorcontrib><creatorcontrib>He, Xuming</creatorcontrib><creatorcontrib>McWeeny, Elizabeth</creatorcontrib><creatorcontrib>Perlman, Adrienne L</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>Linguistics Collection</collection><collection>Linguistics Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of speech, language, and hearing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malandraki, Georgia A</au><au>McCullough, Gary</au><au>He, Xuming</au><au>McWeeny, Elizabeth</au><au>Perlman, Adrienne L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ951482</ericid><atitle>Teledynamic Evaluation of Oropharyngeal Swallowing</atitle><jtitle>Journal of speech, language, and hearing research</jtitle><addtitle>J Speech Lang Hear Res</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>54</volume><issue>6</issue><spage>1497</spage><epage>1505</epage><pages>1497-1505</pages><issn>1092-4388</issn><eissn>1558-9102</eissn><abstract>Purpose: The objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing. Method: In this prospective cohort study, the authors evaluated 32 patients with a primary diagnosis of stroke or head/neck cancer. All patients participated in 2 separate fluoroscopic swallowing evaluations--one traditional on site and one telefluoroscopic off site--through the use of a telemedicine system. Agreement between sites was tested for 3 categories of variables: (a) overall severity of swallowing difficulty, (b) presence and extent of laryngeal penetration and aspiration as rated by the 8-point Penetration-Aspiration scale, and (c) treatment recommendations. Results: Results showed overall good agreement in subjective severity ratings (kappa = 0.636) and in Penetration-Aspiration scale ratings (mean absolute difference = 1.1 points) between the onsite and offsite clinicians. Agreement in treatment recommendations was moderate to high, ranging from 69.3% to 100%. Conclusions: The present study supports the feasibility and clinical utility of a telemedicine system for evaluating oropharyngeal swallowing. Given the difficulty and expertise needed to complete such evaluations, this study offers promising clinical avenues for patients in rural, remote, and underserved communities and countries where expert swallowing specialists are not available.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association (ASHA)</pub><pmid>22052284</pmid><doi>10.1044/1092-4388(2011/10-0284)</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1092-4388 |
| ispartof | Journal of speech, language, and hearing research, 2011-12, Vol.54 (6), p.1497-1505 |
| issn | 1092-4388 1558-9102 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4165336 |
| source | MEDLINE; EBSCOhost Education Source |
| subjects | Aged Agreements Aspiration Brain Cancer Cancer patients Computers Deglutition Deglutition - physiology Deglutition Disorders - diagnostic imaging Deglutition Disorders - etiology Deglutition Disorders - physiopathology Diagnostic Tests Dosage and administration Dysphagia Evaluation Methods Feasibility Studies Female Fluoroscopy - methods Fluoroscopy - statistics & numerical data Head and Neck Neoplasms - complications Health aspects Hospitals Human Body Human error Humans Hypotheses Internet Male Measurement Techniques Measures (Individuals) Middle Aged Neurological Impairments Observations Observer Variation Oropharynx - diagnostic imaging Oropharynx - physiology Patients Physical Health Physiology Prospective Studies Review boards Severity (of Disability) Severity of Illness Index Spectroscopy Speech Language Pathology Stroke - complications Stroke patients Telemedicine Telemedicine - methods Telemedicine - statistics & numerical data Video Recording - methods Video Recording - statistics & numerical data Video Technology |
| title | Teledynamic Evaluation of Oropharyngeal Swallowing |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T23%3A29%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Teledynamic%20Evaluation%20of%20Oropharyngeal%20Swallowing&rft.jtitle=Journal%20of%20speech,%20language,%20and%20hearing%20research&rft.au=Malandraki,%20Georgia%20A&rft.date=2011-12-01&rft.volume=54&rft.issue=6&rft.spage=1497&rft.epage=1505&rft.pages=1497-1505&rft.issn=1092-4388&rft.eissn=1558-9102&rft_id=info:doi/10.1044/1092-4388(2011/10-0284)&rft_dat=%3Cgale_pubme%3EA277674942%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1025744609&rft_id=info:pmid/22052284&rft_galeid=A277674942&rft_ericid=EJ951482&rfr_iscdi=true |