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This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– 1404. http://dx.doi.org/10.1682/JRRD.2011.09.0180 Slideshow Project DOI:10.1682.JRRD.2011.09.0180JSP Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males Jacqueline Hind, MS, CCC-SLP, BRS-S; Elizabeth Divyak, MS, CCC-SLP; Jill Zielinski, MS, CCC-SLP; Andrew Taylor, MD; Michael Hartman, MD; Ronald Gangnon, PhD; JoAnne Robbins, PhD, CCC-SLP, BRS-S

2 This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– 1404. http://dx.doi.org/10.1682/JRRD.2011.09.0180 Slideshow Project DOI:10.1682.JRRD.2011.09.0180JSP Aim – Measure dose-response of barium materials used for dysphagia diagnosis and treatment planning. – Help radiologists, speech-language pathologists, and other medical professionals make informed decisions regarding safest barium materials to use during videofluoroscopic swallow studies (VFSSs). Relevance – While modifying textures is common to prevent aspiration of food and liquids, debate surrounds unified terminology and standardized rheological properties.

3 This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– 1404. http://dx.doi.org/10.1682/JRRD.2011.09.0180 Slideshow Project DOI:10.1682.JRRD.2011.09.0180JSP Method 16 adult males representing various medical diagnoses qualified to complete VFSSs. – Tested with liquid barium of three viscosities: Nectar: 300 cP. Thin honey: 1,500 cP. Thick honey: 3,000 cP. Outcome measures included: – Airway invasion (Penetration-Aspiration Scale). – Postswallow residue. – Patient preference.

4 This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– 1404. http://dx.doi.org/10.1682/JRRD.2011.09.0180 Slideshow Project DOI:10.1682.JRRD.2011.09.0180JSP Results Penetration-Aspiration and residue: – No significant difference observed between thin and thick honey. – Significantly more severe airway invasion with nectar than with thin or thick honey. – Significantly more residue in oral cavity and valleculae with thin and thick honey than with nectar. Patient preference: – 67% rated thin honey as “easy” or “average” to drink (vs 54% for thick honey).

5 This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– 1404. http://dx.doi.org/10.1682/JRRD.2011.09.0180 Slideshow Project DOI:10.1682.JRRD.2011.09.0180JSP Mean Penetration/Aspiration Scale (Pen/Asp) scores for liquid bariums of different viscosities. Higher scores represent more severe airway invasion.

6 This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– 1404. http://dx.doi.org/10.1682/JRRD.2011.09.0180 Slideshow Project DOI:10.1682.JRRD.2011.09.0180JSP Conclusion This study supports use of thin honey barium over thick honey barium during VFSSs. – The 2 honey bariums were comparable in airway protection and postswallow residue in oropharynx. Thin honey was preferred by patients.

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