[Dysphagia] Re: Dysphagia Digest, Vol 24, Issue 9

[eripley at yahoo.com (Irene Campbell-Taylor)]

I was wondering if you may be able to assist. I am currently reviewing our videofluoroscopy protocol and was looking for some data to support the need to use the method of gradually introducing larger bolus' (e.g Logemann method but data OTHER than Logemann) or contrary data supporting the use of larger bolus' initially to improve sensory feedback (as was reinforced in a recent cervical ascultation course I attended). 

 

*** The use of boluses larger than 1-3ml is demanded by the fact these are far too small. The larger the bolus, the more efficient the swallow (see Kahrilas, Logemann, Dent, Shaker and many others). The VFSS is already so far from a normal meal that to add the absurditiy of tiny boluses makes its validity highly questionable. To approach normal intake, normal boluses must be given.



Dr I Campbell-Taylor
Clinical Neuroscientist
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