[Dysphagia] How to identify silent aspiration clinically

[Heidi.Bassani at amedd.army.mil (Bassani, Heidi D Ms WRAMC-Wash DC)]

 Thank you for your input and while I respect your experience and
understand the point you are making about clinic evaluation and its link
to the published evidence.  However, from an evidence-based practice
standpoint, I have been taught to be guided by research in my
evaluation.  As such, my personal feeling is that if you are going to
present statistics to people (and of whom many on this board will take
your word as gospel), then those numbers should be substantiated by some
sort of research.  I was hoping that you would have that, as I would be
very interested in reading it.  I guess we will have to agree to
disagree.
 
Thank you.

-----Original Message-----
From: Drirenect@aol.com [mailto:Drirenect@aol.com] 
Sent: Wednesday, January 11, 2006 6:28 PM
To: Bassani, Heidi D Ms WRAMC-Wash DC; eripley@yahoo.com;
dysphagia@b9.com
Subject: Re: [Dysphagia] How to identify silent aspiration clinically

My own experience teaching and practicing over more than 20 years and
keeping detailed records confirms my statement. If you check
Martin-Harris and Logemann et al on the same topic you will find
comparable data. Also, those on this list who have been taught by me may
also be able to weigh in on the topic.  
I never thought it was necessary to publish data on what is well
documented neurological information and I doubt that it would be
published in any reputable  neurological journal as it simply follows
well-known procedures that have been  described for more than a century.
The fact that these are not known by or  taught to the majority of SLPs
is an ongoing concern and a situation that I have  never been able to
understand. Perhaps you could enlighten me as to your  perception of the
reasons for this serious lack in SLP dysphagia  training.