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Research Article  |   May 1990
Protocol for the Use of Videofluoroscopy in Pediatric Swallowing Dysfunction
Author Affiliations
  • Karen S. Zerilli, OTR, at the time of this study, was Supervisor, Pediatric Rehabilitation, C. S. Mott Children’s Hospital, University of Michigan Hospitals, Ann Arbor, Michigan. (Mailing address: 7525 Foxpoint Circle, Madison, Wisconsin 53717)
  • Vikki A. Stefans, MD, is Assistant Professor, Division of Rehabilitation Medicine, Department of Pediatrics, University of Arkansas for Medical Sciences, and Medical Director, Progressive Care Unit, Arkansas Children’s Hospital, Little Rock, Arkansas
  • Michael A. DiPietro, MD, is Assistant Professor, Department of Radiology, Section of Pediatric Radiology, University of Michigan Hospitals, Ann Arbor, Michigan
Article Information
Pediatric Evaluation and Intervention / Practice
Research Article   |   May 1990
Protocol for the Use of Videofluoroscopy in Pediatric Swallowing Dysfunction
American Journal of Occupational Therapy, May 1990, Vol. 44, 441-446. doi:10.5014/ajot.44.5.441
American Journal of Occupational Therapy, May 1990, Vol. 44, 441-446. doi:10.5014/ajot.44.5.441
Abstract

A clinical and research protocol was developed to compare the sensitivity and clinical value of videofluoroscopy with the traditional bedside clinical evaluation in the evaluation of children’s swallowing dysfunction. The bedside and videofluoroscopic evaluations of 33 children were reviewed retrospectively. Our findings indicated that recommendations for feeding changed for 14 of the children as a result of the information gained from the videofluoroscopic evaluation. The results suggest that videofluoroscopy provides therapists with more objective evidence than a bedside evaluation for determining the etiology of swallowing dysfunction and directing the management or treatment of this dysfunction.