The Videofluorographic Swallowing Study - 07/08/11

Doi : 10.1016/j.pmr.2008.06.004

Bonnie Martin-Harris, PhD, SLP, BRS-S ^a,^b,^c,^⁎ , Bronwyn Jones, MBBS, FRACP, FRCR ^d
^a Evelyn Trammell Institute for Voice and Swallowing, Department of Otolaryngology, Head and Neck Surgery, Medical University of South Carolina, Charleston, SC 29425, USA
^b Department of Communication Sciences and Disorders, College of Health and Rehabilitation Science, Medical University of South Carolina, 151 Rutledge Avenue, Building A, Charleston, SC 29425, USA
^c Saint Joseph’s Hospital of Atlanta, Evelyn Trammell Voice and Swallowing Center, 5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342, USA
^d The Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USA

Corresponding author. Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, MSC 550, Charleston, SC 29425-5500.

Abstract

This article describes the evidence for the physiologic foundation and interpretation of the videofluorographic swallowing study (VFSS). The purpose and clinical efficacy of VFSS are explained. Standardization of the VFSS procedure, protocol, interpretation, and reporting is highlighted as a critical step in future clinical practice and research. Individualized evidenced-based rehabilitation strategies are presented as key components that are systematically applied during the VFSS procedure and integrated into the swallowing management plan. A new tool that has been developed and tested for the quantification of swallowing impairment is introduced.

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