The Pulse

Champions Corner - Swallowing Center at the University of South Florida (USF)

Posted by ACP on Jun 24, 2019 2:30:46 PM

"Patients enjoy the features and 'seeing' their successes over time. Using the Synchrony sEMG allows us to obtain more reliable data for a scientific approach to therapy.”

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Topics: Dysphagia

Improving Swallowing Ability Using sEMG and Exercise

Posted by ACP on May 9, 2019 3:50:22 PM

Patient Information: Male, Age 79

Diagnosis: Wallenberg - Stroke / Dysphagia

History: This gentleman was admitted to a skilled nursing facility for rehabilitation services after hospitalization due to a stroke. A feeding tube was placed to address his dysphagia (difficulty swallowing). Prior to the stroke, he lived in his assisted living apartment and was able to eat a regular diet.

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Topics: Dysphagia, Patient Success Story

Rethinking Aspiration Pneumonia

Posted by Ed M. Bice, M.Ed., CCC-SLP on Apr 17, 2019 11:44:47 AM

I am often surprised to learn that terms and concepts I use on a regular basis are different than
I thought. A common term that I have misunderstood for many years is “aspiration pneumonia.”
Recent reading has led me to a new understanding of this term.

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Topics: Dysphagia

Exercise in Swallowing Therapy (Part 3 of a 3-Part Series)

Posted by Ed M. Bice, M.Ed., CCC-SLP on Jan 9, 2019 6:34:48 PM

This is the third and final installment of our “Exercise in Swallowing Therapy” series. This article will examine some commonly used interventions in light of exercise principles. But first, a quick review. In order to be considered an exercise the activity must meet certain criteria (for more information refer to the two previous articles).

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Topics: Dysphagia

Improving Swallow Ability Using Electrical Stimulation, sEMG, and Exercise

Posted by ACP on Jan 3, 2019 10:47:55 AM

Patient Information: Male, Age 86

Diagnosis: Stroke / Oropharyngeal Dysphagia / Dysarthria

History: This gentleman was admitted to a skilled nursing facility for rehabilitation services due to oropharyngeal dysphagia (difficulty swallowing) and difficulty managing saliva after hospitalization due to a stroke. He was only consuming 0-25% of his meals. Prior to his stroke, he lived at home with family, worked two days a week, and ate a regular diet.

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Topics: Dysphagia, Patient Success Story

Exercise in Swallowing Therapy (Part 2 of a 3-Part Series)

Posted by Ed M. Bice, M.Ed., CCC-SLP on Dec 16, 2018 7:53:02 PM

In the first installment of “Exercise in Swallowing Therapy” the roles of overload and adequate
duration of therapy were discussed. In this second installment, additional exercise principles of intensity progression and repetition are described.

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Topics: Dysphagia

The SLP Role in Swallowing Rehabilitation: Looking Beyond the Bolus

Posted by Valerie Sebastian, MA CCC/SLP on Nov 26, 2018 3:55:28 PM

My current role as a Dysphagia Clinical Program Consultant (CPC) for Accelerated Care Plus is one that is energizing, enjoyable, and also challenging at times. It is a role I feel incredibly grateful to have at this point in my career. I often have the opportunity to sit down with Speech Language Pathologists who are the only SLP working in the facility, which can feel like being on an island without a colleague with whom to brainstorm on a case. I can’t claim I have all of the answers to dysphagia questions, but I am happy to combine knowledge from articles I have read, experience I have, and evidenced based assessment and treatment techniques I been trained to utilize to help problem solve with treating clinicians to provide the best clinical care for the patients they serve. I am also fortunate to have a team of SLP CPC colleagues to consult with for perspective and insights on effective dysphagia rehabilitation for tough cases.

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Topics: Dysphagia

Optimizing Head, Neck and Trunk Positioning to Impact Swallow Performance and Safety

Posted by ACP on Nov 15, 2018 9:59:00 AM
Swallow efficacy and safety are influenced by more than oropharyngeal muscle strength and performance. Head and neck positioning and posture can have a significant impact on an individual’s ability to effectively and safely swallow. Poor positioning can develop as a result of advanced age, neurologic impairment, and musculoskeletal involvement. The incidence of postural malalignment of the head, neck, and shoulders is increasing as a result of repetitive poor positioning with the use of computers and hand-held devices.
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Topics: Dysphagia, Clinical Tip

Improving Swallow Ability After a Stroke with Electrical Stimulation and Biofeedback

Posted by ACP on Oct 11, 2018 4:38:44 PM

Patient Information: Female, Age 78

Diagnosis: Stroke / Oropharyngeal Dysphagia

History: This woman with a history of several strokes had a subsequent stroke that resulted in severe oropharyngeal dysphagia (difficulty swallowing). She had weakness in her lips, tongue, and muscles involved in her swallow, and required a feeding tube for all nutrition and hydration. She was admitted to a skilled nursing facility after discharge from the hospital. Prior to her most recent stroke she ate a normal diet with thin liquids.

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Topics: Dysphagia, Patient Success Story

What About My Clinical Judgement?

Posted by Ed M. Bice, M.Ed., CCC-SLP on Sep 24, 2018 5:28:59 PM

Recently I was engaged in a conversation related to the ability of a speech pathologist to clinically determine swallowing pathophysiology. A therapist responded she had paid a great deal of money for her degree and if she could not rely on her “clinical judgement” to accurately diagnose patients with dysphagia she had wasted her money.  I was not sure how to respond. However, after some reflection, here is my thoughtful response.

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Topics: Dysphagia

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