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Childhood Assessment of Normal and Dysfunctional Feeding & Swallowing

presented by Joan Arvedson & Maureen Lefton-Greif

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This session will focus on defining feeding/swallowing disorders (FSDs) in infants and children and discussing the prevalence and characteristics of these disorders, as well as identifying underlying etiologies and the impact of these problems on the development system.

Meet Your Instructors

  • Joan Arvedson, PhD, CCC-SLP, BCS-S, ASHA Fellow

    Joan Arvedson, PhD, CCC-SLP, BCS-S, is an internationally renowned clinician and teacher. She is Program Coordinator of Feeding and Swallowing Services at Children’s Hospital of Wisconsin - Milwaukee. She is Clinical Professor in the Division of Gastroenterology, Department of Pediatrics, Medical College of Wisconsin - Milwaukee. Dr. Arvedson received her BS, MS, and PhD from University of Wisconsin-Madison. She is an ASHA Fellow. Dr. Arvedson has focused patient care, teaching, and research on swallowing and feeding disorders in infants and children, delivering evidence-based knowledge and immediately applicable strategies via workshops and seminars throughout the world. She emphasizes a functional “whole” child approach stressing the importance of collaboration among professionals and caregivers. She has 3 books in publication: Interpretation of Videofluoroscopic Swallow Studies of Infants and Children: A study guide to improve diagnostic skills and treatment planning, 2007, Northern Speech Services; Pediatric Swallowing and Feeding: Assessment and Management, 2nd edition, 2002, with L. Brodsky, MD, Delmar Cengage Learning; Pediatric Videofluoroscopic Swallow Studies: A Profesional Manual with Caregiver Guidelines, 1999 (with M. Lefton-Greif, PhD), Pearson Publishing. Two self-study courses for continuing education by Dr. Arvedson (Clinical Decision Making and Management of Pediatric Feeding and Swallowing Problems) are available through ASHA. Dr. Arvedson has numerous articles focused on pediatric swallowing and feeding in peer reviewed journals.

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  • Maureen Lefton-Greif, Ph.D., CCC-SLP, BCS-S, ASHA Fellow

    Maureen Lefton-Greif, Ph.D., CCC-SLP, BCS-S is a Professor of Pediatrics, Otolaryngology-Head and Neck Surgery, and Physical Medicine and Rehabilitation at Johns Hopkins University School of Medicine. She is an ASHA fellow. Dr. Lefton-Greif is recognized nationally and internationally as a leader in linking clinical practice with research. Her work is credited with identifying dysphagia in children who were not previously recognized as having swallowing impairments and thereby with improving their care and survival. Dr. Lefton-Greif developed the first outcome measure to assess the impact of children’s feeding/swallowing problems on their caregivers and is considered a national expert in this area. Dr. Lefton-Greif has published more than 30 peer reviewed articles, including original research, and 7 book chapters. Her research focuses on standardization of fluoroscopic images from bottle-fed children with dysphagia and respiratory-swallow coordination in progressive diseases with pediatric origins. She co-authored with Dr. Arvedson Pediatric Videofluoroscopic Swallow Studies: A Professional Manual with Caregiver Guidelines, 1999. She is a Board Certified Specialist in Swallowing and Swallowing Disorders and serves on the Editorial Advisory Board of the Journal of Dysphagia and Editorial Review Board of the Canadian Journal of Speech-Language Pathology and Audiology.

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Chapters & Learning Objectives

Download Learning Objectives
  1. What are feeding/swallowing disorders (FSD) in children

    1. What are feeding/swallowing disorders (FSD) in children

    This chapter will provide an overview of FSD, and the prevalence and incidence of these problems in children. Challenges/barriers for understanding and managing these problems will be reviewed. This information establishes the framework for appreciating these problems, which are increasing in frequency.

  2. Swallowing and Swallowing Development

    2. Swallowing and Swallowing Development

    This chapter will review the development and purposes of fetal swallowing, and review typical post-natal feeding/swallowing. This includes functions, global changes and recent data. This chapter will finish with a review of the phases of swallowing and their functions

  3. Disruptions in Phases of Swallowing

    3. Disruptions in Phases of Swallowing

    Common etiologies underlying the development of feeding/swallowing disorders will be reviewed, the manifestation of the typical problems and their prognosis for change will be reviewed in this chapter. It will also cover categories of disruptions and identification of populations at risk for disruptions.

  4. Q&A Panel Discussion

    4. Q&A Panel Discussion

    This section will summarize the sections covered and identify next steps: evaluation and management. There will be a review of FSD’s and impact of the problems and an identification of the next steps.