presented by Catriona Steele
This course provides detailed instructions for designing a video fluoroscopy protocol that emphasizes quality design and clinical usability. The course also reviews important technical information that informs protocol design. Specific topics that are reviewed include protocol design, the importance of standardization for diagnostic tools, auditing video fluoroscopy protocol compliance, and a review of the original Logemann procedure design, and the Steele Lab protocol. In addition, the course offers an in-depth explanation of the limitations of video fluoroscopy in terms of the technical aspects of the procedure. Participants will learn how differences in rate and pulse rate, among other factors, can affect results and interpretation.
Dr. Catriona M. Steele is the Director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute. She also teaches in the Graduate Department of Speech-Language Pathology at the University of Toronto. Prior to completing her Ph.D., Dr. Steele worked as a medical speech-language pathologist for 10 years. Dr. Steele is known for her commitment to pursuing theoretically driven research that will underpin clinical interventions with sound empirical evidence. She has received particular recognition for her work on tongue function in swallowing. Dr. Steele holds research funding from the National Institutes of Health in the United States, a Canadian Institutes of Health Research New Investigator Award, and funding from the Heart and Stroke Foundation of Ontario. She has published more than 80 peer-reviewed publications. Dr. Steele is in demand as a teacher around the world, and has given workshops and invited lectures across North America, Europe, Japan, China, Korea, Chile, New Zealand and Australia.
Dr. Steele addresses how to accurately design a videofluoroscopy plan by highlighting the important considerations that need to be taken into account when detailing the necessary steps. She furthers supports and emphasizes the importance of standardized assessment for various medical procedures like videofluoroscopy in order to maintain accuracy.
This chapter builds on the foundation for the videofluoroscopy protocol mentioned in the previous section. Emphasis is placed on the Steele Lab VFSS Protocol, in which the concepts of standard examination and therapeutic examination are discussed.
In this chapter, participants will receive an overview of how technical elements involved in videofluoroscopy such as pulse and frame rate, recording settings, video loops and PACS, along with contrast media can impact results.