presented by Catriona Steele
The final installment in Dr. Steele’s Best Practice in Videofluoroscopy applies concepst from the whole series to apply interpretation of videofluoroscopic swallow studies (VFSS) to Dysphagia treatment scenarios. The course will focus on three case studies in which different approaches were taken for dysphagia treatment given available VFSS data. The specific maneuvers covered include Chin Down Posture, Effortful Swallow, and the Mendelsohn Maneuver. Participants are encouraged to apply clinical reasoning to each case in order to practice correctly utilizing VFSS in treatment planning.
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.
In this chapter, Dr. Steele will discuss the use of VFSS as a tool to assign treatment approaches dysphagia, and introduces three case studies that will be featured in the following chapters.
In this chapter, Dr. Steele will pose a scenario featuring a patient that uses the chin down posture for bolus intake. Participants are encouraged to follow along and voice their input after analyzing the situation.
In this chapter, Dr. Steele will discuss a case study in which effortful swallow is indicated based on the VFSS data of the patient in question. Participants are encouraged to reflect on the clinical reasoning described by the case.
The final chapter of this course will explore the use of the Mendelsohn Maneuver for a patient with severe dysphagia. Participants are again invited to reflect on the situation and take note of the reasoning behind this approach.