presented by Catriona Steele
Video fluoroscopic swallow studies (VFSS) are an important tool for speech language pathologists and other allied health professionals to leverage during assessment and treatment planning for persons experiencing dysphagia. This course, with Dr. Catriona Steele, explores the usage and implementation of video fluoroscopy within the context of dysphagia assessment. The course begins by defining and describing dysphagia, and how video fluoroscopy can be used to identify dysphagia and the mechanisms underlying it. The course concludes with several brief case examples demonstrating how video fluoroscopy is used in the assessment process.
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.
Swallowing problems may manifest in a variety of patient populations, and stem from an even wider variety of underlying etiologies. As such, the importance of efficient diagnostic tools is critical for treatment and recovery. In this chapter, participants will learn about the signs/symptoms of dysphagia as a pre-requisite to defining the role of videofluoroscopy in the assessment of dysphagia.
This chapter introduces the importance of videofluoroscopy in the context of identifying and treating dysphagia, and reviews the benefits as well as the limitations of videofluoroscopy as a diagnostic tool.
The last section of the course contextualizes the use of videofluoroscopy for dysphagia assessment and diagnosis. When is it beneficial to use? When is it not? Dr. Steele provides a series of case-based scenarios for participants to understand and determine the optimum situations for when this diagnostic tool should be implemented.