This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison.

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The Effects of Lingual Exercise in Stroke Patients With Dysphagia

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This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– Slideshow Project DOI: JRRD JSP Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males Jacqueline Hind, MS, CCC-SLP, BRS-S; Elizabeth Divyak, MS, CCC-SLP; Jill Zielinski, MS, CCC-SLP; Andrew Taylor, MD; Michael Hartman, MD; Ronald Gangnon, PhD; JoAnne Robbins, PhD, CCC-SLP, BRS-S

This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– Slideshow Project DOI: JRRD JSP Aim – Measure dose-response of barium materials used for dysphagia diagnosis and treatment planning. – Help radiologists, speech-language pathologists, and other medical professionals make informed decisions regarding safest barium materials to use during videofluoroscopic swallow studies (VFSSs). Relevance – While modifying textures is common to prevent aspiration of food and liquids, debate surrounds unified terminology and standardized rheological properties.

This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– Slideshow Project DOI: JRRD JSP Method 16 adult males representing various medical diagnoses qualified to complete VFSSs. – Tested with liquid barium of three viscosities: Nectar: 300 cP. Thin honey: 1,500 cP. Thick honey: 3,000 cP. Outcome measures included: – Airway invasion (Penetration-Aspiration Scale). – Postswallow residue. – Patient preference.

This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– Slideshow Project DOI: JRRD JSP Results Penetration-Aspiration and residue: – No significant difference observed between thin and thick honey. – Significantly more severe airway invasion with nectar than with thin or thick honey. – Significantly more residue in oral cavity and valleculae with thin and thick honey than with nectar. Patient preference: – 67% rated thin honey as “easy” or “average” to drink (vs 54% for thick honey).

This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– Slideshow Project DOI: JRRD JSP Mean Penetration/Aspiration Scale (Pen/Asp) scores for liquid bariums of different viscosities. Higher scores represent more severe airway invasion.

This article and any supplementary material should be cited as follows: Hind J, Divyak E, Zielinski J, Taylor A, Hartman M, Gangnon R, Robbins J. Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males. J Rehabil Res Dev. 2012;49(9):1399– Slideshow Project DOI: JRRD JSP Conclusion This study supports use of thin honey barium over thick honey barium during VFSSs. – The 2 honey bariums were comparable in airway protection and postswallow residue in oropharynx. Thin honey was preferred by patients.