Respiratory-swallow assessment protocol for adult dysphagia management - PubMed
5 hours ago
- #dysphagia management
- #cervical auscultation
- #respiratory-swallow assessment
- Cervical auscultation (CA) analyzes respiratory-swallow patterns to improve clinical swallow examinations, with strong psychometric properties for detecting unsafe swallows.
- No standard CA assessment protocol or training resources have been published to date, prompting the creation of an evidence-based guide.
- The objective is to publish and update an evidence-based CA assessment guide used in previous research, integrating qualitative data and recent literature.
- Qualitative content analysis was performed on 71 data texts from 12 CA-trained Speech-Language Pathologists, comparing CA ratings against Flexible Endoscopic Evaluation of Swallowing (FEES).
- Five critical aspects of CA assessment identified: pre-swallow respiratory sounds, swallow sounds, number of swallows, post-swallow exhalation, and post-swallow respiratory sounds.
- The CA guide includes supplementary audio sounds and reference samples to serve as an introductory training resource for clinical use and research evaluation.