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Videofluoroscopy Part 2: How to Design the Exam

presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

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Financial: Catriona Steele is a Tier 1 Canada Research Chair in Swallowing and Food Oral Processing. She receives a salary from the University Health Network, Toronto, and research funding from the National Institute on Aging. She receives industry research funding from Benitec Biopharma Ltd. and former industry research funding and current consulting and speaker fees from Nestlé Health Science. She also receives former educational grant and speaker fees from Bracco Canada and speaker fees and royalties from the American Board of Swallowing and Swallowing Disorders, the American Speech-Language-Hearing Association, and Northern Speech Services. She receives compensation from MedBridge for the production of this course. She has no other relevant financial relationships.

Nonfinancial: Catriona Steele is a member of the board of directors for the Dysphagia Research Society and International Dysphagia Diet Standardisation Initiative (IDDSI). She is an associate editor of the Dysphagia journal and is an editorial board member for the Journal of Texture Studies. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 41 Minutes; Learning Assessment Time: 31 Minutes

A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for persons experiencing dysphagia. However, a lack of standardized VFSS practice exists, and many clinicians lack knowledge regarding best practice. In this course, we will review protocols for VFSS, explore the tasks that may be most informative, and discuss procedural aspects that may alter swallowing behavior or exam results.

Meet Your Instructor

Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

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 PhD, Dr. Steele worked as a medical speech-language pathologist for 10 years. Dr. Steele is known for her…

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Chapters & Learning Objectives

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1. VFSS Protocols: A Historical Perspective

We will discuss protocols for VFSS developed by early leaders in the field, including Drs. Jeri Logemann, Jeffrey Palmer, Bronwyn Jones, and Olle Ekberg. Through this review, we will discuss variations in swallowing behavior and VFSS exam results that may be attributable to protocol choices, such as task instructions, repetitions, volume and bolus administration choices, etc.

2. More Recent Development of Standard VFSS Protocols

We will discuss three recently developed standard protocols for VFSS: MBSImP, DIGEST, and the Steele Swallowing Lab protocol.

3. Optimizing Your VFSS Protocol

We will review studies that suggest which tasks are most likely to reveal impairments in swallowing safety and efficiency.

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