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Updated: Jul 5, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Schoolchildren with dysphagia associated with medically complex conditions
Maureen A Lefton-Greif1, Joan C Arvedson
1Division of Pediatric Pulmonary, Johns Hopkins Children's Center, Eudowood Division of Pediatric Respiratory Sciences, Baltimore, MD 21287-2533, USA. mlefton@jhmi.edu
Insights
Speech-language pathologists (SLPs) in schools are increasingly identifying and treating pediatric dysphagia. As more medically complex children survive, SLPs play a vital role in managing swallowing and feeding issues.
Area of Science:
- Pediatric medicine
- Speech-language pathology
Background:
- Review of literature on pediatric dysphagia and population trends.
- Focus on children with complex medical histories and swallowing/feeding problems.
Observation:
- Increasing number of children with dysphagia in schools.
- Rising incidence of preterm births and survival of medically fragile children.
- Speech-language pathologists (SLPs) are key members of dysphagia teams.
Findings:
- SLPs in schools are increasingly evaluating and treating pediatric dysphagia.
- Growing population of children at risk for dysphagia due to medical advancements.
- Limited evidence supports current therapeutic interventions for pediatric dysphagia.
Implications:
- School-based SLPs are crucial for early identification and intervention of dysphagia.
- SLPs can effectively manage swallowing and feeding problems in medically complex children.
- Enhanced collaboration between school-based SLPs and medical teams is essential.
Purpose:
This article reviews population trends and general characteristics of children with dysphagia in schools, provides an overview of dysphagia teams and the roles of the speech-language pathologist (SLP) in school and hospital settings, and describes assessment and treatment of swallowing and feeding problems in children with complex medical histories.
Method:
A review of the literature of swallowing and feeding problems in young children and population trends for children who are at risk for dysphagia was completed. Two case studies are presented to illustrate the complexities that are common to this population and to provide practical information to maximize the health and education outcomes of children with dysphagia.
Results:
SLPs in schools are increasingly evaluating and treating children with dysphagia associated with medically complex conditions. There is a rising incidence in preterm births and the survival of medically fragile children, suggesting that a greater number of children will be at risk for dysphagia in the future. Limited evidence is available to support most therapeutic interventions.
Conclusion:
School-based SLPs are uniquely positioned to identify swallowing and feeding problems, evaluate and treat children with dysphagia, participate on dysphagia teams in the school setting, and interact with the medical team.
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