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Updated: May 11, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
08:32

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models

Published on: March 1, 2015

Videofluoroscopic swallowing study findings in full-term and preterm infants with Dysphagia

Kyeong Eun Uhm1, Sook-Hee Yi, Hyun Jung Chang

  • 1Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Annals of Rehabilitation Medicine
|May 25, 2013
PubMed

Insights

This study reveals distinct clinical features and swallowing difficulties in full-term versus preterm infants with dysphagia. Understanding these differences aids in diagnosing and managing infant feeding disorders.

Area of Science:

  • Pediatrics
  • Neonatology
  • Speech-Language Pathology

Background:

  • Infant dysphagia presents unique challenges in clinical assessment and diagnostic evaluation.
  • Differentiating between full-term and preterm infants is crucial due to potential variations in pathophysiology and presentation.
  • Videofluoroscopic swallowing studies (VFSS) are a key diagnostic tool for evaluating swallowing function.

Purpose of the Study:

  • To characterize clinical presentations and VFSS findings in infants with suspected dysphagia.
  • To compare these characteristics and findings between full-term and preterm infant populations.
  • To identify potential differences in the underlying mechanisms of dysphagia.

Main Methods:

  • Retrospective analysis of 107 infants (67 full-term, 40 preterm) referred for VFSS.
  • Review of clinical data and VFSS results by a physiatrist and speech-language pathologist.
  • Analysis of associations between referral reasons and VFSS outcomes.

Main Results:

  • Common referral reasons included poor sucking (full-term) and desaturation (preterm).
  • Congenital heart disease (full-term) and bronchopulmonary dysplasia (preterm) were frequent comorbidities.
  • Aspiration occurred in 39.3% of infants, with silent aspiration in 81%. Coughing was the sole clinical predictor of aspiration.
  • No significant VFSS differences were found between groups, except for decreased sustained sucking in preterm infants.

Conclusions:

  • Clinical and VFSS findings in infants with dysphagia show variations between full-term and preterm infants.
  • These differences highlight distinct pathophysiologic mechanisms contributing to dysphagia in each group.
  • The study enhances understanding for targeted diagnosis and management of infant feeding disorders.
Abstract

Keywords:
DysphagiaFluoroscopyInfantPrematureTerm birth

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