Related Experiment Video
Updated: Mar 5, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Instrumental Assessment of Pediatric Dysphagia.
Joan C Arvedson1, Maureen A Lefton-Greif2
1Department of Speech-Language Pathology and Audiology, Feeding and Swallowing Services, Children's Hospital of Wisconsin, Division of Pediatric Gastroenterology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Speech-language pathologists (SLPs) manage pediatric feeding and swallowing disorders using instrumental evaluations. This review covers recent advancements and future directions in these crucial swallowing assessments.
Area of Science:
- Pediatric Medicine
- Speech-Language Pathology
- Diagnostic Imaging
Background:
- Speech-language pathologists (SLPs) have long managed pediatric feeding/swallowing disorders.
- Rising incidence necessitates advanced diagnostic tools for infants and children.
- Instrumental swallowing evaluations are increasingly vital for accurate assessment.
Purpose of the Study:
- To review updates in instrumental swallowing assessment procedures over the last decade.
- To examine the evolving utility of these assessments for pediatric patients.
- To identify future research directions for improved functional outcomes.
Main Methods:
- Focus on videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES).
- Briefly mentions ultrasound as a less common tool.
- Literature review of advancements in the past 10 years.
Main Results:
- Significant advancements in VFSS and FEES procedures and interpretation.
- Enhanced understanding of the diagnostic capabilities of each instrumental method.
- Identification of emerging trends and technological integration in swallowing assessments.
Conclusions:
- Instrumental swallowing evaluations are critical for SLPs managing pediatric feeding disorders.
- Continued research and technological innovation are needed to optimize assessment utility.
- Future directions aim to improve functional outcomes for children with swallowing difficulties.
Related Concept Videos
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Physical Assessment of the Respiratory Tract II: Palpation
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Upper GI Series: Barium Swallow
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...

