Accuracy of Clinical Judgment of the Chin-Down Posture for Dysphagia During the Clinical/Bedside Assessment as Corroborated by Videofluoroscopy in Adults with Acute Stroke

Hope E. Baylow, Robert Goldfarb, Christy H. Taveira and Richard S. Steinberg

Dysphagia, 2009, Volume 24, Number 4, Pages 423-433

Abstract

Speech-language pathologists tend to rely on the noninstrumental swallowing evaluation in making recommendations about a patient’s diet and management plan. The present study was designed to examine the sensitivity and specificity of the accuracy of using the chin-down posture during the clinical/bedside swallowing assessment. In 15 patients with acute stroke and clinically suspected oropharyngeal dysphagia, the correlation between clinical and videofluoroscopic findings was examined. Results identified that there is a difference in outcome prediction using the chin-down posture during the clinical/bedside assessment of swallowing compared to assessment by videofluoroscopy. Results are discussed relative to statistical and clinical perspectives, including site of lesion and factors to be considered in the design of an overall treatment plan for a patient with disordered swallowing.

Keywords  Aspiration – Clinical/bedside swallowing assessment – Videofluoroscopy – Chin-down posture – Deglutition – Deglutition disorders

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