Overview

The last decade has seen an enormous upheaval within all aspects of health care, and the videofluoroscopy service is no exception. There is ever increasing need for the objective examination of swallowing to create a baseline for the patient as part of their diagnosis and subsequent treatment. However, much of the current literature available focuses on the speech and language therapist working alongside a radiologist, but increasingly, the radiologist is no longer involved in the investigation, highlighting the need to amplify the multidisciplinary team knowledge of the procedure.

Increasing demand for new and established diagnostic and interventional procedures has encouraged innovative models of service delivery, resulting in an extended range of health professionals crossing the traditional practice boundaries. In particular, the radiographers who complete the examination along with the speech and language therapists need to learn more about the swallowing function, and likewise, it is essential that the speech and language therapists increase their knowledge base on the radiographic aspects of the examination.

Audience

Primary Subject: Speech and Language Pathology / Swallowing
Audience Level: Professional

OVERVIEW
1. Introduction to the Videofluoroscopic Swallowing Study
Roger Newman
2. Alternative Investigations
Justin Roe
3. Improving Patient Experience and Minimizing Risk
Julie Nightingale, Tracy Lazenby-Paterson and Hannah Crawford
4. Anatomy and Physiology of Swallowing
Claire Butler and Paula Leslie
5. The Neurophysiology of Swallowing
Maggie-Lee Huckabee and Sebastian H. Doeltgen
6. Biomechanical Analysis
James L. Coyle
7. The Normal Aging Swallow
Margaret Coffey
8. Effective Use of Imaging Technology
Elizabeth Judson and Julie M. Nightingale

CLINICAL INDICATIONS
9. Stroke
Stephanie K. Daniels and Joseph Murray
10. Neuromuscular Conditions
Julie Regan and Margaret Walshe
11. Pediatric Videofluoroscopy
Joanne Marks and Rebecca Howarth
12. Videofluoroscopy in Learning Disabilities
Tracy Lazenby-Paterson and Hannah Crawford
13. Dementia
Pamela A. Smith and Paula Leslie
14. Head and Neck Cancers
Jo Patterson and Margaret Coffey
15. Structural Causes of High Dysphagia
Roger Newman
16. Standardized Clinical Reporting: Writing for the Reader
Martin Brodsky

About The Editors

Roger Newman, BSc (Hons), MSc, MRCSLT

Roger D. Newman, BSc (Hons), MSc, MRCSLT, is a Highly Specialist Speech and Language Therapist at Lancashire Teaching Hospitals NHS Trust, UK. He is also currently a Senior Lecturer on the University of Manchester's undergraduate BSc (Hons) Speech and Language Therapy degree program, and an Honorary Lecturer on the Masters Level course in Advanced Imaging at the University of Salford, Greater Manchester. His specialist clinical interests include the objective examination of dysphagia via videofluoroscopy and interpretation of highly abnormal images, which prompted publication of the rare case of dysphagia in hyoid bone fracture. Adult acute disorders of swallowing, including in patients with a tracheostomy tube in-situ, are also areas at which he excels. His research interests include quality in service provision and he has just completed a Transatlantic Comparative Study of Acute Dysphagia Services. The ethics and legalities of feeding in the end of life are also areas of significant interest.

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Julie Nightingale, PhD, MSc, DCR(R)

Julie Nightingale PhD, MSc, DCR(R), is a registered diagnostic radiographer and radiography educator holding the position of Director of Radiography / Head of Department at the University of Salford, Greater Manchester, United Kingdom (UK). With a specialist interest in promoting practitioner-led gastrointestinal imaging, she has developed and delivered a range of programs at the Masters Level, including a unique UK module promoting best practice in practitioner-led videofluoroscopy. She was a founding member and former Chair of the UK-based Gastrointestinal Imaging Radiographers Special Interest Group (GIRSIG), and has organized several multi-disciplinary conferences related to GI Imaging.
Research interests and publications have centered upon advanced and non-medical consultant practice, including associated risks and benefits and the impact upon patient care. She has previously edited two textbooks related to advanced practice. Her teaching focus is related to anatomy and physiology, health care ethics, medico-legal issues, and research methodology. She is currently leading a research group exploring the patient experience of radiology investigations, including radiological management of the obese patient.

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