A5090084786- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Child Nutrition and Feeding Issues
- Obstructive Sleep Apnea Research
- Gastroesophageal reflux and treatments
- Advanced Neuroimaging Techniques and Applications
- Cleft Lip and Palate Research
- Clinical Nutrition and Gastroenterology
- Thyroid and Parathyroid Surgery
- Temporomandibular Joint Disorders
- Infant Health and Development
University of Cincinnati
2023-2025
University of Cincinnati Medical Center
2022-2024
Google (United States)
2021-2024
University of Wisconsin–Madison
2016-2023
Northwestern University
2020-2022
Sabin Vaccine Institute
2022
William S. Middleton Memorial Veterans Hospital
2020
Geriatric Research Education and Clinical Center
2020
Highland Community College - Illinois
2018
<h3>Importance</h3> It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. <h3>Objective</h3> Using rigorous qualitative methodology, study set out characterize effect swallowing-related symptoms after thyroidectomy quality life and outcomes. <h3>Design, Setting, Participants</h3> Prospective, grounded theory analysis interviews with 26 patients at 3 time points (2 weeks, 6 months). Data were...
Background: Prior literature has reported patterns of racial differences in percutaneous endoscopic gastrostomy (PEG) placement for patients with post-stroke dysphagia. Reasons this disproportion are not well understood, but critical clinical decision making. Long-term implications PEG considerable, given complication rates and that reducing oral intake can significantly impact recovery swallow function. In population-based study, we evaluated the influence patient-related factors stroke...
Purpose: Poststroke dysphagia is characterized by deficits in lingual function. However, correlations between function and oral pharyngeal swallowing impairments have not been well defined. The aim of this preliminary study was to explore if tongue pressure generative capacity patients after ischemic stroke associated with oropharyngeal impairments. Method: A cross-sectional convenience sample underwent a videofluoroscopic (VFSS) completed measures (Saliva Swallow Pressure, maximum isometric...
Purpose Conceptual models of complex health problems are useful when designing targeted clinical interventions and focused research studies. Understanding studying patient adherence often involves interplay among many factors that influence whether a successfully follows recommendations or completes therapy program. Functional frameworks serve to arrange these visually, increasing interpretability allowing for empirical testing relationships concepts. The purpose this article is integrate...
Objectives/Hypothesis Aging is associated with muscle fiber hypotrophy and decreased percentages of rapidly contracting myosin heavy chain (MyHC) type IIb fibers. Tongue exercise programs used to treat dysphagia target age‐related decline in tongue function, but the impact on intrinsic muscles unknown. We hypothesized that would induce hypertrophy increase percentage MyHC IIa fibers tongue. Study Design Animal model. Methods Eight old eight young‐adult rats underwent 8 weeks training,...
Background Dysphagia after stroke is common and can impact morbidity death. The purpose of this population‐based study was to determine specific epidemiological health risk factors that development dysphagia acute stroke. Methods Results Ischemic hemorrhagic cases from 2010 2015 were identified via chart review the GCNKSS (Greater Cincinnati Northern Kentucky Stroke Study), a representative sample ≈1.3 million adults southwestern Ohio northern Kentucky. status determined on basis clinical...
Purpose Adherence is a concern in dysphagia management. Poor adherence with recommendations can negatively affect treatment efficacy and patient outcomes. For exercise-based therapies, low alter the dose of exercise delivered to muscle, which diminish impact exercise. It has been established that problem treatments; however, relationships among levels outcomes from interventions have not explored. Method In this retrospective pilot study, data were collected multicenter clinical...
Objective To compare improvement in patient‐reported outcomes (PROM) persons undergoing endoscopic and open surgical management of Zenker diverticula (ZD). Methodology Prospective, multicenter cohort study all individuals enrolled the Prospective OUtcomes Cricopharyngeus Hypertonicity (POUCH) Collaborative who underwent surgery for ZD. Patient survey, radiography reports, 10‐item Eating Assessment Tool (EAT‐10) pre‐ post‐procedure were abstracted from a REDCap database, which summarized...
Objectives The aim of the study was to identify trends in postoperative management persons undergoing surgery for Zenker diverticula (ZD) by evaluating length stay (LOS), diet on discharge, and imaging with or without surgical complication. Methods Prospectively enrolled adult patients cricopharyngeal muscle dysfunction from August 1, 2017 February 2023 were included. Data extracted a multi‐institutional REDCap database, summarizing means, medians, percentages, frequencies. Fisher's exact...
Tongue manometry (i.e., tongue pressure measurement) is a commonly used assessment for patients with suspected oral-motor involvement in swallowing disorders. Availability of lingual has changed recent years, the introduction Tongueometer device being more affordable system. The purpose this study was to test concurrent (criterion) validity compared current standard reference device, Iowa Oral Performance Instrument (IOPI).
Objectives/Hypothesis Aging results in progressive changes deglutitive functions, which may be due part to alterations muscle morphology and physiology. Mastication is a critical component of bolus formation swallowing, but aging effects on masticatory function have not been well studied. Study Design The purpose this study was 1) quantify the mastication, 2) determine tongue exercise mastication young adult old rats. We hypothesized that there would significant differences characteristics...
Purpose: Exercise-based treatment approaches for dysphagia may improve swallow function in part by inducing adaptive changes to muscles involved swallowing and deglutition. We have previously shown that both aging progressive resistance tongue exercise, a rat model, can induce biological the genioglossus (GG); muscle elevates protrudes tongue. However, impacts of exercise on retrusive (styloglossus, SG; hyoglossus, HG) are unknown. The purpose this study was examine impact regimen...
Ultrasound imaging may be useful for tracking oral-pharyngeal structures of the vocal tract critical effective swallowing, but use this technology has been hampered by a lack validation against standard clinical measures derived from x-ray video fluoroscopy (Modified Barium Swallow Studies or MBSS). Here, we compare quantitative hyoid bone and tongue motion ultrasound simultaneously measured MBSS range participants with disordered healthy swallowing behavior. The proximal edge in recordings...
The elements of impaired swallowing biomechanics are visually assessed and scored by clinicians using a standardized validated tool for assessing type severity physiological impairments the Modified Barium Swallow Impairment Profile (MBSImP). However, functional anatomical correlates that underly noted MBSImP scoring have not been measured. purpose this study was to determine whether differences in component scores represent underlying mechanics as measured computational analysis (CASM)...
Objective To identify characteristics of patients who have poor improvement in symptoms following surgical management Zenker Diverticulum (ZD). Methods Prospective, multicenter cohort study all individuals enrolled the Prospective OUtcomes Cricopharyngeus Hypertonicity (POUCH) Collaborative underwent repair ZD between August 2017 and January 2024. Patient demographics, esophagrams, 10‐item Eating Assessment Tool (EAT‐10) pre‐ post‐procedure were obtained from a REDCap database. t ‐tests,...
Exercise-based treatments may improve swallowing safety and efficiency; yet, it is not clearly understood which factors predict nonadherence to recommended treatment protocols. The aim of this study was construct an algorithm for stratifying risk a lingual strengthening dysphagia program.
Abstract Background and Purpose Dysphagia is a common post-stroke occurrence has been shown to impact patients’ morbidity mortality. The purpose of this study was use large population-based dataset determine specific epidemiological patient health risk factors that development severity dysphagia after acute stroke. Methods Using data from the Greater Cincinnati Northern Kentucky Stroke Study, GCNKSS, involving representative sample approximately 1.3 million people Southwest Ohio adults (age...
Purpose: Lingual function rehabilitation is a frequently targeted area of exercise-based dysphagia treatment. This tutorial aims to provide detailed guideline for clinicians on how apply currently available evidence implementation lingual exercises both with and without device-assisted modalities. Method: We review existing definitions parameters (e.g., strength endurance) normative values clinical reference. Guidelines are also provided use manometry (Iowa Oral Performance Instrument...