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Historical Perspective

Historical Perspective. Between 1968-1970, Logemann began to study Parkinson patients with radiographic techniquesLandmark text, Evaluation and Treatment of Swallowing Disorders 1983Introduced the MBS; provided objective data relative to maneuvers, diet consistencies and postural adjustments; exte

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Historical Perspective

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    1. Historical Perspective Swallowing addressed in CP children by “speech specialists” in 1930s First article in SLP literature: Larsen, 1972 JSHD “Rehabilitation for dysphagia paralytica” Introduced aspects of the clinical exam, radiographic techniques, postural adjustment, dietary changes, electrical stimulation and maneuvers

    2. Historical Perspective Between 1968-1970, Logemann began to study Parkinson patients with radiographic techniques Landmark text, Evaluation and Treatment of Swallowing Disorders 1983 Introduced the MBS; provided objective data relative to maneuvers, diet consistencies and postural adjustments; extensive influence on educational standards and policies

    3. dis fa' j? OR dis fä' j? Gr. Phagein = to eat Medical term for any difficulty, discomfort or pain when swallowing GI once considered dysphagia only related to esophageal disease—everything else was swallow impaired IIII

    4. ASHA Guidelines: 9 Knowledge & Skills Required to Serve Persons with Dysphagia v Normal anatomy & physiology v Signs & symptoms v Procedures for analyzing clinical and instrumental data into diagnosis Basic management issues for habilitative & rehabilitative interventions

    5. ASHA Guidelines: Knowledge and Skills Required to Serve Persons with Dysphagia How to educate and counsel v Importance of quality of life issues Identify and use functional outcome measures v Understand related medical issues

    6. 13 Roles of the SLP (ASHA) Identification of individuals at risk Conduct of clinical examination of the upper aerodigestive tract Conduct instrumental examinations Make management decisions regarding method of intake and medical risks Provide treatment Assessment and management of swallowing/feeding in infants and children

    7. Roles of the SLP (ASHA) Provide education, counseling and training Manage or participate in swallow/feeding team Maintain quality control / risk management Provide discharge planning and f/u care Teach / supervise clinicians and students Provide public education Conduct research

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