Download or read book Quantitative Objective Videofluoroscopic Swallowing Measures in Children written by Amanda Kate Henderson and published by . This book was released on 2016 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Reproducible quantitative swallowing data in children is scarce and could aid clinical decision making. The present study investigated the feasibility of utilising objective measures of timing and displacement in children undergoing a videofluoroscopic swallowing study (VFSS). Methods: One hundred and thirty-three children (mean age 36 mth, range 9 d–21 y, SD 4 y) consecutively referred for a VFSS over 12 months were recruited. Children presented with varying causes of dysphagia: 38% neurological, 26% structural 20% unknown, 10% respiratory, 4% cardiac and 3% other. All children received a standardised protocol including a mid-feed 20-second loop recorded at 25 frames per second. All videos were analysed using objective digital measures of timing and displacement previously described by Leonard and Kendall (1997). Results: Mean radiation time was 1.58 minutes (range 0.15–3.47, SD .66) and mean radiation dose was 30.16 cGycm2 (range 6.5–85 SD, 15.17). Radiation dose (p = .21) and radiation time (p = .72) were not significantly different using the increased frame rate compared with an age-matched cohort (N:133) prior to protocol change. Thirty-five per cent of children aspirated. Younger children were significantly more likely to silently aspirate than older children (p