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Assessing the Physiology of Swallowing Impairment: Measuring the Measurement Method and Characterizing Diagnostic Impairment Profiles- [electronic resource]
Assessing the Physiology of Swallowing Impairment: Measuring the Measurement Method and Characterizing Diagnostic Impairment Profiles- [electronic resource]
상세정보
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101236
- ISBN
- 9798380146753
- DDC
- 574
- 서명/저자
- Assessing the Physiology of Swallowing Impairment: Measuring the Measurement Method and Characterizing Diagnostic Impairment Profiles - [electronic resource]
- 발행사항
- [S.l.]: : Northwestern University., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(105 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-02, Section: B.
- 주기사항
- Advisor: Martin-Harris, Bonnie.
- 학위논문주기
- Thesis (Ph.D.)--Northwestern University, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약Swallowing impairment or dysphagia has many possible causes with severe sequelae. One major mediator of the relationship between causes and sequelae is the physiologic impairment of the swallowing mechanism. Assessing the physiology of swallowing impairment is of great importance so that treatment can target physiology to mitigate sequelae. The assessment of swallowing physiology is primarily conducted through Modified Barium Swallow Studies (MBSS), where Videofluoroscopy (VFS) of a patient swallowing an x-ray opaque bolus is recorded and interpreted by a Speech Language Pathologist (SLP). On the one hand, the goals of this assessment are objective as they are aimed at understanding physiologic biomechanics of impairments. On the other hand, the methods of this assessment are subjective in that clinicians must choose what boluses to give, what physiologic aspects of the swallow to assess, and how to score impairment for those physiologic aspects. The Modified Barium Swallow Impairment Profile (MBSImP™©) is a measurement method that standardized the subjective elements of the assessment, and subsequently enjoyed widespread clinical uptake. This widespread uptake of MBSImP resulted in the accumulation of over 50,000 patient records in a Swallowing Data Registry (SDR), a dataset that forms the basis for the analyses of this dissertation. This SDR is used in Chapter 1 to test the degree to which MBSImP's standardization of the subjective side of MBSS has resulted in a valid and reliable measurement tool. Chapter 2 leverages MBSImP and the SDR to conduct a high-level comparison of the physiologic impairment profiles of five diagnoses commonly associated with dysphagia.
- 일반주제명
- Biostatistics.
- 일반주제명
- Health sciences.
- 일반주제명
- Physiology.
- 키워드
- Dysphagia
- 키워드
- MBSImP
- 키워드
- Measurement
- 키워드
- Phenotyping
- 키워드
- Psychometrics
- 기타저자
- Northwestern University Communication Sciences and Disorders
- 기본자료저록
- Dissertations Abstracts International. 85-02B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520240214101236
■006m o d
■007cr#unu||||||||
■020 ▼a9798380146753
■035 ▼a(MiAaPQ)AAI30528006
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a574
■1001 ▼aClain, Alexander E.
■24510▼aAssessing the Physiology of Swallowing Impairment: Measuring the Measurement Method and Characterizing Diagnostic Impairment Profiles▼h[electronic resource]
■260 ▼a[S.l.]:▼bNorthwestern University. ▼c2023
■260 1▼aAnn Arbor :▼bProQuest Dissertations & Theses, ▼c2023
■300 ▼a1 online resource(105 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-02, Section: B.
■500 ▼aAdvisor: Martin-Harris, Bonnie.
■5021 ▼aThesis (Ph.D.)--Northwestern University, 2023.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aSwallowing impairment or dysphagia has many possible causes with severe sequelae. One major mediator of the relationship between causes and sequelae is the physiologic impairment of the swallowing mechanism. Assessing the physiology of swallowing impairment is of great importance so that treatment can target physiology to mitigate sequelae. The assessment of swallowing physiology is primarily conducted through Modified Barium Swallow Studies (MBSS), where Videofluoroscopy (VFS) of a patient swallowing an x-ray opaque bolus is recorded and interpreted by a Speech Language Pathologist (SLP). On the one hand, the goals of this assessment are objective as they are aimed at understanding physiologic biomechanics of impairments. On the other hand, the methods of this assessment are subjective in that clinicians must choose what boluses to give, what physiologic aspects of the swallow to assess, and how to score impairment for those physiologic aspects. The Modified Barium Swallow Impairment Profile (MBSImP™©) is a measurement method that standardized the subjective elements of the assessment, and subsequently enjoyed widespread clinical uptake. This widespread uptake of MBSImP resulted in the accumulation of over 50,000 patient records in a Swallowing Data Registry (SDR), a dataset that forms the basis for the analyses of this dissertation. This SDR is used in Chapter 1 to test the degree to which MBSImP's standardization of the subjective side of MBSS has resulted in a valid and reliable measurement tool. Chapter 2 leverages MBSImP and the SDR to conduct a high-level comparison of the physiologic impairment profiles of five diagnoses commonly associated with dysphagia.
■590 ▼aSchool code: 0163.
■650 4▼aBiostatistics.
■650 4▼aHealth sciences.
■650 4▼aPhysiology.
■653 ▼aDysphagia
■653 ▼aMBSImP
■653 ▼aMeasurement
■653 ▼aPhenotyping
■653 ▼aPsychometrics
■653 ▼aSwallowing impairment
■690 ▼a0308
■690 ▼a0566
■690 ▼a0719
■71020▼aNorthwestern University▼bCommunication Sciences and Disorders.
■7730 ▼tDissertations Abstracts International▼g85-02B.
■773 ▼tDissertation Abstract International
■790 ▼a0163
■791 ▼aPh.D.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933357▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
