The videofluorographic swallowing study

Bonnie Martin-Harris, Bronwyn Jones, Bonnie Martin-Harris, Bronwyn Jones

Abstract

This article describes the evidence for the physiologic foundation and interpretation of the videofluorographic swallowing study (VFSS). The purpose and clinical efficacy of VFSS are explained. Standardization of the VFSS procedure, protocol, interpretation, and reporting is highlighted as a critical step in future clinical practice and research. Individualized evidenced-based rehabilitation strategies are presented as key components that are systematically applied during the VFSS procedure and integrated into the swallowing management plan. A new tool that has been developed and tested for the quantification of swallowing impairment is introduced.

Figures

1. Oral Components of Swallowing as depicted…
1. Oral Components of Swallowing as depicted on lateral views from VFSS recordings
Figure 1A oral containment via anterior lip seal Figure 1B tongue to palatal contact Figure 1C early Figure 1D mid-lingual motility during oral bolus transport Figure 1E initiation of the pharyngeal swallow
2. Pharyngeal Components of Swallowing as depicted…
2. Pharyngeal Components of Swallowing as depicted on lateral views from VFSS recordings
Figure 2A elevation and retraction of the soft palate Figure 2B elevation and anterior displacement of the larynx Figure 2C hyoid bone Figure 2D laryngeal closure via apposition of arytenoid cartilages to epiglottic base Figure 2E opening and distension of pharyngoesophageal segment Figure 2Fpharyngeal contraction and stripping wave Figure 2G tongue base retraction and apposition with posterior pharyngeal wall Figure 2H epiglottic inversion
3
3
Esophageal Clearance in the upright position as depicted in the anterior-posterior view from VFSS recording

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