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Concurrent Use of Videofluoroscopic and Nutritional Intake Measures in the Assessment of Pediatric Patients With Dysphagia: A Scoping Review.

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Title: Concurrent Use of Videofluoroscopic and Nutritional Intake Measures in the Assessment of Pediatric Patients With Dysphagia: A Scoping Review.
Authors: Kiemel, Zoë1 zoekiemel@gmail.com, Kruse, Jason2, Smith, Rebecca1, McGhee, Heather1,3, Adams, Steven M.2, Wintermute, Paige1, Daul, Kendal1, Bekas, Stephanie1, van den Berg, Nadia1, Martin-Harris, Bonnie1,4,5
Source: American Journal of Speech-Language Pathology. May2026, Vol. 35 Issue 3, p1360-1379. 20p.
Subject Terms: *Data analysis, *Research methodology, *Children, Medical information storage & retrieval systems, Therapeutics, Grey literature, Research funding, Nutritional assessment, CINAHL database, Descriptive statistics, Systematic reviews, MEDLINE, Statistics, Deglutition, Online information services, Data analysis software, Deglutition disorders, Video recording, Fluoroscopy
Abstract: Introduction: The videofluoroscopic swallowing study (VFSS) is a radiographic procedure that assesses swallowing physiology in real time by visualizing bolus flow in coordination with structural movement throughout the upper aerodigestive tract. Nutritional intake measures are intended to identify restrictions placed on a patient's method of nutritional intake. There is a lack of rigorous evidence to inform recommendations about appropriate and adequate means of nutritional intake. The purpose of this scoping review was to explore the type and validity of nutritional intake measures and how they are used with VFSS findings to inform nutritional intake recommendations by speech-language pathologists in children (birth to 17 years of age) with dysphagia. Method: A comprehensive search of the literature was completed in accordance with the Joanna Briggs Institute methodological recommendations and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews reporting guidelines. Relevant electronic databases and gray literature were searched without any date restrictions. Reviewers were blinded via Rayyan software. Data were extracted using a data extraction tool created by the research team. Results: Twenty articles met inclusion and exclusion criteria and were included for review. Articles included were from eight different countries, published between the years 2010 and 2024, and included a variety of patient populations and objectives. VFSS administration and nutritional intake measure usage were variable, with fluctuating levels of validity. Discussion: At present, there is no one nutritional intake measure that is consistently administered to all pediatric populations jointly with VFSS administration. The current investigation only looked at nutritional intake measures used jointly with VFSS. Other nutritional intake measures exist and are worth exploring as potential assessment options in clinical practice. Conclusion: There is an evident need for the development of nutritional intake measures with strong validity and reliability that consider physiologic impairments observed during VFSS to inform clinical recommendations. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Concurrent Use of Videofluoroscopic and Nutritional Intake Measures in the Assessment of Pediatric Patients With Dysphagia: A Scoping Review.
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  Data: <searchLink fieldCode="AR" term="%22Kiemel%2C+Zoë%22">Kiemel, Zoë</searchLink><relatesTo>1</relatesTo><i> zoekiemel@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Kruse%2C+Jason%22">Kruse, Jason</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Smith%2C+Rebecca%22">Smith, Rebecca</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22McGhee%2C+Heather%22">McGhee, Heather</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Adams%2C+Steven+M%2E%22">Adams, Steven M.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Wintermute%2C+Paige%22">Wintermute, Paige</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Daul%2C+Kendal%22">Daul, Kendal</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bekas%2C+Stephanie%22">Bekas, Stephanie</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22van+den+Berg%2C+Nadia%22">van den Berg, Nadia</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Martin-Harris%2C+Bonnie%22">Martin-Harris, Bonnie</searchLink><relatesTo>1,4,5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. May2026, Vol. 35 Issue 3, p1360-1379. 20p.
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– Name: Abstract
  Label: Abstract
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  Data: Introduction: The videofluoroscopic swallowing study (VFSS) is a radiographic procedure that assesses swallowing physiology in real time by visualizing bolus flow in coordination with structural movement throughout the upper aerodigestive tract. Nutritional intake measures are intended to identify restrictions placed on a patient's method of nutritional intake. There is a lack of rigorous evidence to inform recommendations about appropriate and adequate means of nutritional intake. The purpose of this scoping review was to explore the type and validity of nutritional intake measures and how they are used with VFSS findings to inform nutritional intake recommendations by speech-language pathologists in children (birth to 17 years of age) with dysphagia. Method: A comprehensive search of the literature was completed in accordance with the Joanna Briggs Institute methodological recommendations and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews reporting guidelines. Relevant electronic databases and gray literature were searched without any date restrictions. Reviewers were blinded via Rayyan software. Data were extracted using a data extraction tool created by the research team. Results: Twenty articles met inclusion and exclusion criteria and were included for review. Articles included were from eight different countries, published between the years 2010 and 2024, and included a variety of patient populations and objectives. VFSS administration and nutritional intake measure usage were variable, with fluctuating levels of validity. Discussion: At present, there is no one nutritional intake measure that is consistently administered to all pediatric populations jointly with VFSS administration. The current investigation only looked at nutritional intake measures used jointly with VFSS. Other nutritional intake measures exist and are worth exploring as potential assessment options in clinical practice. Conclusion: There is an evident need for the development of nutritional intake measures with strong validity and reliability that consider physiologic impairments observed during VFSS to inform clinical recommendations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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