Evidence map›Paper›PMID 28614846›Full record

ArticleJournal of speech, language, and hearing research : JSLHR2017

Identification of Swallowing Tasks From a Modified Barium Swallow Study That Optimize the Detection of Physiological Impairment.

R Jordan Hazelwood, Kent E Armeson, Elizabeth G Hill, Heather Shaw Bonilha, Bonnie Martin-Harris

Abstract read
In one paragraph

Article in Journal of speech, language, and hearing research : JSLHR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2025
    Trial
  4. Trial
  5. Review
  6. Article
  7. Thin Liquid Sip Sizes in Outpatient Adults with Normal and Disordered Swallowing: Modifying Factors and Relationships with Swallowing Safety and Efficiency.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Quantifying Oropharyngeal Swallowing Impairment in Response to Bolus Viscosity.American journal of speech-language pathology · 2024
    Observational
  14. Article
  15. Swallow Reaction Time in Healthy Adults.Perspectives of the ASHA special interest groups · 2023
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

R Jordan HazelwoodMedical University of South Carolina, College of Health Professions, Department of Health Sciences and Research, CharlestonMedical University of South Carolina, College of Medicine, Department of Otolaryngology-Head and Neck Surgery, CharlestonAppalachian State University, Beaver College of Heath Sciences, Department of Communication Sciences and Disorders, Boone, NC.
Kent E ArmesonMedical University of South Carolina, College of Medicine, Department of Public Health Sciences, Charleston.
Elizabeth G HillMedical University of South Carolina, College of Medicine, Department of Public Health Sciences, Charleston.
Heather Shaw BonilhaMedical University of South Carolina, College of Health Professions, Department of Health Sciences and Research, CharlestonMedical University of South Carolina, College of Medicine, Department of Otolaryngology-Head and Neck Surgery, Charleston.
Bonnie Martin-HarrisMedical University of South Carolina, College of Health Professions, Department of Health Sciences and Research, CharlestonMedical University of South Carolina, College of Medicine, Department of Otolaryngology-Head and Neck Surgery, CharlestonNorthwestern University, School of Communication, Department of Communication Sciences and Disorders, Evanston, IL.

Funding

Interdisciplinary Research Training in Otolaryngology and Communication SciencesT32DC014435 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DUBNO, JUDY R · 2015 to 2024
$2.9M
Research and Mentoring on Swallowing Impairment and Respiratory-Swallow CoordinatK24DC012801 · NIDCD · NORTHWESTERN UNIVERSITY · PI MARTIN-HARRIS, BONNIE J · 2013 to 2024
$1.8M
Standardization of Videofluoroscopic Swallow Studies for Bottle-Fed ChildrenR01DC011290 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI LEFTON-GREIF, MAUREEN A, MARTIN-HARRIS, BONNIE J · 2011 to 2015
$1.4M
Stadardized Assesment of Swallowing ImpairmentK23DC005764 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MARTIN-HARRIS, BONNIE J. · 2003 to 2007
$978k
NIDCD NIH HHS K23 DC005764NIDCD NIH HHS K24 DC012801NIDCD NIH HHS R01 DC011290NIDCD NIH HHS T32 DC014435
6 · The paper itself

Abstract

Purpose: The purpose of this study was to identify which swallowing task(s) yielded the worst performance during a standardized modified barium swallow study (MBSS) in order to optimize the detection of swallowing impairment. Method: This secondary data analysis of adult MBSSs estimated the probability of each swallowing task yielding the derived Modified Barium Swallow Impairment Profile (MBSImP™©; Martin-Harris et al., 2008) Overall Impression (OI; worst) scores using generalized estimating equations. The range of probabilities across swallowing tasks was calculated to discern which swallowing task(s) yielded the worst performance. Results: Large-volume, thin-liquid swallowing tasks had the highest probabilities of yielding the OI scores for oral containment and airway protection. The cookie swallowing task was most likely to yield OI scores for oral clearance. Several swallowing tasks had nearly equal probabilities (≤ .20) of yielding the OI score. Conclusions: The MBSS must represent impairment while requiring boluses that challenge the swallowing system. No single swallowing task had a sufficiently high probability to yield the identification of the worst score for each physiological component. Omission of swallowing tasks will likely fail to capture the most severe impairment for physiological components critical for safe and efficient swallowing. Results provide further support for standardized, well-tested protocols during MBSS.

Indexed as

BariumContrast MediaDeglutitionAdolescentAdultAgedAged, 80 and overDeglutition DisordersFemaleFoodHumansMaleMiddle AgedPhysical StimulationProspective StudiesYoung AdultBariumContrast Media

Identifiers

PMID28614846
PMCPMC5831085

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.