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Volume 46 Number 2, 2009
   Pages 215 — 222

Abstract - Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Part V-Applications for clinicians and researchers

Karen Wheeler-Hegland, PhD;1 Tobi Frymark, MA;2* Tracy Schooling, MA;2 Daniel McCabe, DMA;3
John Ashford, PhD;4 Robert Mullen, MPH;2 Carol Smith Hammond, PhD;5-6 Nan Musson, MA1

1Malcom Randall Department of Veterans Affairs Medical Center (VAMC), Gainesville, FL; 2American Speech-Language-Hearing Association, Rockville, MD; 3Davenport and Taylor Memorial Hospital, Bath, NY; 4Tennessee State University/Vanderbilt University, Nashville, TN; 5Durham VAMC, Durham, NC; 6Duke University, Durham, NC

Abstract — Evidence-based practice (EBP) involves the integration of three essential principles: (1) the current best available research, (2) the clinician's experience and expertise, and (3) the patient's values and preferences. This report is the last in a series that presents the culmination of a collaborative effort between the American Speech-Language-Hearing Association and the Department of Veterans Affairs to examine the state of the evidence on seven behavioral swallowing interventions. This article addresses how speech-language pathologists treating individuals with oropharyngeal dysphagia can incorporate EBP into their clinical decision-making process. A fictitious patient scenario is presented and discussed as an example of the clinical application of the findings from the three systematic reviews in this series on evidence for the use of behavioral swallowing interventions. Also, recommendations for researchers studying dysphagia treatment are discussed, with the overall goal of facilitating the generation of a stronger evidence base for clinicians.

Key words: chin-tuck posture, dysphagia, effortful swallow maneuver, evidence-based practice, evidence-based systematic review, head-rotation posture, Mendelsohn maneuver, side-lying posture, speech-language pathologist, super-supraglottic swallow maneuver, supraglottic swallow maneuver, treatment.

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