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Journal of Public Health Policy and Planning | Volume 3
April 08-09, 2019 | Zurich, Switzerland
Health Care and Neuroscience
International Conference on
Role of modified barium swallow pre and post VitalSƟm therapy in the rehabilitaƟon
of the swallowing mechanism
Mufeed Al Jeady
Dallah Hospital, Saudi Arabia
In MBSS the following are evaluated, delay in
oropharyngeal swallowing phase, closure of
epiglottis, laryngeal elevation, passage of contrast
behind the epiglottis that denoting penetration,
presence of aspiration and presence residual
barium after swallowing. After VitalStim therapy, all
patients underwent the same assessments and also
underwent a functional swallowing follow up survey
months (range, 1 to 6 months) after their therapy to
assess whether the improvement was worthwhile
and sustained. From June 2014 to April 2016, 73
patients with dysphagia were included in our study.
All the patients underwent pre-therapy evaluation
by speech-language pathologists, including clinical
evaluation of swallowing and modified barium
swallow study (MBSS). In this study 73 patients
showed radiological findings denoting neurological
swallowing disorders, 65 patients (89%) showed delay
in oropharyngeal swallowing phase, weak laryngeal
elevation found in 58 patients (79%), 68 patients
(93%) showed aspiration and 70 cases ( 96%) showed
penetration and incomplete closure of the epiglottis.
Presence residual barium after swallowing within the
vallecula was seen in 68 patients (93%). 52 of the 73
patients (71%) demonstrated complete improvement
in their swallowing at first follow up study after
VitalStim therapy. 21 of the 73 patients (29%)
showed some improvement and needed another
therapy sessions and in the next follow up study 15
cases showed complete improvement. However,
7 cases of the 21 patients categorized as having
severe dysphagia before therapy, only 2 of 7 showed
improvement, and these patients still required
a feeding tube for adequate nutrition, however,
the 5 of 7 showed complete improvement after
another session of therapy. In conclusion, modified
barium swallow is valuable in the rehabilitation of
patient with swallowing disorders helps speech
pathologist to identify and modify swallowing
abnormalities as well as management program.
VitalStim therapy is a safe and effective treatment
for patients suffering with the swallowing difficulties.
Speaker Biography
Mufeed Al Jeady, consultant swallowing and speech pathologist and
rehab programs manager for stroke and TBI units. The first certified vital
stim therapy instructor in middle east. He has published many papers in
a reputed journals and conducted a lot of swallowing training courses in
vitalstim therapy as well as research in swallowing field and rehabilitation.
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