New zealand index for multidisciplinary evaluation of swallowing

The New Zealand Index for the Multidisciplinary Evaluation of Swallowing (NZIMES), a structured rating scale for the analysis of videofluoroscopic swallowing studies developed by Huckabee (manuscript in preparation), also recognises four phases of swallowing but with different terminology and includes an additional phase to •New Zealand Index for the Multidisciplinary Evaluation of Swallowing (NZIMES) (Huckabee, unpublished) •Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) (Hutchinson et al., 2017) •Local scoring and descriptors. Inter-rater reliability in radiology Shaw, Hendry & Eden (1990) Profiling of Dysphagia in Adults as a Method of Prognostication: The New Zealand Index for the Multidisciplinary Evaluation of Swallowing. The animal rights movement has yet to penetrate Japan in any significant way: the cormorants’ throats are constricted so they can’t swallow the fish they catch underwater, and their owners retrieve the catch when the hapless birds resurface.

The following items of the ‘ New Zealand Index for Multidisciplinary Evaluation of Swallowing (NZIMES) Subscale One ’ were used for qualitative measurements: lingual control, palatal closure, position of bolus at onset of swallow, relative timing of onset of swallow, velopharyngeal closure, pharyngeal contraction/bolus propulsion, laryngeal excursion, bolus propulsion through UES, clearance of pyriform sinus residual, upper esophageal parameters, aspiration/penetration and airway reaction. •New Zealand Index for the Multidisciplinary Evaluation of Swallowing (NZIMES) (Huckabee, unpublished) •Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) (Hutchinson et al., 2017) •Local scoring and descriptors. Inter-rater reliability in radiology Shaw, Hendry & Eden (1990) NEW ZEALAND SPEECH-LANGUAGE THERAPY CLINICAL PRACTICE GUIDELINE ON VIDEOFLUOROSCOPIC STUDY OF SWALLOWING (VFSS) Anna Miles Andrea Benoit, Melissa Keesing, Helen McLauchlan, Esther Ong, Helen Rigby, Margaret Sargent, Leanne Whitteker, Jodi White and Philippa Williams April 2011 Endorsed by Clinical and instrumental swallow assessments, weight and nutritional status, and the functional impact of treatment were examined. Inferior outcomes were observed for the CRT patients on the RBHOMS (p = 0.03) which was reflected in diet and fluid restrictions with 18% of the CRT group requiring modified fluids and diets. New Zealand Index for Multidisciplinary Examination of Swallowing: severity ratings for each component from 0 (no significant impairment) to

Clinical and instrumental swallow assessments, weight and nutritional status, and the functional impact of treatment were examined. Inferior outcomes were observed for the CRT patients on the RBHOMS (p = 0.03) which was reflected in diet and fluid restrictions with 18% of the CRT group requiring modified fluids and diets.

Multidisciplinary teams (MDTs) are therefore needed for optimal patient care. Both the cancer and its treatment can affect vital functions, such as breathing and swallowing, be associated with poor functional New Zealand, Standards of Service Provision for Head and Neck Cancer Patients in New Citation Indexes: 26. New Zealand Index for Multidisciplinary Evaluation of Swallowing NZIMES: Summary Table Huckabee, ML SUBSCALE ONE: Physiologic Parameters ORAL PARAMETERS: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Labial Closure Lingual Control Palatal Closure Mastication ORAL PHARYNGEAL TRANSIT: New Zealand Journal of Speech-Language Therapy 58: 4-14. Kelly BN., Lin E., Flynn M. and Huckabee ML. (2002) Acoustics of swallowing: a comparison of the EAMM and thyroid recordings. New Zealand Journal of Speech and Language Therapy. Huckabee ML. and Cannito MP. A prospective cohort of 69 patients with locally advanced HNC underwent VFSS with the MBSImP protocol at 5 evaluation points: pre-CRT, and 1, 3, 6, and 12 months post-CRT. VFSS was scored with MBSImP, penetration–aspiration scale (PAS), and swallowing performance status (SPS) scale. A score of ≤5 on the DOSS was the pre-specified definition for dysphagia. The New Zealand Index of Multidisciplinary Evaluation of Swallowing (NZIMES) was utilized as the functional scale for identification of aspiration on the VFSS. A score of ≥ 2 was the pre-specified definition for aspiration. The following items of the ‘ New Zealand Index for Multidisciplinary Evaluation of Swallowing (NZIMES) Subscale One ’ were used for qualitative measurements: lingual control, palatal closure, position of bolus at onset of swallow, relative timing of onset of swallow, velopharyngeal closure, pharyngeal contraction/bolus propulsion, laryngeal excursion, bolus propulsion through UES, clearance of pyriform sinus residual, upper esophageal parameters, aspiration/penetration and airway reaction. •New Zealand Index for the Multidisciplinary Evaluation of Swallowing (NZIMES) (Huckabee, unpublished) •Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) (Hutchinson et al., 2017) •Local scoring and descriptors. Inter-rater reliability in radiology Shaw, Hendry & Eden (1990)

The evaluation tools used for the VFS assessments included: (1) New Zealand Index for. Multidisciplinary Evaluation of Swallowing (NZIMES). 31. , and (2) the 

pharyngeal and crico-esophageal parameters) of the New Zealand Index for Multidisciplinary. Evaluation of Swallowing NZIMES [26]. Penetration and aspiration  Severe swallowing deficits and high aspiration rates are observed in HNC patients pre-CRT, New Zealand index for multidisciplinary evaluation of swallowing. This is based on the New Zealand Index for Multidisciplinary Evaluation of. Swallowing (NZIMES) (Huckabee, 2001) – see appendix B. 0. 0.5. 1. 1.5. 2. 2.5. 3 . 3.5. 30 Jul 2013 The New Zealand Index of Multidisciplinary Evaluation of Swallowing (NZIMES) was utilized as the functional scale for identification of  14 Aug 2018 The New Zealand Index of Multidisci-. plinary Evaluation of Swallowing (NZIMES) was used as Dysphagia Screening in Neurologic Populations: Selection, Implementation, and Multidisciplinary Collaboration. Article. 16 May 2012 'New Zealand index for multidisciplinary evaluation of swallowing (NZIMES) Subscale One' for qualitative and 'Logemann-MBS-Parameters'  73. 5.8.2. New Zealand Index for Multidisciplinary Evaluation of Swallowing ( NZIMES) 73. 5.8.3. Modified Barium Swallow Impairment Profile (MBSImP™ ©) .

The New Zealand Index for Multidisciplinary Evaluation of Swallowing is used to rate the swallow and give the underlying physiology. Give two strengths and two weaknesses of videofluroscopy? Strengths: Provides a thorough evaluation of the biomechanics of oropharyngeal swallow; limited review capability.

A score of ≤5 on the DOSS was the pre-specified definition for dysphagia. The New Zealand Index of Multidisciplinary Evaluation of Swallowing (NZIMES) was utilized as the functional scale for identification of aspiration on the VFSS. A score of ≥ 2 was the pre-specified definition for aspiration. The following items of the ‘ New Zealand Index for Multidisciplinary Evaluation of Swallowing (NZIMES) Subscale One ’ were used for qualitative measurements: lingual control, palatal closure, position of bolus at onset of swallow, relative timing of onset of swallow, velopharyngeal closure, pharyngeal contraction/bolus propulsion, laryngeal excursion, bolus propulsion through UES, clearance of pyriform sinus residual, upper esophageal parameters, aspiration/penetration and airway reaction. •New Zealand Index for the Multidisciplinary Evaluation of Swallowing (NZIMES) (Huckabee, unpublished) •Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) (Hutchinson et al., 2017) •Local scoring and descriptors. Inter-rater reliability in radiology Shaw, Hendry & Eden (1990)

New Zealand Index for Multidisciplinary Evaluation of Swallowing NZIMES: Summary Table Huckabee, ML SUBSCALE ONE: Physiologic Parameters ORAL PARAMETERS: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Labial Closure Lingual Control Palatal Closure Mastication ORAL PHARYNGEAL TRANSIT:

A prospective cohort of 69 patients with locally advanced HNC underwent VFSS with the MBSImP protocol at 5 evaluation points: pre-CRT, and 1, 3, 6, and 12 months post-CRT. VFSS was scored with MBSImP, penetration–aspiration scale (PAS), and swallowing performance status (SPS) scale. A score of ≤5 on the DOSS was the pre-specified definition for dysphagia. The New Zealand Index of Multidisciplinary Evaluation of Swallowing (NZIMES) was utilized as the functional scale for identification of aspiration on the VFSS. A score of ≥ 2 was the pre-specified definition for aspiration.

16 May 2012 'New Zealand index for multidisciplinary evaluation of swallowing (NZIMES) Subscale One' for qualitative and 'Logemann-MBS-Parameters'  73. 5.8.2. New Zealand Index for Multidisciplinary Evaluation of Swallowing ( NZIMES) 73. 5.8.3. Modified Barium Swallow Impairment Profile (MBSImP™ ©) . 18 May 2012 condition with three consistencies (viscous, fluid and solid). The ' New Zealand Index for Multidisciplinary Evaluation of Swallowing (NZIMES)