JoAnne Robbins

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Advances in the measurement of swallowing physiologic parameters have been clinician-driven, as has the development of intervention techniques to modify swallowing pathophysiology. However, a critical element to determining the success of such efforts will be established by the patients themselves. We conceptualized, developed, and validated the SWAL–QOL, a(More)
In the past two decades, noteworthy advances have been made in measuring the physiologic outcomes of dysphagia, including measurement of duration of structure and bolus movements, stasis, and penetration–aspiration. However, there is a paucity of data on health outcomes from the patients' perspective, such as quality of life and patient satisfaction. A(More)
OBJECTIVE To examine the effects of lingual exercise on swallowing recovery poststroke. DESIGN Prospective cohort intervention study, with 4- and 8-week follow-ups. SETTING Dysphagia clinic, tertiary care center. PARTICIPANTS Ten stroke patients (n=6, acute: < or =3mo poststroke; n=4, chronic: >3mo poststroke), age 51 to 90 years (mean, 69.7y). (More)
OBJECTIVES To determine the effects of an 8-week progressive lingual resistance exercise program on swallowing in older individuals, the most "at risk" group for dysphagia. DESIGN Prospective cohort intervention study. SETTING Subjects were recruited from the community at large. PARTICIPANTS Ten healthy men and women aged 70 to 89. INTERVENTION Each(More)
PURPOSE This study was designed to identify which of 3 treatments for aspiration on thin liquids-chin-down posture, nectar-thickened liquids, or honey-thickened liquids-results in the most successful immediate elimination of aspiration on thin liquids during the videofluorographic swallow study in patients with dementia and/or Parkinson's disease. METHOD(More)
BACKGROUND Aspiration pneumonia is common among frail elderly persons with dysphagia. Although interventions to prevent aspiration are routinely used in these patients, little is known about the effectiveness of those interventions. OBJECTIVE To compare the effectiveness of chin-down posture and 2 consistencies (nectar or honey) of thickened liquids on(More)
The SWAL-QOL outcomes tool was constructed for use in clinical research for patients with oropharyngeal dysphagia. The SWAL-QOL was constructed a priori to enable preliminary psychometric analyses of items and scales before its final validation. This article describes data analysis from a pretest of the SWAL-QOL. We evaluated the different domains of the(More)
Accidental loss of food or liquids into the airway while eating or drinking is perhaps the most clinically significant consequence of dysphagia. Although videofluoroscopic recording of swallowing is the current gold standard for identifying and determining remediation for aspiration, results are generally described in descriptive terms, thus limiting(More)
In an attempt to impose an organizational format on the specific effects that isolated stroke syndromes have on swallowing ability, we have developed a systematic approach to investigating the underlying neural control mechanisms in patients with clinical and computed tomographic evidence of unilateral ischemic stroke involving the cerebral cortex. When(More)