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Semin Speech Lang 2016; 37(03): 201-218
DOI: 10.1055/s-0036-1584155
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dysphagia Practice in 2035: Beyond Fluorography, Thickener, and Electrical Stimulation

Michelle R. Ciucci
1   Department of Communication Sciences and Disorders, Neuroscience Training Program
2   Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Neuroscience Training Program, University of Wisconsin-Madison, Madison, Wisconsin
,
Corinne A. Jones
1   Department of Communication Sciences and Disorders, Neuroscience Training Program
2   Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Neuroscience Training Program, University of Wisconsin-Madison, Madison, Wisconsin
,
Georgia A. Malandraki
3   Department of Speech, Language and Hearing Sciences, Purdue University, West Lafayette, Indiana
,
Katherine A. Hutcheson
4   Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
27 May 2016 (online)

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Abstract

Dysphagia evaluation and management has rapidly become the primary practice area of medical speech pathologists since its adoption in our field less than three decades ago. As a specialty, swallowing and swallowing disorders comprise the largest represented discipline with 10,059 specialty interest group members within the American Speech-Language-Hearing Association and 298 board-certified specialists in the American Speech Hearing Association. There are national and international organizations, such as the Dysphagia Research Society and its interdisciplinary journal Dysphagia, that provide continuing education for clinicians and a platform for dysphagia researchers. Despite this rapid growth, herein we identify some significant needs for improving the science and practice of dysphagia clinical care, including a deeper understanding of physiology and neurophysiology, standardization of evaluation, consensus on core sets of dysphagia parameters for clinical and research reporting, personalized algorithms for implementation of evidenced-based practice, metrics for therapy efficacy, and increased buy-in and funding from agencies. The goals of this article are to summarize the status quo of dysphagia research, evaluation, and treatment as well as to make predictions about the future. Medical trends that we speculate will influence dysphagia research and care in the future include, among others, imaging advances, personalized medicine, regenerative medicine, and telehealth.

Keywords

Dysphagia - swallowing - evaluation - management
 

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