CSD 5200





Schedule of Topics


Course Objectives: To have an understanding of the anatomy and physiology of normal swallowing, the different types of swallowing disorders, the nutritional management of dysphagic patients. To become proficient in interpreting videofluoroscopic assessments and administering clinical treatment procedures.

Required Text: Logemann, J. Evaluation and Treatment of Swallowing Disorders, Austin, Pro-Ed, 1998.

Additional Readings for Dysphagia

  • Groher, M. E. (1990). Ethical dilemmas in providing nutrition. Dysphagia, 5: 102-109
  • Lefton-Grief, M. & Averdson, J. (1997). Ethical considerations in pediatric dysphagia. Seminars in Speech and Language, 18 (1) 79-87.
  • Lo, B. & Dornbrand, L. (1989). Understanding the benefits and burdens of tube feedings. Archives of Internal Medicine, 149: 1925-1926
  • Logemann, J. & Shelley, G., (Fall, 1996). Should treatment for pharyngeal swallowing disorders begin before instrumental assessment is completed? American Speech-Language-Hearing Association, 15-16.
  • Miskovitz, Weg, & Groher, M. (1988). Must dysphagic patients always receive food and water? Dysphagia, 2: 125-126.
  • Norberg, A., Norberg, B., & Bexell, G. (1980). Ethical problems in feeding patients with advanced dementia. British Medical Journal, 281;847-848.
  • Quill, T. E. (1989). Utilization of nasogastric feeding tubes in a group of chronically ill, elderly patients in a community hospital. Archives of Internal Medicine, 149: 1937-1941.
  • Rabeneck, L., McCullough, L. B., & Wray, N. P. (1997). Ethically justified, clinically comprehensive guidelines for percutaneous endoscopic gastronomy tube placement. Lancet, 349: 396-398.
  • Segel, H. A. & Smith, M.L. (1995). To feed or not to feed. American Journal of Speech-Language Pathology, 4: 11-14.
  • Serradura-Russel, A. (1992). Ethical dilemmas in dysphagia management and the right to a natural death. Dysphagia, 7: 102-105.
  • Sharp, H. M. & Genesen, L. B. (1996). Ethical decision-making in dysphagia management. American Journal of Speech-Language Pathology, 5: 15-22
  • Sharp, H.M. & Pyne, S.K.(1999). Caring for Patients at the End of Life. Swallowing Intervention in Oncology. 329-342
  • Splaingard, M. L., Hutchins, B., Sulton, L. D., & Chauduri, G. (1988). Aspiration in Rehabilitation Patients: vidoefluoroscopy vs bedside clinical assessment. Archives of Physical Medical Rehabilitation, 69: 637-640.

Pediatric dysphagia:

  • Development of Oral - Motor Skills in the Neurologically Impaired Child Receiving Non-Oral Feedings by Suzanne Evans Morris: Dysphagia 3:135-154 (1989)
  • Anatomy, Physiology and Development of Feeding by Joan Arvedson and Maureen Lefton-Greif. Seminars in Speech and Language Volume 17, Number 4 November 1996
  • Dysphagia in Pediatric Patients with Neurological Damage by Joan Arvedson. Seminars in Neurology Volume 16 Number 4 December 1996.


Individuals who have any disability, either permanent or temporary, which might affect their ability to perform in this class are encouraged to inform the instructor at the start of the quarter. Adaptation of methods, materials, or testing may be made as required to provide for equitable participation.


\ms8_pꦒHM8w33nbFS*$$dM&")ʑh9x{ώ.=?!cGv:!ywr*LޡJ?eT $B@?m-jWn%g1eixzPטEnD<k(1lHBvk~DZO6J6o< e=?\@H"0v"/}yRs䬓]HU[OǯV=6JogiH5%K#0? Px:݌wip!3X&ؾ:h#Kjğ~*,ĘLv!4v><&Id@Vl@E7":V[/̑ӥZ]DGLhC'% M5.HȁblHH} Qnq7݊Ң Xil}k˔T͆ V8kpQiWJӁWC5z5]*&`^ ~m*u|φ4%Brw1#>jz _=1ԥC ,thC$h8[du'$˙3BD 31żnZ#4bWE tv?uxF؍fIJvӚ'#|Ω{{^x) S07r{{_<#U%ڿ O|k>\%G/yz]`ӿ< o~A+ȹru+Eoa5[XvnJUO/>y||J 6^ }wA2niXEoEj|UVT'm^+mfeoh2\`]Wnh>NUg!82 [֐hTm aj/gWEzePHeJ9cZoNz;,aޜHq+[zA@V+[rk4`>emAj4g_Y"&ܪp_q .EJgޞ}̃LJh^w_4[Mng[[t@!@x)EByY7o /FeH!a_."ď!CYqԁVzA.qvOp 4dqSPl%ƹ&DЉe[{Ǐ6bYW{{Ͼ>K}T4(5o/b u;8307A~BnK~z{2vшɾ6J( ?wv DD,abfK4G"HPG"6ԯl<˖s p*L׏F'6 EL' ,[5Y'`"^.2~&b0}XLG4GnYX;VY#i]TI Tk3%yk $߿>~5?u7|MywDK`]{槓} GO?]>T4q֨*#޾,*!YBSySH q`~d,j^ԄW))>`̀RU6Lyޙ3)v בu7B #৯㓏F)'1<`z$ 0w[c&5X<"% &S3䈧D qE+E5%w:N+uugz|:=&2 GOZe`;`<9n7MF ;P!2cq6snMDڮ 0-\S:)%5 ~-Jɻ9}d|EV5 qlLpAV;=Afz4 fOBvMǩGb"ěhׅE)s,eFrY %ۗ7nŀa ORV}Jn}d,"^[^ c^T&4ʊl1Cbk%SE9XE4WT,+mW 8εy_6J=I5 s8Di[4>2>*NF⹗9Bҁ4Dsd" HۻygЌlFs3-:F8Lv`C@|o MA3/-fضsyCcZhc<-GO_R+ofeA37Xy{iiep9X&Oa-[yIJc O 9@={SljeQ:cÑ$FdR#ƎcO3Ek(ևޛ[Hn}? A=>Z 2i2GLvoAH#A,%F)3,J1. 1IHHI“@]HEP9ry#>h&,il$ߊjy^zY39bIYqWUn8 Dr_|TFӨaZM~"@̟k\2{-B\w{N?XSjWyZqzx6r7eSNzJPYn[ " OXjKjnM$o~X]x4I7Hln<>[PIv#\7MY&>W]l璚[.!!.ҮYszoV= !g0Y)"Fzco=r g|l T4L<$ f>O+ә4Խޏlm?'@ 5C{|%4E$SXmAǭl>g3̟zJ}So|o\:c+qzt$)RSx8bu-;oҜ@5V6 [i qBYƴ()#Y]žy̿ǭ\C+OAte0φ?+մ~sV\ms6_H:vۻ_܍co[@$$!& -i=);;iEpp\G;_991>& Jx;!MFK<ryEZzaIȇv:3H3#k0pǮ}0w~q.ӻ*XwVodZM8&@J6t(Ow)^LSTLxv>eo&PU y,Fdv-Hxj,2M8zsRlnW\35,,ắ Cz]Jo@ %k+-J2f4>6Ԍ#ElĈ0 "!4 , deB!S "LF% ^TXsC04 h!h> .UIԔh"r&U xzEPd d6 g5+7ڒT²4[3=I_o^=9q@ُ smWxj7"泵ᕖK ѫ2^N}^l$ս=/%tdӰ^3~؊*a*݇Nbh)V>M}k`Nf#2PpQ費|D.%Ҷ`C66.RLkZR禪WQ@Z""ՙdZAZQK kek*>6f5kQ9>͟&$2L!դhӼVεj ^J 6QwqmFcΣ657Z V Ū~r UR'Vᭃo~(V Y ?.:00j7/=BV#w%pw2vшɾ6JQo72ȆI.ьEyIzDl_ty2.-&hkp*LWFolYBO:Y6j`OEsN]ثGe &b0y Qj,&`̣PMcЬpAݑ4.$LPd˯_ֺOҋ>˯c;"%x0?;V|T@з7]"sEDPBsX {@xT*B."UC@1llq  &fGFjaE}?4?]G\5O[\+DAQ:Ŕ'ޡ)99"v`دN~~:pI޾yKSU^Ѐi:XʫLL,S{~"PgQ>b a uNt#)ĵ!Y3^z/1B))W|0 fΠ;&&\G s ojژ;nـ'OWu '#R$͓bnDdc^]P@27О 73CO!qVI*Xzv% fgbՔtd21eNEj0+<U>h/pwXͿL@Bd4yF*씳CeȌTjZF 5h>sYTNMM)(Ih0l^*,O:ΎmS]<.Z4SWfms9 G7l{a0Afyn:N=3=!E.M.wMd)0R3Z(޽q'Ux̰ nSw{{Gw'c%j` P,A`&dnrV8J]M}I/sDPS1'(ͧP]*ASD2싅&zp&S. :%7 m=.:r\7Ɨ3,gFGb"9 VmR 0y tq]-_ah0o50oh0-]ؘ0c$KB[@ؓ#0w%`hi78l|?/A,oV

Schedule of Topic 2000