Jeri logemann biography examples
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These are not one-size-fits-all, the anatomy, alignment, and swallow trigger in my turkey neck is a heck of a lot different than Gertrude’s.)
When you see:Poor bolus control, poor oral transport
You can try: Head tilt back to 60 degrees
Why?This allows gravity to assist the bolus through the oral cavity for transport to the pharynx.
Open Link.
Your report is WORTHLESS to the facility if the information can not be implemented.
Conversely, if you’re the one sending your patient for these sub-par studies, help to educate your colleague! I do not mean to rag on people doing MBSS, as I know plenty of people out there doing FEES with a wing and a prayer as well, but bottom line is… patients, insurance, and facilities are paying GOOD money for these tests.
Logemann’s collaborations laid the foundation for research in how increasing sensory input to the brain can improve the motor output, thereby improving swallowing function.
Here are just a few examples of her collaborations from 1989 to 1995:
Logemann, J.A. & Kahrilas, P.J. (1989). Dysphagia, 1 (4), 209-214.
The Historical role of the SLP in dysphagia management
The early days
As a second year doctoral student in the early 1970’s, our team began evaluating dysphagic patients on the neurology service. The barium leakage has been associated with peritonitis and granuloma formation.
Delayed Gastrointestinal Transit and Obstruction
Orally administered barium sulfate may accumulate proximal to a constricting lesion of the colon, causing obstruction or impaction with development of baroliths (inspissated barium associated with feces) and may lead to abdominal pain, appendicitis, bowel obstruction, or rarely perforation.Where: Northwestern University Feinberg School of Medicine, Pritzker Auditorium 3-506, at 251 E. Huron Street. As part of her work, she became aware of the concomitant problems of swallowing in this patient group. JSLHR, 37, 1041-1049. Factors that modulate the swallowing physiology:
Age, bolus volume, viscosity, temperature, and sensory input (i.e., sour bolus) modulate many physiological factors in swallowing.
Volitional augmentation of the upper esophageal sphincter opening during swallowing. Donner told me he had thought such a journal was needed and invited myself and Dr. Logemann to be participants on the first editorial board. Ideal for oral cavity anatomical differences, post-op CA.
When you see:Poor oral containment
You can try: Chin down posture
Why?This keeps the bolus in the anterior oral cavity which helps to prevent premature spillage.When you see:Poor tongue base retraction
You can try: Chin tuck or chin down posture
Why?This helps to reduce the distance between the tongue base and posterior pharyngeal wall.When you see:Delayed swallow
You can try: Chin down posture
Why? This widens the valleculae to accommodate the bolus prior to the initiation of the swallow.When you see:Vallecular residue
You can try: Chin tuck and/or effortful swallow
Why?This helps to narrow the vallecular space and pharynx.When you see:Unilateral pharyngeal paresis
You can try: Head rotation to the weak side, OR head tilt to the strong side
Why?The bolus is channeled down the stronger side using gravity, and by closing off the weaker side pyriform sinuses when using a head tilt.When you see:Unilateral vocal fold paresis
You can try: Head rotation to the weak side
Why?Head rotation increases vocal fold closure through external pressure on the thyroid cartilage.When you see:Pyriform sinus residue
You can try: Head rotation to the weak side
Why?This helps toincrease UES opening and duration, and reduce UES resting pressure.Pharyngeal effects of bolus volume, viscosity, and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjects. He is best known for his pioneering work with patients who have swallowing disorders.