Imperial College London
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DrGemmaClunie

Faculty of Medicine, Department of Surgery & Cancer

Honorary Research Fellow
 
 
 
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Contact

 

g.clunie Website

 
 
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Location

 

202Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Allen:2021:10.1111/1460-6984.12584,
author = {Allen, JE and Clunie, GM and Slinger, C and Haines, J and MosseyGaston, C and Zaga, CJ and Scott, B and Wallace, S and Govender, R},
doi = {10.1111/1460-6984.12584},
journal = {International Journal of Language & Communication Disorders},
pages = {174--204},
title = {Utility of ultrasound in the assessment of swallowing and laryngeal function: a rapid review and critical appraisal of the literature},
url = {http://dx.doi.org/10.1111/1460-6984.12584},
volume = {56},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundUltrasound (US) is not widely used as part of the speech and language therapy (SLT) clinical toolkit. The COVID19 pandemic has intensified interest in US as an alternative to SLT instrumental tools such as the videofluoroscopic swallowing study (VFSS), fibreoptic endoscopic evaluation of swallowing (FEES) and endoscopic evaluation of the larynx (EEL) as a noninvasive, nonaerosolgenerating procedure that can be delivered at the bedside to assess swallowing and/or laryngeal function. To establish the appropriacy of routine US use, and in response to a national professional body request for a position statement, a group of expert SLTs conducted a rapid review of the literature.AimTo explore critically the clinical utility of US as an assessment tool for swallowing and laryngeal function in adults.Methods & ProceduresA rapid review of four databases was completed to identify articles using US to assess swallowing and/or laryngeal function in adults compared with reference tests (VFSS/FEES/EEL/validated outcome measure). Screening was completed according to predefined inclusion/exclusion criteria and 10% of abstracts were rescreened to assess reliability. Data were extracted from full texts using a predeveloped form. The QUADAS2 tool was used for quality ratings. Information from included studies was summarized using narrative synthesis and visual illustration.Outcomes & ResultsTen papers used US to assess swallowing, and 13 to assess laryngeal function. All were peerreviewed primary studies across a range of clinical populations and with a wide geographical spread. Four papers had an overall low risk of bias, but the remaining 19 had at least one domain where risk of bias was judged as high or unclear. Applicability concerns were identified in all papers. The papers that used US to assess swallowing varied widely in terms of the anatomical structures assessed and methodology employed. The papers assessing laryngeal function were more homogenous i
AU  - Allen,JE
AU  - Clunie,GM
AU  - Slinger,C
AU  - Haines,J
AU  - MosseyGaston,C
AU  - Zaga,CJ
AU  - Scott,B
AU  - Wallace,S
AU  - Govender,R
DO  - 10.1111/1460-6984.12584
EP  - 204
PY  - 2021///
SN  - 1368-2822
SP  - 174
TI  - Utility of ultrasound in the assessment of swallowing and laryngeal function: a rapid review and critical appraisal of the literature
T2  - International Journal of Language & Communication Disorders
UR  - http://dx.doi.org/10.1111/1460-6984.12584
UR  - https://onlinelibrary.wiley.com/doi/10.1111/1460-6984.12584
UR  - http://hdl.handle.net/10044/1/84852
VL  - 56
ER  -
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