Department of Surgery, Division of Otolaryngology, University of Wisconsin-Madison, 600 Highland Ave. K4/7 CSC, Madison, WI, 53792-7375, USA.
Department of Communication Sciences & Disorders, University of Wisconsin-Madison, Madison, WI, USA.
Dysphagia. 2019 Apr;34(2):170-178. doi: 10.1007/s00455-018-9954-z. Epub 2018 Oct 31.
High-resolution manometry (HRM) objectively measures swallowing-related pressures in the pharynx and esophagus. It has been used in many research applications, but it is unclear how HRM is perceived amongst speech-language pathologists (SLP) as it enters into clinical practice. The purpose of this study was to explore SLP perceptions of clinical HRM use. Based on qualitative data collected at four focus groups held at two national conferences and a survey based on open-ended questions, we found broad consensus among those queried regarding how HRM's objective and targeted data could enhance diagnosis and drive treatments. However, we found less consensus among SLPs regarding which patients may and may not benefit, as well as when in the clinical process HRM would best supplement existing technologies, showing a need for further research. These findings highlight how SLPs can be motivated to adopt new clinical technologies if they see a patient-centered benefit and underscore the need for continued SLP education on pharyngeal HRM.
高分辨率测压法(HRM)客观测量咽部和食管的吞咽相关压力。它已被广泛应用于许多研究领域,但在 HRM 进入临床实践时,言语语言病理学家(SLP)对其的看法尚不清楚。本研究旨在探讨 SLP 对临床 HRM 使用的看法。基于在两次全国会议上举行的四个焦点小组和基于开放式问题的调查收集的定性数据,我们发现,被调查者普遍认为 HRM 的客观和有针对性的数据可以增强诊断并推动治疗。然而,SLP 之间对于哪些患者可能受益以及哪些患者可能不受益,以及在临床过程中 HRM 何时最好补充现有技术,存在的共识较少,这表明需要进一步研究。这些发现强调了如果 SLP 看到以患者为中心的益处,他们可能会有动力采用新的临床技术,并强调需要继续对 SLP 进行咽 HRM 教育。