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Journal of Speech and Hearing Research Vol.39 144-152 February 1996.
© American Speech-Language-Hearing Association
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Interjudge Agreement in Videofluoroscopic Studies of Swallowing

Felicia Wilcox 1
Julie M. Liss 1

Gerald M. Siegel 1
1 University of Minnesota Minneapolis

Videofluoroscopic swallowing examinations of 3 patients with dysphagia were reviewed independently by 10 speech-language pathologists. Prior to viewing each video, clinicians were provided with information about the patient's history, the results of a bedside swallow examination, and oral-facial and oral motor control examinations. Clinicians completed a swallowing observation protocol as they viewed each video. They then recommended, from a list of treatment strategies, intervention techniques that would be most appropriate for each patient. Interjudge agreement was calculated by determining how many clinicians observed a given swallowing event or deficit, and how many recommended a given treatment strategy. Results suggest that the level of interjudge agreement for videofluoroscopic evaluations is not encouragingly high.

KEY WORDS: dysphagia, modified barium swallow, videofluoroscopy, interjudge agreement

Submitted on January 17, 1995
Accepted on May 8, 1995


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