{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:29:10Z","timestamp":1775734150794,"version":"3.50.1"},"reference-count":17,"publisher":"American Speech Language Hearing Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect ASHA SIGs"],"published-print":{"date-parts":[[2024,2,8]]},"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>Strategies for facilitating safe and functional bottle feeding in children with dysphagia include selecting nipples that reduce flow rate, pacing, altered positioning, and thickening liquid consistencies. We aimed to determine the impact of slightly thick liquids on swallowing through retrospective review of a convenience sample of clinical videofluoroscopic swallowing studies (VFSS) from 60 bottle-fed children (21 boys and 39 girls, mean age of 9.9 months) referred due to suspected aspiration.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method:<\/jats:title>\n            <jats:p>Eligible VFSS exams were those in which the child swallowed both thin and slightly thick barium (40% w\/v Varibar barium) using the same nipple. VFSS sequences (i.e., uninterrupted portions of the VFSS recording) were randomly assigned in duplicate for rating by trained raters; discrepancies were resolved by consensus. Parameters measured included number of swallows\/sequence, sucks\/swallow, swallow and sequence duration, number and timing of penetration or aspiration events, laryngeal vestibule closure integrity, and pharyngeal residue. Chi-square tests, linear mixed-model analyses of variance, and Wilcoxon signed-ranks tests identified consistency effects.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              There were no aspiration events in these recordings. Slightly thick liquids resulted in significantly fewer penetration events (\n              <jats:italic>p<\/jats:italic>\n              &lt; .05), increased sucks\/swallow, fewer swallows\/sequence, and longer swallow and sequence durations. The number of children with \u2265 1 sequence showing pyriform sinus residue was significantly higher with slightly thick liquids.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Slightly thick liquids can be effective in reducing penetration in bottle-fed children with dysphagia. However, slightly thick liquids may also lead to a safety\u2013efficiency trade-off, with increased risk of pyriform sinus residue. Thickening for children with dysphagia should be considered only when other approaches are not effective. Overthickening should be avoided to limit negative impact on swallowing efficiency.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2023_persp-23-00181","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T14:41:29Z","timestamp":1702651289000},"page":"273-281","source":"Crossref","is-referenced-by-count":4,"title":["The Effectiveness of Slightly Thick Liquids for Improving Swallowing in Bottle-Fed Children With Aerodigestive Concerns"],"prefix":"10.1044","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9941-7508","authenticated-orcid":false,"given":"Renata","family":"Mancopes","sequence":"first","affiliation":[{"name":"Swallowing Rehabilitation Research Laboratory, KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl J.","family":"Hersh","sequence":"additional","affiliation":[{"name":"Department of Speech, Language and Swallowing Disorders, Massachusetts General Hospital, Boston"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Baars","sequence":"additional","affiliation":[{"name":"Department of Speech, Language and Swallowing Disorders, Massachusetts General Hospital, Boston"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Panes","sequence":"additional","affiliation":[{"name":"Swallowing Rehabilitation Research Laboratory, KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Sorbo","sequence":"additional","affiliation":[{"name":"Department of Speech, Language and Swallowing Disorders, Massachusetts General Hospital, Boston"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Sutton","sequence":"additional","affiliation":[{"name":"Swallowing Rehabilitation Research Laboratory, KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Peladeau-Pigeon","sequence":"additional","affiliation":[{"name":"Swallowing Rehabilitation Research Laboratory, KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary S.","family":"Fracchia","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Massachusetts General Hospital for Children, Boston"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catriona M.","family":"Steele","sequence":"additional","affiliation":[{"name":"Swallowing Rehabilitation Research Laboratory, KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Ontario, Canada"},{"name":"Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Ontario, Canada"},{"name":"Canada Research Chair in Swallowing and Food Oral Processing, Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jez.2657"},{"issue":"6","key":"e_1_3_2_3_1","article-title":"\u201cA day in the life of the fluid bolus\u201d: An introduction to fluid mechanics of the oropharyngeal phase of swallowing with particular focus on dysphagia","volume":"26","author":"Burbidge A. S.","year":"2016","unstructured":"Burbidge, A. S., Cichero, J. A. Y., Engmann, J., & Steele, C. M. (2016). \u201cA day in the life of the fluid bolus\u201d: An introduction to fluid mechanics of the oropharyngeal phase of swallowing with particular focus on dysphagia. 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