Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies

Journal article


Edwards, Ann, Holm, Alison, Carding, Paul, Steele, Michael, Froude, Elspeth, Burns, Clare and Cardell, Elizabeth. (2023). Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies. International Journal of Language and Communication Disorders. 58(5), pp. 1645-1656. https://doi.org/10.1111/1460-6984.12892
AuthorsEdwards, Ann, Holm, Alison, Carding, Paul, Steele, Michael, Froude, Elspeth, Burns, Clare and Cardell, Elizabeth
Abstract

Background
Perceptual, cognitive and previous clinical experience may influence a novice Videofluoroscopic Swallowing Study (VFSS) analyst's trajectory towards competency. Understanding these factors may allow trainees to be better prepared for VFSS training and may allow training to be developed to accommodate differences between trainees.

Aims
This study explored a range of factors previously suggested in the literature as influencing the development of novice analysts’ VFSS skills. We hypothesised that knowledge of swallow anatomy and physiology, visual perceptual skills, self-efficacy and interest, and prior clinical exposure would all influence VFSS novice analysts’ skill development.

Methods & Procedures
Participants were undergraduate speech pathology students recruited from an Australian university, who had completed the required theoretical units in dysphagia. Data assessing the factors of interest were collected—the participants identified anatomical structures on a still radiographic image, completed a physiology questionnaire, completed subsections of the Developmental Test of Visual Processing—Adults, self-reported the number of dysphagia cases they managed on placement, and self-rated their confidence and interest. Data for 64 participants relating to the factors of interest were compared with their ability to accurately identify swallowing impairments following 15 h of VFSS analytical training, using correlation and regression analysis.

Outcomes & Results
Success in VFSS analytical training was best predicted by clinical exposure to dysphagia cases and the ability to identify anatomical landmarks on still radiographic images.

Conclusions & Implications
Novice analysts vary in the acquisition of beginner-level VFSS analytical skill. Our findings suggest that speech pathologists who are new to VFSS may benefit from clinical exposure to dysphagia cases, sound foundational knowledge of anatomy relevant to swallowing and the ability to see the anatomical landmarks on still radiographic images. Further research is required to equip VFSS trainers and trainees for training, to understand differences between learners during skill development.

WHAT THIS PAPER ADDS
What is already known on the subject

• The existing literature suggests that no vice Video fluoroscopic Swallowing Study (VFSS) analysts training may be influenced by their personal characteristics and experience.

What this study adds
• This study found that student clinicians, clinical exposure to dysphagia cases and their ability to identify anatomical landmarks relevant to swallowing on still radiographic images prior to training best predicted their ability to identify swallowing impairments after training.

What are the clinical implications of this work?
• Given the expense of training health professionals, further research is required into the factors that successfully prepare clinicians for VFSS training, including clinical exposure, foundational knowledge of anatomy relevant to swallowing and the ability to identify the anatomical landmarks on still radiographic images.

Keywordsandragogy; dysphagia; training; VFSS
Year2023
JournalInternational Journal of Language and Communication Disorders
Journal citation58 (5), pp. 1645-1656
PublisherJohn Wiley & Sons Ltd
ISSN1368-2822
Digital Object Identifier (DOI)https://doi.org/10.1111/1460-6984.12892
PubMed ID37189291
Scopus EID2-s2.0-85159228961
Open accessPublished as ‘gold’ (paid) open access
Page range1645-1656
FunderGriffith University
Research Training Program Scholarship (RTP), Australian Government
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online15 May 2023
Publication process dates
Accepted12 Apr 2023
Deposited24 Nov 2023
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Idris, Adi, Khamis, Ahmed Gharib, Ghazali, Nur Basirah, Steele, Michael, Koh, David and Tuah, Nik Ani. (2016). Salivary leptin concentrations in Bruneian secondary school children. Asian Pacific Journal of Tropical Biomedicine. 6(4), pp. 335 - 337. https://doi.org/10.1016/j.apjtb.2016.01.003
Swallowing outcome measures in head and neck cancer - How do they compare?
Carding, Paul Nicholas, Pederson, A., Wilson, Janet, McColl, Elaine and Patterson, Jo M.. (2016). Swallowing outcome measures in head and neck cancer - How do they compare? Oral Oncology. 52, pp. 104 - 108. https://doi.org/10.1016/j.oraloncology.2015.10.015
A descriptive study of the participation of children and adolescents in activities outside school
Imms, Christine, Froude, Elspeth H., Adair, Brooke and Shields, Nora. (2016). A descriptive study of the participation of children and adolescents in activities outside school. BMC Pediatrics. 16(84), pp. 1 - 11. https://doi.org/10.1186/s12887-016-0623-9
Outdoor play decisions by caregivers of children with disabilities: A systematic review of qualitative studies
Sterman, Julia, Naughton, Geraldine Ann, Froude, Elspeth Heather, Villeneuve, Michelle, Beetham, Kassia, Wyver, Shirley and Bundy, Anita. (2016). Outdoor play decisions by caregivers of children with disabilities: A systematic review of qualitative studies. Journal of Developmental and Physical Disabilities. https://doi.org/10.1007/s10882-016-9517-x
TOPPITS: Trial Of Proton Pump Inhibitors in Throat Symptoms. Study protocol for a randomised controlled trial
Watson, Gillian, O'Hara, James, Carding, Paul Nicholas, Lecouturier, Jan, Stocken, Deborah, Fouweather, Tony and Wilson, Janet. (2016). TOPPITS: Trial Of Proton Pump Inhibitors in Throat Symptoms. Study protocol for a randomised controlled trial. Trials. https://doi.org/10.1186/s13063-016-1267-7
Contemporary management of voice and swallowing disorders in patients with advanced lung cancer
Carding, Paul, Brady, Grainne C., Bhosle, Jaishree and Roe, J. W.. (2015). Contemporary management of voice and swallowing disorders in patients with advanced lung cancer. Current Opinion in Otolaryngology and Head and Neck Surgery. 23(3), pp. 191 - 196. https://doi.org/10.1097/MOO.0000000000000155
Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis
Fisken, Alison L., Waters, Debra L., Hing, Wayne A., Steele, Michael Craig and Keogh, Justin W.. (2015). Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis. Journal of Geriatric Physical Therapy. 38(1), pp. 17 - 27. https://doi.org/10.1519/JPT.0000000000000019
Unsteady natural convection and statistical analysis in a CNT-water filled cavity with non-isothermal heating
Rahman, Mahmudur M., Öztop, Hakan F., Steele, Michael Craig, Naim, Abdul Ghani, Al-Salem, Khaled and Ibrahim, Talaat A.. (2015). Unsteady natural convection and statistical analysis in a CNT-water filled cavity with non-isothermal heating. International Communications in Heat and Mass Transfer. 64, pp. 50 - 60. https://doi.org/10.1016/j.icheatmasstransfer.2015.02.012
Head and neck cancer patients perceptions of swallowing following chemoradiotherapy
Patterson, Joanne M., McColl, Elaine, Wilson, Janet, Carding, Paul Nicholas and Rapley, Tim. (2015). Head and neck cancer patients perceptions of swallowing following chemoradiotherapy. Supportive Care in Cancer. 23(12), pp. 3531 - 3538. https://doi.org/10.1007/s00520-015-2715-8
Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before-and-after study
Spain, David, Crilly, Julia, Pierce, John, Steele, Michael Craig, Scuffham, Paul and Keijzers, Gerben B.. (2015). Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before-and-after study. Emergency Medicine Australasia. 27(1), pp. 47 - 54. https://doi.org/10.1111/1742-6723.12334
Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial
Balakrishnamoorthy, Ravichandra, Horgan, Isabelle, Perez, Siegfried, Steele, Michael Craig and Keijzers, Gerben B.. (2015). Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial. Emergency Medicine Journal. 32(7), pp. 525 - 530. https://doi.org/10.1136/emermed-2013-203490
Shoulder pain in primary care - Part 2: Predictors of clinical outcome to 12 months
Laslett, Mark, Steele, Michael Craig, Hing, Wayne, McNair, Peter and Cadogan, Angela. (2015). Shoulder pain in primary care - Part 2: Predictors of clinical outcome to 12 months. Journal of Rehabilitation Medicine. 47(1), pp. 66 - 71. https://doi.org/10.2340/16501977-1885
Embedding simulation in clinical training in occupational therapy project: National consultation report
Imms, Christine, Chu, Eli Mang Yee, Guinea, Stephen, Sheppard, Loretta, Froude, Elspeth Heather and Carter, Rob. (2014). Embedding simulation in clinical training in occupational therapy project: National consultation report Australian Catholic University.
Open access and the australian occupational therapy journal
Brown, Ted and Froude, Elspeth. (2014). Open access and the australian occupational therapy journal. Australian Occupational Therapy Journal. 61(2), pp. 37 - 37. https://doi.org/10.1111/1440-1630.12123
Shoulder pain patients in primary care - Part 1: Clinical outcomes over 12 months following standardized diagnostic workup, corticosteroid injections, and community-based care
Laslett, Mark, Steele, Michael Craig, Hing, Wayne, McNair, Peter and Cadogan, Angela. (2014). Shoulder pain patients in primary care - Part 1: Clinical outcomes over 12 months following standardized diagnostic workup, corticosteroid injections, and community-based care. Journal of Rehabilitation Medicine. 46(9), pp. 898 - 907. https://doi.org/10.2340/16501977-1860
Use and validation of the balance outcome measure for elder rehabilitation in acute care
Kuys, Suzanne, Crouch, Tom, Dolecka, Urszula, Steele, Michael and Low Choy, Nancy. (2014). Use and validation of the balance outcome measure for elder rehabilitation in acute care. New Zealand Journal of Physiotherapy. 42(1), pp. 16 - 21.
The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial
Vaughan, Sue, Wallis, Marianne, Polit, Denise, Steele, Michael Craig, Shum, David and Morris, Norman. (2014). The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial. Age and Ageing. 43(5), pp. 623 - 629. https://doi.org/10.1093/ageing/afu010
Perception and responses to different forms of aqua-based exercise among older adults with osteoarthritis
Fisken, Alison L., Waters, Debra L., Hing, Wayne A., Steele, Michael Craig and Keogh, Justin W.. (2014). Perception and responses to different forms of aqua-based exercise among older adults with osteoarthritis. International Journal of Aquatic Research and Education. 8(1), pp. 32 - 52. https://doi.org/10.1123/ijare.2013-0007
A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey
Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Del Mar, Chris and Geeraedts, Leo M.G.. (2014). A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey. World Journal of Surgery. 38(1), pp. 222 - 232. https://doi.org/10.1007/s00268-013-2226-z
Injection laryngoplasty in the outpatient clinic under local anaesthetic: A case series of sixty-eight patients
Powell, Jason, Carding, Paul Nicholas, Birdi, R. and Wilson, Janet. (2014). Injection laryngoplasty in the outpatient clinic under local anaesthetic: A case series of sixty-eight patients. Clinical Otolaryngology. 39(4), pp. 224 - 227. https://doi.org/10.1111/coa.12274
Introduction of an acute surgical unit: Comparison of performance indicators and outcomes for operative management of acute appendicitis
Lancashire, John F., Steele, Michael Craig, Parker, D. and Puhalla, H.. (2014). Introduction of an acute surgical unit: Comparison of performance indicators and outcomes for operative management of acute appendicitis. World Journal of Surgery. 38(8), pp. 1947 - 1953. https://doi.org/10.1007/s00268-014-2497-z
Preparatory teachers' perceptions of school readiness : a survey of Victorian teachers
Imms, Christine, Froude, Elspeth, Joffe, Beverly, Heine, Chyrisse, Merrigan, Celeste and Serry, Tanya. (2014). Preparatory teachers' perceptions of school readiness : a survey of Victorian teachers. The Australian Educational Researcher. 41(1), pp. 109 - 124. https://doi.org/10.1007/s13384-013-0126-8
Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia?
Roe, Justin W. G., Drinnan, Michael J., Carding, Paul N., Harrington, Kevin J. and Nutting, Christopher M.. (2014). Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia? Oral Oncology. 50(12), pp. 1182 - 1187. https://doi.org/10.1016/j.oraloncology.2014.09.009
The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants
Montgomery, Karly, Low Choy, Nancy, Steele, Michael and Hough, Judith. (2014). The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants. Journal of Paediatrics and Child Health. 50(12), pp. 972 - 977. https://doi.org/10.1111/jpc.12689
Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes
Patterson, J, McColl, E, Carding, Paul, Hildreth, A, Kelly, Charles and Wilson, Janet. (2014). Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes. Head and Neck: journal for the sciences and specialities of the head and neck. 36(3), pp. 352 - 358. https://doi.org/10.1002/hed.23306
Foundations of the research foundation
Cusick, A., Curtin, M., Froude, Elspeth, Ziviani, Jenny, Stanley, M, Molineux, M and Hoffman, T. (2013). Foundations of the research foundation. Australian Occupational Therapy Journal. 60(6), pp. 377 - 377.
Head and neck cancer and dysphagia : Caring for carers
Patterson, J, Rapley, T, Carding, Paul, Wilson, Janet and McColl, E. (2013). Head and neck cancer and dysphagia : Caring for carers. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.3226
Crunch Time: How did the students perform?
Steele, Michael Craig and Sugden, Steve. (2013). Crunch Time: How did the students perform? International Journal of Mathematical Education in Science and Technology. 44(1), pp. 143 - 152. https://doi.org/10.1080/0020739X.2012.662302
A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars
Cooke, Georga P.E., Doust, Jenny A. and Steele, Michael C.. (2013). A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Medical Education. 13(2), pp. 1 - 6. https://doi.org/10.1186/1472-6920-13-2
Writing for publication
Froude, Elspeth and Clemson, Lindy. (2013). Writing for publication. Australian Occupational Therapy Journal. 60(4), pp. 229 - 229. https://doi.org/10.1111/1440-1630.12075
Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer
Alcorn, Kylie, Gerrard, John, Macbeth, Deborough and Steele, Michael Craig. (2013). Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer. American Journal of Infection Control. 41(12), pp. 1205 - 1208. https://doi.org/10.1016/j.ajic.2013.05.019
Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial
Perez, Siegfried R.S., Keijzers, Gerben B., Steele, Michael Craig, Byrnes, Joshua and Scuffham, Paul A.. (2013). Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial. EMA - Emergency Medicine Australasia. 25(6), pp. 527 - 534. https://doi.org/10.1111/1742-6723.12151
Current issues in voice assessment and intervention in the United Kingdom
Carding, Paul. (2013). Current issues in voice assessment and intervention in the United Kingdom. In In E. M-L. Yiu (Ed.). International perspectives on voice disorders pp. 83 - 89 Multilingual Matters.
Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes
Patterson, J, McColl, E, Carding, Paul, Hildreth, A, Kelly, Charles and Wilson, Janet. (2013). Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes. Head and Neck: journal for the sciences and specialities of the head and neck. https://doi.org/10.1002/hed.23306
Head and neck cancer and dysphagia : Caring for carers
Patterson, J, Rapley, T, Carding, Paul, Wilson, Janet and McColl, E. (2013). Head and neck cancer and dysphagia : Caring for carers. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.3226
A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests
Steele, Michael Craig, Smart, Neil A., Hurst, Cameron and Chaseling, Janet. (2012). A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests. In K. Kumar and A. Chaturvedi (Ed.). International Conference on Recent Developments in Statistics, Econometrics and Forecasting, University of Allahabad, India, December 27-28, 2010. United States of America: Brown Walker Press. pp. 104 - 109
Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study
Paleri, V, Carding, Paul, Chatterjee, S, Kelly, Charles, Wilson, Janet, Welch, Andrew and Drinnan, M. (2012). Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study. Head and Neck: journal for the sciences and specialities of the head and neck. 34(12), pp. 1747 - 1752. https://doi.org/10.1002/hed.22003
A new voice rating tool for clinical practice
Gould, James, Waugh, J, Carding, Paul and Drinnan, M. (2012). A new voice rating tool for clinical practice. Journal of Voice. 26(4), pp. 163 - 170. https://doi.org/10.1016/j.jvoice.2011.07.011
Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey
Roe, J, Carding, Paul, Rhys-Evans, P, Newbold, K, Harrington, K and Nutting, C. (2012). Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey. Oral Oncology. 48(4), pp. 343 - 348. https://doi.org/10.1016/j.oraloncology.2011.11.003
Reduction of post-surgical pericardial adhesions using a pig model
Alizzi, Ali M., Summers, Phillip, Boon, Virginia H., Tantiongco, John-Paul, Thompson, Teresa, Leslie, Belinda J., Williams, David, Steele, Michael Craig, Bidstrup, Benjamin P. and Diqer, Al-Mutazz A.. (2012). Reduction of post-surgical pericardial adhesions using a pig model. Heart, Lung and Circulation. 21(1), pp. 22 - 29. https://doi.org/10.1016/j.hlc.2011.10.002
What other journals tell us. Laryngeal transplantation: Working party final report, June 2011
Narula, Tony, Bradley, Patrick, Carding, Paul Nicholas, Hakim, Nadey, Rumsey, Nichola, Sokol, Daniel and Edwards, Simon. (2012). What other journals tell us. Laryngeal transplantation: Working party final report, June 2011. Clinical Otolaryngology. 37(1), pp. 53 - 55. https://doi.org/10.1111/j.1749-4486.2012.02439.x
Prospective study of the participation patterns of Grade 6 and Year 8 students in Victoria, Australia in activities outside of school
McMullan, Sarah, Chin, Rachel, Froude, Elspeth Heather and Imms, Christine. (2012). Prospective study of the participation patterns of Grade 6 and Year 8 students in Victoria, Australia in activities outside of school. Australian Occupational Therapy Journal. 59(3), pp. 197 - 208. https://doi.org/10.1111/j.1440-1630.2012.01013.x
A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients
Smart, Neil A. and Steele, Michael Craig. (2012). A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients. Congestive Heart Failure. 18(4), pp. 205 - 211. https://doi.org/10.1111/j.1751-7133.2011.00274.x
Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients
Tan, Chee K., Ulett, Kimberly B., Steele, Michael C., Benjamin, William H. and Ulett, Glen C.. (2012). Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients. BMC Infectious Diseases. 12(273), pp. 1 - 8. https://doi.org/10.1186/1471-2334-12-273
Translating evidence into practice: the role of scholarly journals
Froude, Elspeth. (2012). Translating evidence into practice: the role of scholarly journals. Australian Occupational Therapy Journal. 59(3), pp. 171 - 171. https://doi.org/10.1111/j.1440-1630.2012.01021.x
Using community surveillance data to differentiate between emerging and endemic amphibian diseases
Young, Sam, Skerratt, Lee F., Mendez, Diana, Speare, Rick, Berger, Lee and Steele, Michael Craig. (2012). Using community surveillance data to differentiate between emerging and endemic amphibian diseases. Diseases of Aquatic Organisms. 98(1), pp. 1 - 10. https://doi.org/10.3354/dao02416
Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives
Wilson, Janet, Carding, Paul and Patterson, J. (2011). Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives. Otolaryngology. 145(5), pp. 767 - 771. https://doi.org/10.1177/0194599811414506
Leisure Participation Patterns of Children in Victoria Australia
Chin, Rachel, McMullen, Sarah, Froude, Elspeth Heather and Imms, Christine. (2011). Leisure Participation Patterns of Children in Victoria Australia. Australian Occupational Therapy Journal. 58(Suppl s1), pp. 101 - 101. https://doi.org/10.1111/j.1440-1630.2011.00938.x
Factors Influencing Children's Readiness to Enter School :Views From Early Childhood Educators
Froude, Elspeth Heather, Imms, Christine, Merrigan, C, Joffe, Beverly, Heine, Chyrisse and Serry, Tanya. (2011). Factors Influencing Children's Readiness to Enter School :Views From Early Childhood Educators. Australian Occupational Therapy Journal. 58(Suppl s1), pp. 23 - 23.
Effectiveness of voice therapy in functional dysphonia :Where are we now?
Bos-Clark, M and Carding, Paul. (2011). Effectiveness of voice therapy in functional dysphonia :Where are we now? Current Opinion in Otolaryngology and Head and Neck Surgery. 19(3), pp. 160 - 164. https://doi.org/10.1097/MOO.0b013e3283448f85
The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review
Smart, Neil A. and Steele, Michael Craig. (2011). The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review. Congestive Heart Failure. 17(3), pp. 110 - 114. https://doi.org/10.1111/j.1751-7133.2011.00217.x
The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study
Szlezak, Adam, Georgilopoulos, Peter, Bullock-Saxton, Joanne and Steele, Michael. (2011). The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study. Manual Therapy. 16, pp. 609 - 613. https://doi.org/10.1016/j.math.2011.06.004
The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes
Crilly, Julia, Keijzers, Gerben B., Krahn, Dirken, Steele, Michael Craig, Green, David and Freeman, Janeen. (2011). The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. Quality Management in Health Care. 20(4), pp. 322 - 333. https://doi.org/10.1097/QMH.0b013e318231355a
Exercise training in haemodialysis patients: A systematic review and meta-analysis
Smart, Neil and Steele, Michael Craig. (2011). Exercise training in haemodialysis patients: A systematic review and meta-analysis. Nephrology. 16(7), pp. 626 - 632. https://doi.org/10.1111/j.1440-1797.2011.01471.x
Relationship between fatigue, perfectionism, and functional dysphonia
O'Hara, J, Miller, T, Carding, Paul, Wilson, Janet and Deary, V. (2011). Relationship between fatigue, perfectionism, and functional dysphonia. Otolaryngology. 144(6), pp. 921 - 926. https://doi.org/10.1177/0194599811401236
The clinical application of the 100 mL water swallow test in head and neck cancer
Patterson, J, Hildreth, A, McColl, E, Carding, Paul, Hamilton, D and Wilson, Janet. (2011). The clinical application of the 100 mL water swallow test in head and neck cancer. Oral Oncology. 47(3), pp. 180 - 184. https://doi.org/10.1016/j.oraloncology.2010.11.020
Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task
Brockmann, M, Drinnan, M, Storck, C and Carding, Paul. (2011). Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task. Journal of Voice. 25(1), pp. 44 - 53. https://doi.org/10.1016/j.jvoice.2009.07.002
Tertiary survey performance in a regional trauma hospital without a dedicated trauma service
Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Eddington, Blake and Geeraedts, Leo M.G.. (2011). Tertiary survey performance in a regional trauma hospital without a dedicated trauma service. World Journal of Surgery. 35(10), pp. 2341 - 2347. https://doi.org/10.1007/s00268-011-1231-3
Evaluation of the Australian adaptation of the Keeping It Together (KIT-Australia) information package with carers of children with special needs
Stewart, Janeen, Galvin, Jane, Froude, Elspeth and Lentin, Primrose. (2010). Evaluation of the Australian adaptation of the Keeping It Together (KIT-Australia) information package with carers of children with special needs. Australian Occupational Therapy Journal. 57(4), pp. 268 - 275. https://doi.org/10.1111/j.1440-1630.2010.00858.x
Children's participation in home, school and community life after acquired brain injury
Galvin, Jane, Froude, Elspeth and McAleer, Jennifer. (2010). Children's participation in home, school and community life after acquired brain injury. Australian Occupational Therapy Journal. 57(2), pp. 118 - 126. https://doi.org/10.1111/j.1440-1630.2009.00822.x
From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010). From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008
Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review
Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010). Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012
From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010). From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008
Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review
Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010). Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012
Facilitating access to evidence - a benefit to the profession
Froude, Elspeth and Craik, C.. (2010). Facilitating access to evidence - a benefit to the profession. Australian Occupational Therapy Journal. 57(6), pp. 355 - 355.
Writing for the reader
Froude, Elspeth. (2010). Writing for the reader. Australian Occupational Therapy Journal. 57(2), pp. 75 - 75.
Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data
Steele, M., Smart, N., Hurst, C. and Chaseling, J.. (2009). Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data. In R.S. Anderssen, R.D. Braddock and L.T.H. Newham (Ed.). The 18th World IMACS Congress and MODSIM09 International Congress on Modelling and Simulation. United States of America: Modelling and Simulation Society of Australia and New Zealand and International Association for Mathematics and Computers in Simulation, July 2009. pp. 192 - 196
Swallowing performance in patients with head and neck cancer: A simple clinical test
Patterson, Joanne M., McColl, Elaine, Carding, Paul Nicholas, Kelly, Charles G. and Wilson, Janet A.. (2009). Swallowing performance in patients with head and neck cancer: A simple clinical test. Oral Oncology. 45(10), pp. 904 - 907. https://doi.org/10.1016/j.oraloncology.2009.03.012
The voice handicap index with post-laryngectomy male voices research report
Evans, Eryl, Carding, Paul Nicholas and Drinnan, Michael. (2009). The voice handicap index with post-laryngectomy male voices research report. International Journal of Language and Communication Disorders. 44(5), pp. 575 - 586. https://doi.org/10.1080/13682820902928729
Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia
Haselden, Karen, Powell, Theresa, Drinnan, Mike and Carding, Paul Nicholas. (2009). Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia. Journal of Voice. 23(6), pp. 699 - 706. https://doi.org/10.1016/j.jvoice.2008.03.011
Measuring voice outcomes: State of the science review
Carding, Paul Nicholas, Wilson, Janet A., MacKenzie, K. and Deary, Ian J.. (2009). Measuring voice outcomes: State of the science review. Journal of Laryngology and Otology. 123(8), pp. 823 - 829. https://doi.org/10.1017/S0022215109005398
Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale
Hurren, A., Hildreth, A. J. and Carding, Paul Nicholas. (2009). Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale. Clinical Otolaryngology. 34(6), pp. 533 - 538. https://doi.org/10.1111/j.1749-4486.2009.02034.x
Sensory processing abilities of children who have sustained traumatic brain injuries
Galvin, Jane, Froude, Elspeth and Imms, Christine. (2009). Sensory processing abilities of children who have sustained traumatic brain injuries. American Journal of Occupational Therapy. 63(6), pp. 701 - 709. https://doi.org/10.5014/ajot.63.6.701
The relationship between physical performance and self-perception in children with and without cerebral palsy
Ziebell, Melanie, Imms, Christine, Froude, Elspeth, McCoy, Anne and Galea, Mary. (2009). The relationship between physical performance and self-perception in children with and without cerebral palsy. Australian Occupational Therapy Journal. 56(1), pp. 24 - 32. https://doi.org/10.1111/j.1440-1630.2008.00775.x
Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain
Thomas, Lois H., Jones, Tony M., Tandon, S., Carding, Paul Nicholas, Lowe, Derek G. and Rogers, Sarah. (2009). Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain. Clinical Otolaryngology. 34(1), pp. 34 - 42. https://doi.org/10.1111/j.1749-4486.2008.01830.x
The nature and severity of voice disorders in lung cancer patients
Lee, Clare F., Carding, Paul Nicholas and Fletcher, Mike. (2008). The nature and severity of voice disorders in lung cancer patients. Logopedics Phoniatrics Vocology. 33(2), pp. 93 - 103. https://doi.org/10.1080/14015430701745997
Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it
Karagama, Y., Hurren, A., Carding, Paul Nicholas and Lindsey, L.. (2008). Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it. Clinical Otolaryngology. 33(4), pp. 362 - 366. https://doi.org/10.1111/j.1749-4486.2008.01690.x
Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures
Steen, I. N., MacKenzie, K., Carding, Paul Nicholas, Webb, A., Deary, Ian J. and Wilson, Janet A.. (2008). Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures. Journal of Laryngology and Otology. 122(1), pp. 46 - 51. https://doi.org/10.1017/S0022215107007839
Voice change following thyroid and parathyroid surgery
Meek, Pauline, Carding, Paul Nicholas, Howard, D. H. and Lennard, T. W.J.. (2008). Voice change following thyroid and parathyroid surgery. Journal of Voice. 22(6), pp. 765 - 772. https://doi.org/10.1016/j.jvoice.2007.02.002
Voice loudness and gender effects on jitter and shimmer in healthy adults
Brockmann, Meike, Storck, Claudio, Carding, Paul Nicholas and Drinnan, Michael J.. (2008). Voice loudness and gender effects on jitter and shimmer in healthy adults. Journal of Speech, Language, and Hearing Research. 51(5), pp. 1152 - 1160. https://doi.org/10.1044/1092-4388(2008/06-0208)
An investigation of Bilateral Isokinematic Training and Neurodevelopmental Therapy in improving use of the affected hand in children with hemiplegia
Sheppard, Loretta, Mudie, Heather and Froude, Elspeth. (2007). An investigation of Bilateral Isokinematic Training and Neurodevelopmental Therapy in improving use of the affected hand in children with hemiplegia. Physical & Occupational Therapy in Pediatrics. 27(1), pp. 5 - 25.
Therapeutic practice resulted in moderate improvement in handwriting ability for children with poor handwriting when compared with sensorimotor intervention, but not when compared with a control group
Wallen, Margaret and Froude, Elspeth. (2007). Therapeutic practice resulted in moderate improvement in handwriting ability for children with poor handwriting when compared with sensorimotor intervention, but not when compared with a control group. Australian Occupational Therapy Journal. 54(3), pp. 239 - 244.