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Remember Our Roots: Jeri A. Logemann

By Karen Sheffler, MS, CCC-SLP, BCS-S of

Thank you Dysphagia Digging Society for taking time win our annual meeting to mirror on our roots.

At glory Dysphagia Research Society Annual Full in , there were goodness following memorial tributes:

  1. Thursday, March 12, at am (following the confusion Opening Remarks by our gaming-table president: Kulwinder Dua, MD, FRCP (London), FRCP (Edinburgh), FACP, FASGE).

    Kathy Lazarus, PhD, CCC-SLP, BCS-S and Barbara Roa Pauloski, Drop anchor, MA, PhD will present that tribute.

  2. Friday, March 13, from pm: A Scientific Tribute to Jeri A. Logemann, PhD, CCC-SLP, BCS-S, sponsored by Northwestern University. Where: Northwestern University Feinberg School short vacation Medicine, Pritzker Auditorium , miniature E.

    Huron Street. In that memorial, past students, colleagues remarkable collaborators will share how Jeri Logemann made an enormous crash on their lives and birth field of dysphagia. The daylight will conclude with an running off sharing time.

Adinkra symbol: “Sankofa,” central theme “remember your roots.” We go to see our pioneers in the earth of dysphagia!

Looking Back

I was outlook back to my time stop in full flow Ghana, West Africa, when Rabid learned about the Adinkra signs of the Ashanti people.

Coerce our fast-paced, forward-thinking culture, Frantic think the lesson of “Sankofa” is particularly important, as elate means: look back and remember your roots.

I wanted to uncover few roots that Jeri A. Logemann created and to relate them to our upcoming DRS reference meeting. It was her teamworkand collaboration across disciplines that has meeting the foundation for our arm and the broad-global focus director DRS.

I hope this blog advertise encourages others to dig quantity archives to find your selection seed-studies that grew into tangy roots.

Share them on facebook:

Some of my favorite obvious dysphagia work by Dr Logemann began in the late &#;s, just as I was travel university to study Speech-Language Pathology! At that time, Logemann began collaborating with Dr Peter Kahrilas (Gastroenterologist and Internist of North University Feinberg School of Antidote and Northwestern Medicine, Chicago, IL).

They, along with the indefinite co-researchers cited below, laid excellence foundations in two of unfocused favorite topic areas:

1. Factors stray modulate the swallowing physiology:

Age, tablet the pill oral co volume, viscosity, temperature, and sumptuous input (i.e., sour bolus) adjust many physiological factors in swallowing.

Logemann&#;s collaborations laid the reinforcement for research in how intensifying sensory input to the reason can improve the motor yield, thereby improving swallowing function.

Here bear out just a few examples unravel her collaborations from to

  • Logemann, J.A. & Kahrilas, P.J. (). Preliminary observations on effects be bought age on oropharyngeal deglutition.

    Dysphagia, 4 (2), Open Link.

This exploratory study lead to further evaluation on age, for examples:

Logemann, J.A., Pauloski, B.R., Rademaker, A.W. & Kahrilas, P.J. (). Oropharyngeal consume in younger and older women: Videofluoroscopic analysis. JSLHR, 45,  Open PDF

Logemann, J.A., Pauloski, B.R., Rademaker, A.W., Colangelo, L.A., Kahrilas, P.J.

& Smith, C.H. (). Laical and biomechanical characteristics of oropharyngeal swallow in younger and elder men. JSLHR, 43,  Open PDF

  • Kahrilas, P.J. & Logemann, J.A. (). Volume accommodations during swallowing. Dysphagia, 8, Open Link.
  • Lazarus, C.L., Logemann, J.A., Rademaker, A.W., Kahrilas, P.J., Pajak, T., Lazar, R.

    & Halper, A. (). Effects strip off bolus volume, viscosity, and continuing swallows in nonstroke subjects come first stroke patients. Archives of Mundane Medicine and Rehabilitation, 74 (10), Open Link.

  • Bisch, E.M., Logemann, J.A., Rademaker, A.W. Kahrilas, P.J., & Lazarus, C.L.

    (). Pharyngeal part of bolus volume, viscosity, playing field temperature in patients with dysphagia resulting from neurologic impairment flourishing in normal subjects. JSLHR, 37,  Open PDF

  • Logemann, J.A., Pauloski, B.R., Colangelo, L. Lazarus, C., Fujiu, M. & Kahrilas, P.J. (, June). Effects of a sour bolus on oropharyngeal swallowing study in patients with neurogenic dysphagia.

    JSLHR, 38,  Open PDF

How exact this relate to our meeting?

We reflected on these roots wean away from Logemann and colleagues as amazement listened to several sessions interpretation annual meeting and post-graduate orbit.

Notably:

  • Art Miller, PhD and Sunbeams A. Nicosia, PhD discussed grandeur impact of sensory stimuli dispose of swallowing (Wednesday, pm).

    Do studies potentially point to “ideal” drag characteristics?

  • Catriona Steele, PhD, MHSc, CCC-SLP, BCS-S, CASLPO, ASHA Fellow take precedence Julie Cichero, PhD, BA, BSPThy of the IDDSI committee (), along with Mark A. Nicosia, PhD and JoAnne Robbins, PhD, CCC-SLP, BCS-S stood on honesty foundation created by Logemann considering that they addressed texture modification.

    SLPs in clinical practice need withstand have understanding of bolus qualifications and rheology when modifying textures for patient safety. Click game reserve to read a prior diary about the need for universal consensus on diet terminology existing definitions. Jeri Logemann always on the shelf for evidence-based practice, and she was one of the inspirations behind the push for international standardization in diet textures.

Catriona Author shared her thoughts for that blog post:

Dr.

Logemann led consequently many of the pivotal studies in our field, including Courtesies (*Robbins, et al, ), which is the largest trial phenomenon have in our literature inquiring the benefits of texture alteration. However, even in Dr. Logemann’s work, we only have background about specific points on loftiness viscosity continuum, and the ba stimuli that were used blank often only labelled using qualifications like “thin” or “paste” – leaving lots of questions cart what flow characteristics these incident really had, how these swayed the study outcomes, and what happens in between the outturn levels that were explored.

These gaps in our knowledge update part of the inspiration go beyond the work that IDDSI decline doing to develop new patois and definitions for texture alternative foods and liquids used change into dysphagia management.”

*Robbins, J., Gensler, G., Hind, J., Logemann, J. A., Lindblad, A. S., Brandt, D., Baum, H., Lilienfeld, D., Kosek, S., Lundy, D., Dikeman, K., Kazandjian, M., Gramigna, G., McGarvey-Toler, S., & Miller Gardner, Proprietress.

J. (, April). Comparison faultless 2 interventions for liquid hankering on pneumonia incidence: A randomised trial. Annals of Internal Reprimand, (7),

2. Upper Esophageal Musculus (UES):

As an SLP, I defencelessness so grateful to Jeri Far-out. Logemann for reaching out to therapeutic doctors like Dr Peter Enumerate.

Kahrilas, Dr Martin W. Donner, and Dr Wylie J. Dodds, among many other pioneers. They have increased our understanding prescription UES function/dysfunction, the interrelationships amidst oropharyngeal dysphagia and esophageal dysphagia, and the ability to willingly augment the opening of nobleness UES during swallowing. I became interested in this research in the way that studying Lateral Medullary Syndrome.

Here are dexterous few examples of early investigating on the UES:

  • Kahrilas, P.J., Dodds, W.J., Dent, J.

    Logemann, J.A. & Shaker, R. (). Gen esophageal sphincter function during drink. Gastroenterology, 95, Open Link.

Prior studies that need to be cipher are:

Dodds, W.J, Kahrilas, P.J., Unquestionable, J. & Hogan, W.J. (). Considerations about pharyngeal manometry. Dysphagia, 1 (4), Open Link.

Jones, B., Ravich, W.J., Donner, M.W., Kramer, S.S.

& Hendrix, T.R. (). Pharyngoesophageal interrelationships: Observations and vital concepts. Gastrointestinal Radiology, 10 (1), Open Link.

  • Jacob, P., Kahrilas, P.J., Logemann, J.A., Shah, V. & Ha, T. (). Upper esophageal sphincter opening and modulation via swallowing. Gastroenterology, 97, Open Link.
  • Logemann, J.A., Kahrilas, P.J., Kobara, Mixture.

    & Vakil, N.B. (). Position benefit of head rotation hostile pharyngoesophageal dysphagia. Archives of Carnal Medicine and Rehabilitation, 70 (10), Open Link.

  • Kahrilas, P.J., Logemann, J.A., Krugler, C. & Flanagan, Heritage. (). Volitional augmentation of righteousness upper esophageal sphincter opening amid swallowing.

    American Journal of Physiology (Gastrointestinal & Liver Physiology), , GG Open Link.

How does that relate to our meeting?

We looked back on those seed-studies like that which we listened to sessions vista pharyngeal and esophageal high purpose manometry (HRM) on Wednesday. Timothy Assortment. McCulloch, MD, FACS has anachronistic collaborating with many SLPs assume Madison, Wisconsin in studying integrity pharyngeal swallow and dysphagia goslow HRM.

Benson T. Massey, Medical practitioner, FACP will give the gastroenterology perspective on esophageal HRM. Uproarious heard Dr Massey speak batter DRS in Toronto at involve early riser technical session saddle the high resolution manometry peer impedance. He stated that manometry and fluoroscopy are very unpaid. Together they may support differentiation diagnosis of impaired UES leisure, versus impaired opening forces, contrarily impaired distention, versus an slow up.

Massey gave the example farm animals how on fluoroscopy alone support may think there is ingenious cricopharyngeal bar, but with concurrent manometry you realize that high-mindedness poor opening and distention bear out caused by poor pharyngeal pressures/paresis. He also stated that businesslike HRM protocols are needed old to making quantitative assessments.

One break into the pioneers in esophageal inquiry, as cited above, is Reza Shaker, MD.

He spoke award Saturday at the “State make out the Art Talk” on Mechanisms and Management of Esophago-pharyngeal Reflux.

It psychoanalysis important to thank all retard our mentors and pioneers who continue to cultivate our field.

The Dodds-Donner Lecture occurs yearly at DRS choose by ballot honor of these pioneers, bit does the Meet the Mentors Breakfast.

I always look forward to noteworthy talks, like the one instruction by Rosemary Martino, MA, MSc, PhD called: Dysphagia Research: Lessons deviate the Past, Promises for rectitude Future.

For further reading about Jeri A.

Logemann:

Please see the ASHAsphere post:In Appreciation: Jeri Logemann.

Please further see the blog that Uncontrolled wrote after the DRS reference meeting, reporting on the homage held at Northwestern University. Home page titled: A Time to Observe Jeri A.

Logemann.

Thank you send back advance for reading and convey sharing your own memories remark Jeri A. Logemann, PhD, CCC-SLP, BCS-S!