Acoustic and perceptual profiles of swallowing sounds in preterm neonates: normative data from a cross-sectional study cohort
Tracks
4
Dysphagia
Feeding
Infant feeding
Neonatal care
Paediatric/Infant
Research
Swallowing
| Friday, June 13, 2025 |
| 10:30 AM - 10:40 AM |
Overview
Assoc Professor Thuy Frakking
Details
⏫ Research insights
⏲️ 10.30am - 10.50am
⌛ 20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)
⏲️ 10.30am - 10.50am
⌛ 20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)
Presenter
Assoc Professor Thuy Frakking
Gold Coast University Hospital | Caboolture Hospital
Acoustic and perceptual profiles of swallowing sounds in preterm neonates: normative data from a cross-sectional study cohort
10:30 AM - 10:50 AMPresentation summary
The use of cervical auscultation is popular among speech-language pathologists across Australia, United Kingdom and Ireland. There is normative data on swallowing sounds in adults and children; however, none exist for pre-term neonates. This study aims to establish normative reference values across acoustic and perceptual parameters of swallowing sounds in pre-term neonates on thin fluids. Swallowing sounds were recorded from a digital microphone during oral feeding observations. Acoustic parameters of duration, peak frequency, peak power and peak intensity were determined. Perceptual parameters heard pre, during and post-swallows were rated (‘present’, ‘absent’, ‘cannot be determined’). 80 pre-term neonates (43 males; mean age=33.4 weeks [SD 2.6]) demonstrated mean swallow durations of <1 second. Number of medical co-morbidities correlated to peak amplitude (r=0.26; 95%CI 0.05,0.48). A majority of pre-term neonates have coordinated swallows that are quick and completed in <1 second. The perceptual parameters of a bolus transit sound and glottal release sound were present in all pre-term neonates. One in five pre-term neonates have an uncoordinated swallow where wheeze, stridor and wet breath sounds were present post-swallow. This study provides clinicians with reference values when using cervical auscultation in the newborn care setting.
Refrences
1. Motion S, Northstone K, Emond A, Team TAS. Persistent early feeding difficulties and subsequent growth and developmental outcomes. Ambulatory child health. 2001;7(3‐4):231-237.
2. Mercado-Deane M-G, Burton EM, Harlow SA, et al. Swallowing dysfunction in infants less than 1 year of age. Pediatr. Radiol. 2001;31(6):423-428.
3. Uhm KE, Yi S-H, Chang HJ, Cheon HJ, Kwon J-Y. Videofluoroscopic swallowing study findings in full-term and preterm infants with dysphagia. Ann Rehabil Med. 2013;37(2):175-182.
4. Patel T, Clemmens C, Bradburn K, et al. Effect of a standardized fluoroscopic procedural approach on fluoroscopy time during infant modified barium swallow studies. Int. J. Pediatr. Otorhinolaryngol. 2020;138:110396-110396.
5. Rommel N, De Meyer A-M, Feenstra L, Veereman-Wauters G. The Complexity of Feeding Problems in 700 Infants and Young Children Presenting to a Tertiary Care Institution. J. Pediatr. Gastroenterol. Nutr. 2003;37(1):75-84.
6. Jadcherla SR, Stoner E, Gupta A, et al. Evaluation and Management of Neonatal Dysphagia: Impact of Pharyngoesophageal Motility Studies and Multidisciplinary Feeding Strategy. J. Pediatr. Gastroenterol. Nutr. 2009;48(2):186-192.
7. Jadcherla SR, Peng J, Moore R, et al. Impact of Personalized Feeding Program in 100 NICU Infants: Pathophysiology-based Approach for Better Outcomes. J. Pediatr. Gastroenterol. Nutr. 2012;54(1):62-70.
8. Thoyre SM, Pados BF, Shaker CS, Fuller K, Park J. Psychometric Properties of the Early Feeding Skills Assessment Tool. Adv. Neonatal Care. 2018;18(5):E13-E23.
9. Zarem C, Kidokoro H, Neil J, Wallendorf M, Inder T, Pineda R. Psychometrics of the neonatal oral motor assessment scale. Dev. Med. Child Neurol. 2013;55(12):1115-1120.
10. Palmer MM, Crawley K, Blanco IA. Neonatal Oral-Motor Assessment scale: a reliability study. J. Perinatol. 1993;13(1):28-35.
11. da Costa SP, Hübl N, Kaufman N, Bos AF. New scoring system improves inter-rater reliability of the Neonatal Oral-Motor Assessment Scale. Acta Paediatr. 2016;105(8):e339-344.
12. Arvedson JC. Feeding children with cerebral palsy and swallowing difficulties. Eur. J. Clin. Nutr. 2013;67 Suppl 2:S9-12.
13. Hersh C, Wentland C, Sally S, et al. Radiation exposure from videofluoroscopic swallow studies in children with type 1 laryngeal cleft and pharyngeal dysphagia: a retrospective review. Int. J. Pediatr. Otorhinolaryngol. 2016;89:92-96.
14. Im HW, Kim SY, Oh BM, Han TR, Seo HG. Radiation Dose During Videofluoroscopic Swallowing Studies and Associated Factors in Pediatric Patients. Dysphagia. 2020;35(1):84-89.
15. Layly J, Marmouset F, Chassagnon G, et al. Can We Reduce Frame Rate to 15 Images per Second in Pediatric Videofluoroscopic Swallow Studies? Dysphagia. 2019:1-5.
16. Hernandez AM, Bianchini EMG. Swallowing Analyses of Neonates and Infants in Breastfeeding and Bottle-feeding: Impact on Videofluoroscopy Swallow Studies. International archives of otorhinolaryngology. 2019;23(3):e343-e353.
17. Cichero JAY, Nicholson T, Dodrill P. Liquid barium is not representative of infant formula: characterisation of rheological and material properties. Dysphagia. 2011;26:264-271.
18. Frazier J, Chestnut AH, Jackson A, Barbon CEA, Steele CM, Pickler L. Understanding the Viscosity of Liquids used in Infant Dysphagia Management. Dysphagia. 2016;31(5):672-679.
19. Reynolds J, Carroll S, Sturdivant C. Fiberoptic Endoscopic Evaluation of Swallowing: A multidisciplinary alternative for assessment of infants with dyspahgia in the neonatal intensive care unit. Adv. Neonatal Care. 2016;16(1):37-43.
20. Bateman C, Leslie P, Drinnan MJ. Adult dysphagia assessment in the UK and Ireland: are SLTs assessing the same factors? Dysphagia. 2007;22(3):174-186.
21. Rumbach A, Coombes C, Doeltgen S. A Survey of Australian Dysphagia Practice Patterns. Dysphagia. 2018;33(2):216-226.
22. Almeida STD, Ferlin EL, Maciel AC, et al. Acoustic signal of silent tracheal aspiration in children with oropharyngeal dysphagia. Logopedics Phoniatrics Vocology. 2018;43(4):169-174.
23. Frakking TT, Chang AB, O'Grady KA, Walker-Smith K, Weir KA. Cervical auscultation in the diagnosis of oropharyngeal aspiration in children: a study protocol for a randomised controlled trial. Trials. 2013;14(377):377.
24. Frakking TT, Chang AB, O'Grady KF, David M, Walker-Smith K, Weir KA. The Use of Cervical Auscultation to Predict Oropharyngeal Aspiration in Children: A Randomized Controlled Trial. Dysphagia. 2016;31(6):738-748.
25. Frakking TT, Chang AB, O'Grady KF, David M, Weir KA. Reliability for detecting oropharyngeal aspiration in children using cervical auscultation. Int. J. Speech Lang. Pathol. 2017;19(6):569-577.
26. Frakking T, Chang A, O'Grady K, David M, Weir K. Aspirating and Nonaspirating Swallow Sounds in Children: A Pilot Study. Ann. Otol. Rhinol. Laryngol. 2016;125(12):1001-1009.
27. Silva Hd, Mathura N, Wright A, Jasmin K, Wright A. 1211 The use of cervical auscultation to detect subtle audible wet pharyngeal sounds (SAWPS-CA) as a screening tool for silent aspiration in infants with trisomy 21. Abstracts. 2021;106(Suppl 1):A275-A275.
28. Dudik JM, Kurosu A, Coyle JL, Sejdić E. A statistical analysis of cervical auscultation signals from adults with unsafe airway protection. J Neuroeng Rehabil. 2016;13(1):7-7.
29. Donohue C, Khalifa Y, Perera S, Sejdic E, Coyle JL. A Preliminary Investigation of Whether HRCA Signals Can Differentiate Between Swallows from Healthy People and Swallows from People with Neurodegenerative Diseases. Dysphagia. 2020.
30. Merey C, Kushki A, Sejdić E, Berall G, Chau T. Quantitative classification of pediatric swallowing through accelerometry. J Neuroeng Rehabil. 2012;9(1):34-34.
31. Lee J, Blain S, Casas M, Kenny D, Berall G, Chau T. A radial basis classifier for the automatic detection of aspiration in children with dysphagia. J Neuroeng Rehabil. 2006;3:14.
32. Lee J, Steele CM, Chau T. Classification of healthy and abnormal swallows based on accelerometry and nasal airflow signals. Artif. Intell. Med. 2011;52(1):17-25.
33. Frakking TT, Chang AB, Carty C, et al. Using an Automated Speech Recognition Approach to Differentiate Between Normal and Aspirating Swallowing Sounds Recorded from Digital Cervical Auscultation in Children. Dysphagia. 2022;37(6):1482-1492.
34. Donohue C, Mao S, Sejdic E, Coyle JL. Tracking Hyoid Bone Displacement During Swallowing Without Videofluoroscopy Using Machine Learning of Vibratory Signals. Dysphagia. 2020.
35. He Q, Perera S, Khalifa Y, et al. The Association of High Resolution Cervical Auscultation Signal Features With Hyoid Bone Displacement During Swallowing. IEEE Trans. Neural Syst. Rehabil. Eng. 2019;27(9):1810-1816.
36. Rebrion C, Zhang Z, Khalifa Y, et al. High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing. IEEE J Transl Eng Health Med. 2019;7:1-9.
37. Mao S, Sabry A, Khalifa Y, Coyle JL, Sejdic E. Estimation of laryngeal closure duration during swallowing without invasive X-rays. Future generation computer systems. 2021;115:610-618.
38. Kurosu A, Coyle JL, Dudik JM, Sejdic E. Detection of Swallow Kinematic Events From Acoustic High-Resolution Cervical Auscultation Signals in Patients With Stroke. Arch. Phys. Med. Rehabil. 2019;100(3):501-508.
39. Reynolds EW, Vice FL, Bosma JF, Gewolb IH. Cervical accelerometry in preterm infants. Dev. Med. Child Neurol. 2002;44(9):587-592.
40. Reynolds EW, Vice FL, Gewolb IH. Cervical accelerometry in preterm infants with and without bronchopulmonary dysplasia. Dev. Med. Child Neurol. 2003;45(7):442-446.
41. Yu-Lin W, Jing-Sheng H, Lin-Yu W, et al. Development of a Wireless Oral-Feeding Monitoring System for Preterm Infants. IEEE J Biomed Health Inform. 2015;19(3):866-873.
42. Delaney AL, Arvedson JC. Development of swallowing and feeding: Prenatal through first year of life. Developmental Disabilities Research Reviews. 2008;14(2):105-117.
43. Sanchez KB, Spittle AJP, Slattery JMB, Morgan ATP. Oromotor Feeding in Children Born Before 30 Weeks' Gestation and Term-Born Peers at 12 Months' Corrected Age. J. Pediatr. 2016;178:113-118.e111.
44. Rommel N, van Wijk M, Boets B, et al. Development of pharyngo‐esophageal physiology during swallowing in the preterm infant. Neurogastroenterol. Motil. 2011;23(10):e401-e408.
45. Ince DA, Ecevit A, Acar BO, et al. Noninvasive evaluation of swallowing sound is an effective way of diagnosing feeding maturation in newborn infants. Acta Paediatr. 2014;103(8):e340-e348.
46. Lau C, Smith EO, Schanler RJ. Coordination of suck-swallow and swallow respiration in preterm infants. Acta Paediatr. 2003;92(6):721-727.
47. Clinical Services Capability Framework Self-Assessment. https://www.health.qld.gov.au/_data/assets/pdf_file/0025/634903/cscf-selfassess-sum-metro-north.pdf. Accessed 21st August 2017.
48. Ludwig SM, Waitzman KA. Changing Feeding Documentation to Reflect Infant-Driven Feeding Practice. Newborn and infant nursing reviews. 2007;7(3):155-160.
49. Howe TH, Sheu CF, Hsieh YW, Hsieh CL. Psychometric characteristics of the Neonatal Oral‐Motor Assessment Scale in healthy preterm infants. Dev. Med. Child Neurol. 2007;49(12):915-919.
50. Thoyre SM, Shaker CS, Pridham KF. The Early Feeding Skills Assessment for Preterm Infants. Neonatal Netw. 2005.
51. Cichero JAY, Murdoch BE. Detection of swallowing sounds: methodology revisited. Dysphagia. 2002;17(1):40-49.
52. Frakking TT, Chang AB, O'Grady KF, Yang J, David M, Weir KA. Acoustic and Perceptual Profiles of Swallowing Sounds in Children: Normative Data for 4-36 Months from a Cross-Sectional Study Cohort. Dysphagia. 2017;32(2):261-270.
53. Phillips PC. Designing experiments to maximize the power of detecting correlations. Evolution. 1998;52(1):251-255.
54. Shapiro SS, Wilk MB. An analysis of variance test for normality (complete samples). Biometrika. 1965;52(3/4):591-611.
55. Rommel N. Diagnosis of oropharyngeal disorders in young children [Doctor of Philosophy]. Kindergeneeskunde: Department Neurowetenschappen en Psychiatrie, Katholieke Universiteit Leuven; 2002.
56. Almeida ST, Ferlin EL, Parente MA, Goldani HA. Assessment of swallowing sounds by digital cervical auscultation in children. Ann. Otol. Rhinol. Laryngol. 2008;117(4):253-258.
57. Hennessey NW, Fisher G, Ciccone N. Developmental changes in pharyngeal swallowing acoustics: a comparison of adults and children. Logoped. Phoniatr. Vocol. 2018;43(2):63-72.
58. Youmans SR, Stierwalt JA. Normal Swallowing Acoustics Across Age, Gender, Bolus Viscosity, and Bolus Volume. Dysphagia. 2011.
59. Omori F, Fujiu-Kurachi M, Wada K, Yamano T. Effects of Bolus Types and Swallowing Maneuvers on Laryngeal Elevation: Analysis of Healthy Young Adult Men and Healthy Older Men. Dysphagia. 2024;39(4):573-585.
60. Horita HM, Friesen TL, Cahill G, et al. Development of a Medical Complexity Score for Pediatric Aerodigestive Patients. J. Pediatr. 2023;261:113549-113549.
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2. Mercado-Deane M-G, Burton EM, Harlow SA, et al. Swallowing dysfunction in infants less than 1 year of age. Pediatr. Radiol. 2001;31(6):423-428.
3. Uhm KE, Yi S-H, Chang HJ, Cheon HJ, Kwon J-Y. Videofluoroscopic swallowing study findings in full-term and preterm infants with dysphagia. Ann Rehabil Med. 2013;37(2):175-182.
4. Patel T, Clemmens C, Bradburn K, et al. Effect of a standardized fluoroscopic procedural approach on fluoroscopy time during infant modified barium swallow studies. Int. J. Pediatr. Otorhinolaryngol. 2020;138:110396-110396.
5. Rommel N, De Meyer A-M, Feenstra L, Veereman-Wauters G. The Complexity of Feeding Problems in 700 Infants and Young Children Presenting to a Tertiary Care Institution. J. Pediatr. Gastroenterol. Nutr. 2003;37(1):75-84.
6. Jadcherla SR, Stoner E, Gupta A, et al. Evaluation and Management of Neonatal Dysphagia: Impact of Pharyngoesophageal Motility Studies and Multidisciplinary Feeding Strategy. J. Pediatr. Gastroenterol. Nutr. 2009;48(2):186-192.
7. Jadcherla SR, Peng J, Moore R, et al. Impact of Personalized Feeding Program in 100 NICU Infants: Pathophysiology-based Approach for Better Outcomes. J. Pediatr. Gastroenterol. Nutr. 2012;54(1):62-70.
8. Thoyre SM, Pados BF, Shaker CS, Fuller K, Park J. Psychometric Properties of the Early Feeding Skills Assessment Tool. Adv. Neonatal Care. 2018;18(5):E13-E23.
9. Zarem C, Kidokoro H, Neil J, Wallendorf M, Inder T, Pineda R. Psychometrics of the neonatal oral motor assessment scale. Dev. Med. Child Neurol. 2013;55(12):1115-1120.
10. Palmer MM, Crawley K, Blanco IA. Neonatal Oral-Motor Assessment scale: a reliability study. J. Perinatol. 1993;13(1):28-35.
11. da Costa SP, Hübl N, Kaufman N, Bos AF. New scoring system improves inter-rater reliability of the Neonatal Oral-Motor Assessment Scale. Acta Paediatr. 2016;105(8):e339-344.
12. Arvedson JC. Feeding children with cerebral palsy and swallowing difficulties. Eur. J. Clin. Nutr. 2013;67 Suppl 2:S9-12.
13. Hersh C, Wentland C, Sally S, et al. Radiation exposure from videofluoroscopic swallow studies in children with type 1 laryngeal cleft and pharyngeal dysphagia: a retrospective review. Int. J. Pediatr. Otorhinolaryngol. 2016;89:92-96.
14. Im HW, Kim SY, Oh BM, Han TR, Seo HG. Radiation Dose During Videofluoroscopic Swallowing Studies and Associated Factors in Pediatric Patients. Dysphagia. 2020;35(1):84-89.
15. Layly J, Marmouset F, Chassagnon G, et al. Can We Reduce Frame Rate to 15 Images per Second in Pediatric Videofluoroscopic Swallow Studies? Dysphagia. 2019:1-5.
16. Hernandez AM, Bianchini EMG. Swallowing Analyses of Neonates and Infants in Breastfeeding and Bottle-feeding: Impact on Videofluoroscopy Swallow Studies. International archives of otorhinolaryngology. 2019;23(3):e343-e353.
17. Cichero JAY, Nicholson T, Dodrill P. Liquid barium is not representative of infant formula: characterisation of rheological and material properties. Dysphagia. 2011;26:264-271.
18. Frazier J, Chestnut AH, Jackson A, Barbon CEA, Steele CM, Pickler L. Understanding the Viscosity of Liquids used in Infant Dysphagia Management. Dysphagia. 2016;31(5):672-679.
19. Reynolds J, Carroll S, Sturdivant C. Fiberoptic Endoscopic Evaluation of Swallowing: A multidisciplinary alternative for assessment of infants with dyspahgia in the neonatal intensive care unit. Adv. Neonatal Care. 2016;16(1):37-43.
20. Bateman C, Leslie P, Drinnan MJ. Adult dysphagia assessment in the UK and Ireland: are SLTs assessing the same factors? Dysphagia. 2007;22(3):174-186.
21. Rumbach A, Coombes C, Doeltgen S. A Survey of Australian Dysphagia Practice Patterns. Dysphagia. 2018;33(2):216-226.
22. Almeida STD, Ferlin EL, Maciel AC, et al. Acoustic signal of silent tracheal aspiration in children with oropharyngeal dysphagia. Logopedics Phoniatrics Vocology. 2018;43(4):169-174.
23. Frakking TT, Chang AB, O'Grady KA, Walker-Smith K, Weir KA. Cervical auscultation in the diagnosis of oropharyngeal aspiration in children: a study protocol for a randomised controlled trial. Trials. 2013;14(377):377.
24. Frakking TT, Chang AB, O'Grady KF, David M, Walker-Smith K, Weir KA. The Use of Cervical Auscultation to Predict Oropharyngeal Aspiration in Children: A Randomized Controlled Trial. Dysphagia. 2016;31(6):738-748.
25. Frakking TT, Chang AB, O'Grady KF, David M, Weir KA. Reliability for detecting oropharyngeal aspiration in children using cervical auscultation. Int. J. Speech Lang. Pathol. 2017;19(6):569-577.
26. Frakking T, Chang A, O'Grady K, David M, Weir K. Aspirating and Nonaspirating Swallow Sounds in Children: A Pilot Study. Ann. Otol. Rhinol. Laryngol. 2016;125(12):1001-1009.
27. Silva Hd, Mathura N, Wright A, Jasmin K, Wright A. 1211 The use of cervical auscultation to detect subtle audible wet pharyngeal sounds (SAWPS-CA) as a screening tool for silent aspiration in infants with trisomy 21. Abstracts. 2021;106(Suppl 1):A275-A275.
28. Dudik JM, Kurosu A, Coyle JL, Sejdić E. A statistical analysis of cervical auscultation signals from adults with unsafe airway protection. J Neuroeng Rehabil. 2016;13(1):7-7.
29. Donohue C, Khalifa Y, Perera S, Sejdic E, Coyle JL. A Preliminary Investigation of Whether HRCA Signals Can Differentiate Between Swallows from Healthy People and Swallows from People with Neurodegenerative Diseases. Dysphagia. 2020.
30. Merey C, Kushki A, Sejdić E, Berall G, Chau T. Quantitative classification of pediatric swallowing through accelerometry. J Neuroeng Rehabil. 2012;9(1):34-34.
31. Lee J, Blain S, Casas M, Kenny D, Berall G, Chau T. A radial basis classifier for the automatic detection of aspiration in children with dysphagia. J Neuroeng Rehabil. 2006;3:14.
32. Lee J, Steele CM, Chau T. Classification of healthy and abnormal swallows based on accelerometry and nasal airflow signals. Artif. Intell. Med. 2011;52(1):17-25.
33. Frakking TT, Chang AB, Carty C, et al. Using an Automated Speech Recognition Approach to Differentiate Between Normal and Aspirating Swallowing Sounds Recorded from Digital Cervical Auscultation in Children. Dysphagia. 2022;37(6):1482-1492.
34. Donohue C, Mao S, Sejdic E, Coyle JL. Tracking Hyoid Bone Displacement During Swallowing Without Videofluoroscopy Using Machine Learning of Vibratory Signals. Dysphagia. 2020.
35. He Q, Perera S, Khalifa Y, et al. The Association of High Resolution Cervical Auscultation Signal Features With Hyoid Bone Displacement During Swallowing. IEEE Trans. Neural Syst. Rehabil. Eng. 2019;27(9):1810-1816.
36. Rebrion C, Zhang Z, Khalifa Y, et al. High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing. IEEE J Transl Eng Health Med. 2019;7:1-9.
37. Mao S, Sabry A, Khalifa Y, Coyle JL, Sejdic E. Estimation of laryngeal closure duration during swallowing without invasive X-rays. Future generation computer systems. 2021;115:610-618.
38. Kurosu A, Coyle JL, Dudik JM, Sejdic E. Detection of Swallow Kinematic Events From Acoustic High-Resolution Cervical Auscultation Signals in Patients With Stroke. Arch. Phys. Med. Rehabil. 2019;100(3):501-508.
39. Reynolds EW, Vice FL, Bosma JF, Gewolb IH. Cervical accelerometry in preterm infants. Dev. Med. Child Neurol. 2002;44(9):587-592.
40. Reynolds EW, Vice FL, Gewolb IH. Cervical accelerometry in preterm infants with and without bronchopulmonary dysplasia. Dev. Med. Child Neurol. 2003;45(7):442-446.
41. Yu-Lin W, Jing-Sheng H, Lin-Yu W, et al. Development of a Wireless Oral-Feeding Monitoring System for Preterm Infants. IEEE J Biomed Health Inform. 2015;19(3):866-873.
42. Delaney AL, Arvedson JC. Development of swallowing and feeding: Prenatal through first year of life. Developmental Disabilities Research Reviews. 2008;14(2):105-117.
43. Sanchez KB, Spittle AJP, Slattery JMB, Morgan ATP. Oromotor Feeding in Children Born Before 30 Weeks' Gestation and Term-Born Peers at 12 Months' Corrected Age. J. Pediatr. 2016;178:113-118.e111.
44. Rommel N, van Wijk M, Boets B, et al. Development of pharyngo‐esophageal physiology during swallowing in the preterm infant. Neurogastroenterol. Motil. 2011;23(10):e401-e408.
45. Ince DA, Ecevit A, Acar BO, et al. Noninvasive evaluation of swallowing sound is an effective way of diagnosing feeding maturation in newborn infants. Acta Paediatr. 2014;103(8):e340-e348.
46. Lau C, Smith EO, Schanler RJ. Coordination of suck-swallow and swallow respiration in preterm infants. Acta Paediatr. 2003;92(6):721-727.
47. Clinical Services Capability Framework Self-Assessment. https://www.health.qld.gov.au/_data/assets/pdf_file/0025/634903/cscf-selfassess-sum-metro-north.pdf. Accessed 21st August 2017.
48. Ludwig SM, Waitzman KA. Changing Feeding Documentation to Reflect Infant-Driven Feeding Practice. Newborn and infant nursing reviews. 2007;7(3):155-160.
49. Howe TH, Sheu CF, Hsieh YW, Hsieh CL. Psychometric characteristics of the Neonatal Oral‐Motor Assessment Scale in healthy preterm infants. Dev. Med. Child Neurol. 2007;49(12):915-919.
50. Thoyre SM, Shaker CS, Pridham KF. The Early Feeding Skills Assessment for Preterm Infants. Neonatal Netw. 2005.
51. Cichero JAY, Murdoch BE. Detection of swallowing sounds: methodology revisited. Dysphagia. 2002;17(1):40-49.
52. Frakking TT, Chang AB, O'Grady KF, Yang J, David M, Weir KA. Acoustic and Perceptual Profiles of Swallowing Sounds in Children: Normative Data for 4-36 Months from a Cross-Sectional Study Cohort. Dysphagia. 2017;32(2):261-270.
53. Phillips PC. Designing experiments to maximize the power of detecting correlations. Evolution. 1998;52(1):251-255.
54. Shapiro SS, Wilk MB. An analysis of variance test for normality (complete samples). Biometrika. 1965;52(3/4):591-611.
55. Rommel N. Diagnosis of oropharyngeal disorders in young children [Doctor of Philosophy]. Kindergeneeskunde: Department Neurowetenschappen en Psychiatrie, Katholieke Universiteit Leuven; 2002.
56. Almeida ST, Ferlin EL, Parente MA, Goldani HA. Assessment of swallowing sounds by digital cervical auscultation in children. Ann. Otol. Rhinol. Laryngol. 2008;117(4):253-258.
57. Hennessey NW, Fisher G, Ciccone N. Developmental changes in pharyngeal swallowing acoustics: a comparison of adults and children. Logoped. Phoniatr. Vocol. 2018;43(2):63-72.
58. Youmans SR, Stierwalt JA. Normal Swallowing Acoustics Across Age, Gender, Bolus Viscosity, and Bolus Volume. Dysphagia. 2011.
59. Omori F, Fujiu-Kurachi M, Wada K, Yamano T. Effects of Bolus Types and Swallowing Maneuvers on Laryngeal Elevation: Analysis of Healthy Young Adult Men and Healthy Older Men. Dysphagia. 2024;39(4):573-585.
60. Horita HM, Friesen TL, Cahill G, et al. Development of a Medical Complexity Score for Pediatric Aerodigestive Patients. J. Pediatr. 2023;261:113549-113549.
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Adj Assoc Prof Frakking is an Advanced Speech Pathologist (Paediatrics) and Clinician Research Fellow at Gold Coast University Hospital and Acting Research Director at Caboolture Hospital.
She is the top-most prolific author in Australia and ranked 8th internationally in the field of cervical auscultation. Her work on cervical auscultation has been cited in guidelines by 58 institutions nationally and internationally; and includes a position statement for the Latin America Dysphagia Society for the management of oropharyngeal and esophageal dysphagia during the COVID-19 pandemic. She has attracted >$2 million in research funding, including a MRFF grant focussing on the application of machine learning techniques with cervical auscultation to improve the accurate detection of aspiration in neonates and children.
She supervises research higher degree students and provides mentoring and clinical supervision to practising speech pathology clinicians and students in the field of paediatric feeding disorders.
The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.
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