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“Autumn is the year’s last, loveliest smile.”
- William Cullen Bryant
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How is it possible that summer is already over?! Surely it just started! Perhaps that is just the view of those of us who live in the Pacific Northwest, with its slightly late, and very mild summer, we could definitely use a few more lazy days in the sun. While the toasty temps are gone too soon, it is lovely to look out the office windows and see the fall foliage. Along with crisp temps, there is also a feeling of excitement in the air here at IOPI Medical.
2024 is set to finish strong with the launch of a new program at ASHA that we are sure you’ll be just as excited about it as we are! There will also be a special signing of our very own Ed Bice’s co-written book, Adult Dysphagia Clinical Reasoning and Decision-Making Guide.
Read on to find out more and see what we’ve been up to, and don’t forget to visit our website. It offers the latest news and research and gives you the opportunity to earn free CEUs with your choice of three courses, interact with our IOPI staff, and Patient Advocacy tools (have you seen the Dysphagia Cost tool?!). You can also use our Get a Quote page if you’re need of pricing information. It’s quick and easy! Visit us at https://iopimedical.com/
You can also interact with us on Instagram iopimedical & Facebook IOPI Medical LLC for the latest news and information.
Share the wealth! If you know someone who could benefit from our quarterly newsletter, send them this link to get signed up, https://iopimedical.com/newsletter/
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This year’s ASHA convention is a big deal for IOPI Medical for several reasons, the least of which is that it’s being held just minutes away from our hometown!
You may be asking yourself, location aside, what makes this ASHA so special? Well, in addition to seeing all our lovely friends and supporters, we will be launching an entirely new initiative.
IOPI® Cares is about helping as many patients as possible with a patient centric approach in all that we do. Under I OPI® Cares, we are making wellness more accessible with our Trainer Rental Program. This program will allow you to provide your patients with the level of care and quality that only an IOPI device can give, with a level of accessibility we have never had before. Now THAT is a combination to get excited about!
If you are joining us in Seattle in December, please stop by booth #1317 to hear more about I OPI® Cares and our Trainer Rental Program, and to meet Erich the IOPI® Cares Bear. If we aren’t lucky enough to see you at the convention, keep an eye on Instagram and Facebook for the launch of our dedicated IOPI® Cares website and Trainer Rental Program.
As if that wasn’t exciting enough, IOPI’s Clinical Consultant, Ed Bice has co-authored a new book, Adult Dysphagia Clinical Reasoning and Decision-Making Guide. We are incredibly lucky to call Ed one of our own and are thrilled that he will be not only be joining us on the booth at this year’s ASHA convention but will be also taking some time to sign copies of the book, as well as give away free copies to select lucky winners!
The book provides clinicians with quick access to clinical information, promotes critical thinking, and provides actionable solutions for their patients. If you can’t wait for ASHA, or won’t be able to attend this year, you can order your copy now through Plural Publishing, https://www.pluralpublishing.com/publications/adult-dysphagia-clinical-reasoning-and-decision-making-guide
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Meet our newest IOPIians!
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We are thrilled to announce we have two new additions to the IOPI Medical family.
Andres Aparicio is the Production Manager here at IOPI medical. He is responsible for ensuring our production department manufactures products that continue to meet the high-quality standards our customers demand, from receiving and inspecting products, inventory management, product assembly and order fulfillment and shipping. Having grown up in Wenatchee Valley on his family’s apple orchard and farm he developed a strong work ethic and “Big Picture” mindset which has made him a valuable member of the IOPI team. Outside the office, Andres loves being a father to his young son. When not enjoying quality family time, he is an active member of his community and lover of sports and the great outdoors. Camping, hiking, swimming are a few of the activities he enjoys in his spare time.
Blake Larson serves as the Account Manager at IOPI Medical, where he focuses on marketing IOPI devices and services while fostering strong relationships with healthcare professionals. His role is dedicated to delivering exceptional support and tailored solutions to meet customer needs. With a strong background in the medical industry, Blake is passionate about improving patient outcomes through innovative approaches. Outside of work, he enjoys the outdoors, exploring board game shops, and delving into fantasy adventure novels.
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Earn ASHA CEUs with Our Three FREE Courses!
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Many of you may already be familiar with our esteemed Clinical Consultant, Ed Bice, but did you know, you can learn from him from the comfort of your office or home?
IOPI Medical offers ASHA Continuing Education Units with our FREE courses.
Choose from:
The Role of Oral Musculature in Swallowing and the Therapeutic Benefits of the IOPI, reviewing the oral musculature and its essential functions, as well as explore exercise principles and how the IOPI can be integrated into a dysphagia treatment plan.
Building a Therapy Program from the Ground Up, examining current evidence related to the assessment and treatment of dysphagia and providing practical suggestions for a path forward.
IOPI Research Updates, summarizing recent findings related to the IOPI.
Click for more information or to register, All Courses (thinkific.com)
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Clinicians partner with people with swallowing disorders to improve their swallowing abilities and quality of life. One of the hurdles clinicians face is how to measure outcomes. Of course, the most important outcome is the patient’s satisfaction. However, payors want more measurable information. This quarter’s Spotlight article represents a unique perspective and challenges clinicians to consider measurable change versus normal variation.
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Minimal Detectable Change of Cough and Lingual Strength Outcomes in Neurodegenerative Disease
Borders, J. C., & Troche, M. S. (2024). Minimal Detectable Change of Cough and Lingual Strength Outcomes in Neurodegenerative Disease. The Laryngoscope, 10.1002/lary.31654. Advance online publication.
https://doi.org/10.1002/lary.31654
Clinicians want to assist their patients with swallowing disorders in improving their ability to eat and drink. To accomplish this task, understanding when a real change has occurred is an important marker. With that in mind, the study investigated the minimal detectable change in cough and tongue strength. Minimal detectable change is defined as the smallest amount of change required for an outcome to be considered real and not due to measurement error or task variability.
The investigators enrolled people with Parkinson’s disease progressive supranuclear palsy to perform cough measures with spirometry and tongue strength measures using IOPI, repeatedly. The data was used to calculate normal variation in performance. The minimal detectable difference for cough strength was 0.52 L/s for people with Parkinson’s disease and 0.58 L/s for progressive supranuclear palsy. The minimal detectable difference in lingual strength for people with Parkinson’s disease was 5.6 kPa and 5.44 in people with progressive supranuclear palsy.
Although the authors investigated minimal detectable differences for cough and tongue strength in two populations, the concept applies to all therapies in all populations and challenges clinicians to consider if a change in a value is beyond the bounds of normal variability. To promote clinical understanding, the authors include hypothetical case studies to illustrate the meaning of their findings to hypothetical case studies.
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The next three articles address clinical tools that will allow clinicians to measure outcomes.
The articles below are only a small fraction of the number of IOPI-related studies in general. You can find many more, covering a variety of topics, by visiting https://iopimedical.com/studies/ or clicking the button at the end of the section.
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Reference Values for Videofluoroscopic Measures of Swallowing: An Update
Steele, C. M., Bayley, M. T., Bohn, M. K., Higgins, V., Peladeau-Pigeon, M., & Kulasingam, V. (2023). Reference Values for Videofluoroscopic Measures of Swallowing: An Update. Journal of speech, language, and hearing research: JSLHR, 66(10), 3804–3824.
https://doi.org/10.1044/2023_JSLHR-23-00246
Studies concerning interrater agreement of fluoroscopic swallow studies have consistently shown poor interrater agreements. The data suggests that speech pathologists do not identify or quantify impairments in the same manner. However, the profession relies on outcome measures to provide measures that support accurate diagnosis, clinical decision making, and the impact of treatment. The researchers set out to establish quantifiable reference values using fluoroscopy that would assist in resolving discrepancies in reported findings. The paper reports percentile tables for four timing measures (swallow reaction time, UES opening duration, time to laryngeal vestibule closure and duration of laryngeal vestibule closure) in healthy individuals less than 60 years old, that can be used for comparison. Additionally, the authors provide reference values for pixelated measures. However, those measures require specialized software that may not be available to all clinicians.
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Patient-reported outcome measures in dysphagia: a systematic review of instrument development and validation
Patel DA, Sharda R, Hovis KL, Nichols EE, Sathe N, Penson DF, Feurer ID, McPheeters ML, Vaezi MF, Francis DO. Patient-reported outcome measures in dysphagia: a systematic review of instrument development and validation. Dis Esophagus. 2017 May 1;30(5):1-23. doi: 10.1093/dote/dow028. PMID: 28375450; PMCID: PMC5675017.
T Patient-reported outcome measures are commonly used to capture patient experience with dysphagia and to evaluate treatment effectiveness. Inappropriate application can lead to distorted clinical findings. A systematic review of the literature on dysphagia-related patient-reported outcome measures was performed to identify all currently available measures and evaluate each for essential measurement properties that would affect their applicability. Thirty-four patient-reported outcome measures met the inclusion criteria. The researchers reported several high-quality measures, based on their established criteria, in various domains (MADS for achalasia, SWAL-QOL and SSQ for oropharyngeal dysphagia, PROMIS-GI for general dysphagia, EORTC-QLQ-OG25 for esophageal cancer, ROMP-swallowing for Parkinson's Disease, DSQ-EoE for eosinophilic esophagitis, and SOAL for total laryngectomy-related dysphagia). The findings offer assistance to clinicians in the selection of sound patient-reported outcome measures.
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The Impact of Videofluoroscopic Pulse Rate on Duration and Kinematic Measures in Infants and Adults with Feeding and Swallowing Disorders
Palmer, P. M., Padilla, A. H., Murray, S. C., Rashidi, M., Martinez-Fisher, A., & Winter, T. (2024). The Impact of Videofluoroscopic Pulse Rate on Duration and Kinematic Measures in Infants and Adults with Feeding and Swallowing Disorders. Dysphagia, 10.1007/s00455-024-10709-y. Advance online publication.
https://doi.org/10.1007/s00455-024-10709-y
https://pubmed.ncbi.nlm.nih.gov/38683399/
The study aimed to assess how the timing of a videofluoroscopic evaluation of swallowing affects measures of duration and movement. The study included thirty adult, and ten infant swallow studies conducted at 30 frames and 30 pulses per second. The studies were then modified to simulate 15 and 5 pulses per second. Duration measures included swallow trigger, the duration of upper esophageal sphincter opening, velopharyngeal closure duration, and the total swallow duration. Kinematic measures were only assessed in adults and included the highest position of the hyoid and the extent of UES opening during swallowing. The measures were then compared across the three temporal resolutions (30, 15, and 5 pulses per second). In cases where there are standard values available, the study evaluated whether a change in pulse rate affected the clinical classification. The study found that both duration and kinematic measures were affected by changes in pulse rate, with greater changes observed at lower temporal resolutions. Additionally, the accuracy of clinical determination decreased with a lower pulse rate. These findings indicate that temporal resolution impacts both duration and kinematic measures, and changes in pulse rate may alter clinical impressions and treatment recommendations which will ultimately impact patient outcomes.
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Don't Forget to Use Your Resources
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To help you achieve the greatest level of success for your patients, we continue to provide you with the necessary Purchasing Advocacy tools, as well as clinical support.
Our Purchasing Advocacy tools can be found on our Medical Professionals page. Here you will find our IOPI Dysphagia Cost Tool as well as a ready-to-use Benefits of IOPI for Dysphagia PowerPoint. Just populate it with information specific to your patient’s needs.
You also have clinical support at your fingertips. Our clinical consultant, Ed M. Bice, M.Ed., CCC-SLP, is available to mentor through the advocacy process to assess and report the estimated cost of dysphagia to your facility. You can reach Ed for a patient consultation or clinical question by calling (844) 844-IOPI or emailing ed@iopimedical.com.
To access our IOPI Dysphagia Cost Tool, the Benefits of IOPI for Dysphagia PowerPoint, and tips on advocating for your patients, please visit: https://iopimedical.com/purchasing-advocacy/
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How can we get better at serving our customers, if we don’t know the ways in which we can improve? We have developed a very brief survey that would give us extremely valuable feedback, and it only takes a minute to complete! Please click the button below to begin.
To those of you who have already completed the survey, thank you! We greatly appreciate your insight into helping us offer the best service and products possible.
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Please don’t hesitate to reach out if there is anything the IOPI team can assist you with.
We are always happy to help!
Phone: (425)-549-0139 Email: info@iopimedical.com
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