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HRPM brochure
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HIGH-RESOLUTION PHARYNGEAL MANOMETRY 

HRPM NOW AVAILABLE IN THE LABORIE SOFTWARE

High-Resolution manometry has traditionally been utilized in gastroenterology diagnostic clinical and research applications, and it is recently finding new and important applications in speech pathology and laryngology practices as a growing number of academic institutions are conducting research using HRM on OD. Incorporating HRM into their swallowing practice allows the ENTs and SLPs to evaluate patients to improve therapeutic interventions.


High-Resolution Pharyngeal Manometry International Working Group was formed in the effort to establish a consensus on methodology, protocol, and outcome metrics for high-resolution pharyngeal manometry (HRPM) with consideration of impedance as an adjunct modality. The Working Group recommended a protocol on performing HRPM and a core outcomes set of pressure and/or impedance-derived swallow metrics for HRPM.¹

 

WHAT IS DYSPHAGIA?

Dysphagia, difficulty in swallowing, will accompany many long-term conditions and may be latent in many frail older people, and is associated with increasing dependency and death. The prevalence of dysphagia in the general population is 16-23%, increasing to 27% in those over 76 years of age. Many older people will have swallowing problems. ²

PATIENT PROFILE

Oropharyngeal Dysphagia (OD) patients suffer from several conditions including Parkinson’s, Stroke, Dementia, different types of cancer and structural dysfunction that require diagnostic, work ups and swallowing rehabilitation.

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HRPM RESULTS IN THE LABORIE SOFTWARE

The LABORIE software now includes the following types of measurements for HRPM:

 

  • Pharyngeal contractile integral (PHCI)

  • Velopharyngeal contractile integral (VCI)

  • Mesopharyngeal contractile integral (MCI)

  • Hypopharyngeal contractile integral (HCI)

  • UES maximum admittance (UES MAXAD)

  • UES relaxation time (UES RT)

¹ Taher I. Omari, et.al., High‑Resolution Pharyngeal Manometry and Impedance: Protocols and Metrics—Recommendations of a High‑Resolution Pharyngeal Manometry International Working Group, Dysphagia https://doi.org/10.1007/s00455-019-10023-y, published online 05 June 2019.

² Smithard DG,Dysphagia: A Geriatric Giant?. Med Clin Rev. 2016, 2:5. doi: 10.21767/2471-299X.1000014

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