![]() ![]() ![]() In North America, liquids used in dysphagia management have been known by the labels thin, nectar-like, honey-like, and spoon- or pudding-thick since the publication of the National Dysphagia Diet (NDD) in 2002. A 2013 review of terminology and guidelines around the world clearly illustrated the potential for confusion across countries. ĭespite the widespread use of thickened liquids in dysphagia management, without clear definitions for different degrees of thickening, there is a high likelihood of variability in practice. However, to date, the literature has not identified the degree of thickening that is required to achieve therapeutic benefit. In 2008, a landmark study by Logemann and colleagues showed that individuals with dementia or Parkinson’s disease who aspirated thin barium were less likely to aspirate thicker liquids. ![]() Thickened liquids flow more slowly than thin liquids, and this provides extra time for a person with dysphagia to achieve airway protection during swallowing. Texture modification is a widely used intervention for dysphagia. ![]()
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