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High-Resolution Pharyngeal Manometry (HRPM) and Its Utility in Dysphagia Management

Presenter: Angelina Fitzgerald, M.S. CCC-SLP

This presentation will discuss the introduction to high resolution pharyngeal manometry (HRPM) and the importance of its applications in speech pathology and laryngology practices. The evolution of manometry and how it has made its way into the world of speech pathology will be outlined. The discussion will then focus on normal and abnormal pharyngeal manometric pressure plots, including objective values, and relevant literature reviews. After highlighting clinical applications of HRPM and protocols, the role of HRPM as a therapeutic tool for dysphagia treatment biofeedback will be addressed. Information regarding the set-up of manometric studies and implementation of HRPM into clinical practice will follow.

Learning Objectives:

At the conclusion of this presentation, participants will:

  1. Describe normal pharyngeal manometric studies

  2. Describe abnormal pharyngeal manometric studies

  3. Differentiate therapeutic targets for dysphagia therapy using pharyngeal biofeedback

Angelina Fitzgerald, M.S., CCC-SLP is a speech language pathologist at the University of Washington Medical Center Department of Otolaryngology and Head/Neck Cancer and has been working there as an outpatient and inpatient clinician as well as research associate. She obtained her Master of Science in Communication Sciences and Disorders at Florida State University in 2016 and subsequently worked at the Medical University of South Carolina under Dr. Ashli O’Rourke until her move to Seattle, WA in 2020. During her time at MUSC, she was trained in high-resolution pharyngoesophageal manometry and the role of this technology in dysphagia evaluations and treatment, particularly the use of biofeedback training. Angelina is a content contributor for the book “Evidence-Based Laryngology” written by David E. Rosow, Chandra M. Ivey. Angelina works primarily with the dysphagia, head/neck cancer, voice and airway disorders and is working on obtaining her Board Certification for Swallowing and Swallowing Disorders.

Disclosures: Financial: the presenter is employed by the University of Washington Medical Center Department of Otolaryngology and Head/Neck Cancer. Non-financial: nothing to report.


This program will be recorded for later viewing up to 14 days following the workshop. WSLHA will send out a link to the recording after the live session.

Introductory Level – 0.1 ASHA CEUs

OSPI Clock Hours – 1 hour

WSLHA charges a processing fee of $5.00 for ASHA CEUs ($7.00 non-members) and $5.00 for clock hours payable prior to the workshop.

Credits must be purchased prior to the program. Any requests for credits after the date of each workshop will be denied.

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