Susan E. Langmore, PhD, CCC-SLP
Susan E. Langmore, PhD, CCC-SLP
- Clinical Professor, Speech Language and Hearing Sciences
Professor, Otolaryngology, Boston University Medical Center
Director, Speech Language Pathology, Boston Medical Center
- 617 – 414-1753
- BA (Psychology), University of California, Los Angeles
MA (Speech & Hearing Science), Stanford University
PhD (Communicative Disorders) Northwestern University
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- SAR SH738 Dysphagia
This course will provide basic information necessary to understand normal and abnormal swallowing and will impart the knowledge and skills needed to assess and treat patients with dysphagia. Topics include neuroanatomy and physiology of swallowing, the clinical evaluation, instrumental evaluations (fluoroscopy and endoscopy), treatment, swallowing disorders in children, and complications of dysphagia. Videorecorded swallow studies will be shown in most classes to enable the student to become proficient in identifying abnormal findings.
- SAR SH739S A1 Advanced Dysphagia
This course goes beyond the basic course to prepare the student for working clinically with children and adults having swallowing problems. Starting with a dissection of a human cadaver to understand the anatomy behind swallowing, we will practice analyzing videofluoroscopic and endoscopic evaluations of dysphagia, using different scoring systems. One class will include hands-on practice passing an endoscope. We will then focus on specific problems faced by persons with different etiologies, such as head and neck cancer, stroke, Parkinson’s, and globus/GERD, and determine the most effective evaluation and treatment with each. Case studies brought by the instructor and journal articles will be the major source of reading. Guest lectures may be given by head and neck surgeons. A research paper, oral presentation of the paper, one observation, and class participation will determine the grade. The size of the class will be limited to encourage class discussion
- SAR SH721 Motor Speech Disorders
In this course, students will review the neuroanatomy underlying motor speech disorders and will then learn about each type of motor speech disorder in detail. Most of the classes will cover specific types of dysarthria, but two sessions will focus on apraxia of speech. Clinical assessment protocols will be learned and treatment interventions will be covered. Each class will devote some time to listening and scoring audiotapes of patients with a dysarthria or apraxia of speech.
Scholarly and Practice Interests
Swallowing and swallowing disorders, head and neck cancer, progressive neurologic diseases, aspiration pneumonia, dysarthria, outcomes research, interventions for dysphagia, estim
2011 Hong Kong (Jan, 2011) – Dysphagia in Head and Neck Cancer – 2 day seminar to SLP clinicians
2011 Hong Kong (Jan, 2011 ) – Pneumonia and Dysphagia – lecture to HK University faculty and students
2011 Rimini, Italy (Sept) – Major speaker at FEES course
2011 Aspiration Pneumonia, Clinical Decisions – Minneapolis, MN, May 2011 (NSS)
Pearson W., Langmore SE, Zumwalt A. Disambiguating muscular forces affecting hyoid movement in pharyngeal phase of deglutition. Dysphagia Research Society, San Diego, CA March 2010
Krisciunas G, Langmore S. Molecular mechanisms of variable post XRT induced dysphagia: a case study and model, Dysphagia Research Society, San Diego, CA March 2010
Scheel R, McNally E, Walsh M, Stepas K, Noordaij J, Langmore S. Predictors of swallow function post-extubation. Dysphagia Research Society, San Diego, CA March 2010
Noordzij, J, Colton J, Langmore S. Factors contributing to laryngeal injury from prolonged intubation. COSM, 2010.
Langmore, SE, Carnaby-Mann G, Hind, J, Kosek, S, Krisciunas, G, Logemann, J, Miller D. Clinical Trials: The Vision and the Reality. ASHA, Philadelphia, Nov, 2010
Langmore, SE, Krisciunas, G, Vasquez-Miloro, Evans S, Cheng D. Is PEG Placement associated with Favorable Outcomes?Dysphagia Research Society, San Antonio, March 2011
Pearson W, Langmore S, Yu L, Zumwalt A. Muscles underlying the elevation of the hyolaryngeal complex. Dysphagia Research Society, San Antonio, March 2011
Sokoloff, W, Krisciunas GP, Stepas K, Langmore S. Survey of usual practices in providing treatment for dysphagia for head and neck cancer patients. Dysphagia Research Society, San Antonio, March 2011
- Langmore SE, Schatz K, Olsen N: Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia, 2: 4, 216-219, 1988.
- Langmore S, Schatz K, Olson N: Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. Ann Oto rhino laryn, 100: 678-681, 1991.
- Langmore SE and Logemann, JA: After the clinical bedside swallowing examination, what’s next? Am J Speech-Lang Path, 1:1, 13-20, 1991.
- Langmore SE: Managing the complications of aspiration in dysphagic adults. Sem Speech Language, 12:3, 199-208, 1991.
- Langmore SE and Lehman M: The orofacial deficit and dysarthria in ALS. J Speech Hear Res, 37, 28-37, 1994.
- Langmore S. and Miller R. Behavioral treatment for adults with oropharyngeal dysphagia Arch Phys Med Rehab, 75, 1154-1160, 1994.
- Miller R. and Langmore SE Treatment efficacy for adults with oropharyngeal dysphagia. Arch Phys Med Rehab, 75: 1256-1262, 1994.
- Langmore SE Efficacy of behavioral treatment for oropharyngeal dysphagia. Dysphagia, 10: 259-262, 1995.
- Murray J, Langmore S, Ginsberg S, Dostie A: The significance of excess hypopharyngeal secretions in patients with dysphagia. Dysphagia , 11:99-103, 1996.
- Langmore SE: Dysphagia in neurologic patients in the intensive care unit. Sem in Neurology 16, 4: 329,340, 1996
- Ship JA, Duffy V, Jones JA, Langmore SE: Geriatric oral health and its impact on eating. J Am Geriat Soc, 44:456-464, 1996.
- Langmore SE, Terpenning MS, Schork A, Chen Y, Murray JT, Lopatin D, Loesche WJ. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia, 13:2: 69-81, 1998.
- Langmore SE. Issues in the management of dysphagia. Folia Phoniat Logopaed, 51:4: 219-28,1999.
- Langmore SE. Risk factors for aspiration pneumonia. Nutrition in Clin Practice, 14;5:S41-46,1999
- Langmore SE, Skarupski K, Parks, P, Fries B. Predictors of Aspiration Pneumonia in Nursing Home Residents. Dysphagia,17:4, 298-307, 2002.
- Robbins J, Langmore S, Hind JA, Erlichman M. Dysphagia research in the 21st century and beyond: Proceedings from Dysphagia Experts Meeting, August 21, 2001. J Rehabil Res Developmt, 39, 4: 543-548, 2002.
- Lomen-Hoerth C, Murphy J, Langmore SE, Kramer JH, Olney RK, Miller B. Are Amyotrophic lateral sclerosis patients cognitively normal? Neurology, Apr 8; 60 (7): 1094-7, 2003.
- Robb GL, Lewin JS, Deschler DG, Haughey BH, Brown DH, Langmore SE, Lewin, JS. Speech and swallowing outcomes in reconstructions of the pharynx and cervical esophagus. Head & Neck, March, 25, 232-44, 2003
- Langmore SE. FEES: A procedure for evaluating and managing patients with dysphagia. Journal of Japanese Soc of Dysphagia Rehabilitation, 2003.
- Langmore SE. Evaluation of oropharyngeal dysphagia: Which diagnostic tool is superior? Curr Opin Otolaryng Head Neck Surg, 11:485-489, 2003.
- VanDaele D, Langmore SE, Palmer, P, McCulloch T. Timing of glottic closure during swallowing: A combined electromyographic and endoscopic analysis. Ann Otol Rhin Laryn , 114: 478-87, 2005.
- Olney, R, Murphy, J, Forshew, D, Garwood E, Miller BL, Langmore, S., Kohn, MA, Lomen-Hoerth, C. The effects of executive and behavioral dysfunction on the course of ALS. Neurology, 65 (11): 1774-7, 2005.
- Langmore SE, Kasarskis EJK, Manca ML, Olney RO. Enteral Feeding for amyotrophic lateral sclerosis/motor neuron disease. Cochrane Database of Systematic Reviews;2006 (4).
- Langmore SE, Olney RK, Lomen-Hoerth CH, Miller B. Swallowing dysfunction in frontotemporal lobar dementia Archives of Neurology, 64:1:58-62, 2007.
- Robbins, J, and Swallowing Work Group: Butler, S., Daniels, S., Gross, R, Langmore, S., Lazarus, C, Martin-Harris, B., McCabe, D., Musson, N, Rosenbeck, R., Neural plasticity, swallowing and dysphagia: Translating principles of neural plasticity into research on swallowing. J Speech Lang Hear Res, 31, 1, 2008.
- Langmore SE, Grillone G, Elackattu A, Walsh M. Disorders of swallowing: Palliative care. Otolaryngol Clinics North Am, 42:1,87-106, 2009.
- Cohen SM, Elackattu AE, Noordzij JP, Walsh MJ, Langmore SE. Palliative treatment of dysphonia and dysarthria. Otolaryngol Clinics North Am, 42: 1, 107-122, 2009
- Kumar S, Langmore S, Goddeau RP Jr, Alhazzani A, Selim M, Caplan LR, Zhu L, Safdar A, Wagner C, Frayne C, Searls DE, Schlaug G Predictors of Percutaneous Endoscopic Gastrostomy Tube Placement in Patients with Severe Dysphagia from an Acute-Subacute Hemispheric Infarction. J Stroke Cerebrovasc Dis., 2010.
- Hey C, Pluschinski P, Stanschus S, Euler HA, Sader RA, Langmore S, Neumann K A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®). Folia Phoniatr Logop.12;63(4):201-208, 2010.
- Pearson WG Jr, Langmore SE, Zumwalt AC Evaluating the Structural Properties of Suprahyoid Muscles and their Potential for Moving the Hyoid.. Dysphagia. 2010 Nov 11 (Epub ahead of print)
- Colton House J, Noordzij JP, Murgia B, Langmore S. Laryngeal injury from prolonged intubation: A prospective analysis of contributing factors. Laryngoscope. Mar;121(3):596-600, 2011.
- Langmore SE, Krisciunas, GP, Vasquez-Miloro K, Evans SR, Cheng DM. Does PEG use Cause Dysphagia in Head and Neck Cancer Patients? Dysphagia (2011; EPub ahead of print)
- Langmore SE. Endoscopic Evaluation and Treatment of Swallowing Disorders. Thieme Med Pub., NY, NY (2001)
Selected Grant Activity
- 5RO1CA120950-02 Langmore (PI) 6/26/2007- 6/30/2012
Efficacy of Electrical Stimulation for Dysphagia in Head & Neck Cencer Patients
Role: Principal Investigator
This multi-institutional clinical trial will compare electrical stimulation plus aggressive swallowing exercise to sham electrical stimulation with aggressive swallow exercise to determine the efficacy of e-stim in treating dysphagia in patients who have received radiation therapy for head and neck cancer.
- Private non-profit corporation Langmore (PI) 3/1/2011-12/31/2011 $20,000
Pilot study to Assess Effectiveness of VocaLog to Increase Habitual Loudness in Patients with Parkinson’s Disease
This pilot exploratory study will determine if this biofeedback device is effective in increasing and maintaining a louder voice in patients with Parkinson’s Disease. If successful, it will lead to an application for federal funding with an RCT design
Selected Research Support in past 3 years
PPG – Miller (PI) 7/1/02 – 6/30/07.
Frontotemporal Dementia: Genes, Images, and Emotions
Goals in my project were to identify sub-clinical indicators of abnormal motor function in the tongue, larynx, and/or velopharynx in patients who are suspected to have FTLD or other neurodegenerative diseases. Also to characterize the behavioral abnormalities in FTLD.
Consulting and Professional Activities
1993-1996 Chair, Field Advisory Council to Director of Audiology/Speech Pathology, Department of Veterans Affairs, Washington, DC
1997 Consultant to Ministry of Health, Singapore, for training of speech pathologists
1995-98 Coordinator, Special Interest Division – Swallowing and Swallowing Disorders, American Speech-Language-Hearing Association:
1998-current Ad hoc reviewer for Journal of Speech-Language Hearing Research, American Journal of Speech-Language Pathology, Annals of Otorhinolaryngology, Otol Head Neck Surgery, Stroke, British Journal of Medicine, Folia Phoniatrica Logopaedica, J Neuro Neuropsy, Laryngoscope.
2001-04 Councilor, Executive Board, Dysphagia Research Society:
2002- 10 Member, Specialty Board in Swallowing and Swallowing Disorders, American Speech-Language-Hearing Association
2006-current Member, Editorial Board, Dysphagia; Neurorehabilitation and Neural Repair
2007-10 Member NIH Study Section: Motor Function, Speech and Rehabilitation
Awards and Honors
- 2012 Honors of the Association, American Speech-Language Hearing Association
- 1998 Fellow of American Speech-Language Hearing Association
- 2003-2008 Board Recognized Specialist in Swallowing and Swallowing Disorders (BRS-S)
Licensing and Certification
- Licensed Speech-Language Pathologist, Massachusetts
Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP), ASHA
Dr. Langmore teaches the Motor Speech Disorders, Dysphagia, and Advanced Dysphagia classes at BU. She advises masters and doctoral students in Speech Language and Hearing Sciences at the main campus and in Medical Sciences and Anatomy and Physiology departments at the Medical Center. Her research interests are mainly focused on dysphagia and its complications. She is currently Principal Investigator of an NIH-funded clinical trial to investigate the efficacy of an electrical stimulation device to aid in swallowing recovery in patients who have had head and neck cancer treated with radiotherapy. She is also involved in research to determine efficacy of other interventions used with patients who have dysphagia and dysarthria. Dr Langmore’s current research interests are highlighted at the BMC Center for Voice and Swallowing Research.
In addition to her teaching and research, Dr Langmore is a clinician, seeing patients with swallowing and speech disorders. She is well known as the developer of the FEES procedure (Fiberoptic Endoscopic Evaluation of Swallowing) which uses flexible laryngoscopy to assess and treat swallowing problems. She is an invited speaker at conferences around the country and internationally. She teaches FEES courses at Boston Medical Center 4 times a year along with her staff. More information.
More information about Dr Langmore can be found at the Boston Medical Center website: http://www.bu-ent.com/ForPhysicians/Susan_Langmore.html