Modified Barium Swallow Study: Gold Standard or Old News?

Modified Barium Swallow Study:  Gold Standard or Old News?

The Modified Barium Swallow Study, no matter what name is used, has been considered a gold standard for many years in the assessment of dysphagia.   Recently there has been a lot of debate about whether the MBSS continues to be the gold standard or if FEES (Flexible Endoscopic Evaluation of Swallowing) has taken the place [...]

The Instrumental Guide to Compensatory Strategies and Maneuvers

When completing instrumental assessments, the easiest way to change the swallow is to change the diet consistency. Dr. Jeri Logemann (1993) has suggested using compensatory strategies/maneuvers in the following order: Postural techniques Sensory techniques Maneuvers Diet changes Remember we can often change the swallow through sensory techniques.   Steele and Miller 2010 concluded:  "Boluses of liquids [...]

Barium

Barium

So, you know all about MBSS, right?  You've learned the MBSImP, you know all about consistencies, all about compensatory strategies. What barium should you use? We are often mixing the same barium used in other studies with food and liquid brought in from the kitchen. At one point, there was a recipe available to make [...]

Compensatory Techniques

Compensatory Techniques

Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow. Compensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. While most compensatory [...]

Mobile MBSS

Mobile MBSS

Did you know?  Have you heard? Instrumental assessments come to you!! Now, you can schedule mobile FEES AND mobile MBSS. This cuts down the cost of transport and the various costs of instrumental in the hospital setting. Do you need Mobile MBSS or FEES at your facility?  Chances are, there's one in your area. Do [...]

What’s In A Name

What’s In A Name

Seriously, how many names can we have for one test? We typically do the same thing.....assess swallowing function, so why a million different names? In the early days, the swallowing assessment using x-ray was called a Cookie Swallow Test. You can read more about the history of the MBSS: The same test is more recently [...]

MBSImP

MBSImP

MBSImP For those of you that don't know what the heck the MBSImP is, it stands for the Modified Barium Swallow Impairment Profile.  What it is, an answer to everyone's prayers to FINALLY have a standardized method for swallow studies. Where Can I Find MBSImP This protocol for MBSS is based on more than 10 years [...]