Measuring Lingual Range of Motion

For so long, we have focused on lingual strength and range-of-motion. The Iowa Oral Performance Instrument (IOPI),  the SwallowStrong and the Tongue Press have all been developed to give us visual and numeric strength measurements of the tongue. We finally have a measurement scale for lingual range of motion. C.L. Lazarus, H. Husaini, A.S. Jacobson, J.K. [...]

Dysphagia Assessment

So many people assess dysphagia in the same manner, at least from my observations. Sit with them while they eat a meal, feel laryngeal elevation and trial diet modifications. I have rarely seen people do a thorough dysphagia bedside evaluation.  I'm trying to standardize the manner in which I complete my bedside evaluation. I have [...]

Exercise

Recent and some previous dysphagia literature emphasizes the use of exercise physiology. Researchers such Lazarus et. al, Robbins et.al, Burkhead et. al and Clark have published the need for incorporating exercise physiology into dysphagia therapy. They emphasize the need to understand the muscles involved in the swallowing mechanism, understand their function so that you can [...]

Electrodes…..Are they really all the same??

One of the biggest controversies in dysphagia therapy has to be NMES or Neuromuscular Electrical Stimulation, to use it or to not use it.  It has been extensively researched, although results of the research vary. Whether you believe in NMES for dysphagia or use NMES, you need to understand the facts between the electrodes.  It's [...]