Lingual Strengthening Using Resistance

Lingual Strengthening Using Resistance

Research  Research by Dr. Lazarus and Dr. Robbins has focused heavily on lingual strengthening. Many of these research articles have proven to us that lingual strengthening using resistance such as an IOPI does increase not only tongue strength and at times, tongue mass, but also improves the overall swallow.  This same research has also shown us that using [...]

Modified Barium Swallow Study……Part 2

Modified Barium Swallow Study……Part 2

I was recently directed to a blog post by Clinical Colleagues Confidential. regarding Modified Barium Swallow Studies (MBSS).  The title of the blog post is:  I have all the answers but nobody is asking me any questions The original blog post can be found at:  http://cccslp.net/whats-the-frequency-3/  This is part 2, because I recently wrote a [...]

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 [...]

Measuring Lingual Range of Motion

Measuring Lingual Range of Motion

Strength Vs. Range of Motion For so long, we have focused on lingual strength and range-of-motion. Instruments for Measurement The Iowa Oral Performance Instrument (IOPI) and the Tongue Press have all been developed to give us visual and numeric strength measurements of the tongue. The Research We finally have a measurement scale for lingual range of [...]

Dysphagia Assessment

Dysphagia Assessment

Always the same...... 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 watched SLPs complete a thorough dysphagia bedside evaluation. Standardized Assessment I have worked to standardize the manner in which I [...]

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

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 [...]