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 [...]

Do I Really Not Have Access to Instrumental?

Do I Really Not Have Access to Instrumental?

It's the never-ending soapbox.   I know.  There was probably even an eye-roll at seeing this article. All.  The.  Time. Did you get an instrumental?  Well, why not?   You don't know anything without the instrumental. Reason Numero Uno The number one reason, that I've seen for not obtaining an instrumental is no access.   The SLP wants [...]

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 [...]

The History of the Modified Barium Swallow Study

The History of the Modified Barium Swallow Study

No matter what you call it...there is a history behind the Modified Barium Swallow Study (MBSS). Gold Standard? The Modified Barium Swallow Study has long been called THE gold standard in dysphagia evaluation, however it does have its limitations.   The MBSS definitely continues to be A gold standard in swallowing evaluation. Early Days In the [...]

Laryngeal Palpation

Laryngeal Palpation

  Why Are You Strangling the Patient? Relax.....  You may walk in to observe a Clinical Swallow Evaluation and see an SLP with 3 fingers on a patient's neck as the patient is swallowing. What in the World are they Doing?? It's called laryngeal palpation.   The ring finger goes on the patient's cricoid notch, the [...]