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 [...]

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 [...]

Cervical Auscultation

Cervical Auscultation

  What is Cervical Auscultation? Using Cervical Auscultation (CA) involves the use of a stethoscope, placed on the throat to "listen" to the sounds of the swallow. Clinicians often use CA to assess swallow sounds and airway sounds.  Judgements are made on the normality of the swallow or the degree of impairment of swallowing. Cervical [...]

Glossectomy

Glossectomy Let's talk total glossectomy for a minute.   I've actually worked with multiple partial glossectomies in my career and recently have had 2 total glossectomy patients. It seems like a pretty difficult task, right?  Getting someone to eat and drink again with no tongue. Taking the tongue out of the equation of swallowing makes the [...]

3 Reasons You Should Never “Fake it Till You Make it” in Dysphagia

I really don't know where the phrase "fake it till you make it" came but it's one phrase that absolutely makes me cringe in relationship to dysphagia. Don't get me wrong.  You should always go in confident in your skills.  How can you possibly be confident though in skills you don't possess? The scary part [...]