Swallow Function Test
Protocol For Evaluating Swallow Function
Clinical Evaluation
1. Medical History: Review of medical history, including neurological, respiratory, and gastrointestinal conditions.
2. Symptom Assessment: Assessment of symptoms, such as dysphagia, coughing, choking, and regurgitation.
3. Oral and Pharyngeal Examination: Examination of the oral and pharyngeal structures, including the lips, tongue, palate, and pharynx.
Bedside Swallowing Assessment
1. Water Swallow Test: Patient swallows 3-5 mL of water to assess swallowing function.
2. Food Trial: Patient eats a small amount of food to assess swallowing function.
3. Coughing and Choking: Assessment of coughing and choking during swallowing.
Instrumental Assessments
1. Videofluoroscopic Swallow Study (VFSS): X-ray examination of swallowing function using barium.
2. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) : Endoscopic examination of swallowing function.
3. Electromyography (EMG): Assessment of muscle activity during swallowing.
Assessment of Swallowing Function
1. Oral Phase: Assessment of oral preparation, formation of the bolus, and oral transit.
2. Pharyngeal Phase: Assessment of pharyngeal transit, laryngeal elevation, and epiglottic closure.
3. Esophageal Phase: Assessment of esophageal transit and lower esophageal sphincter function.
Dysphagia Diagnosis and Treatment
1. Dysphagia Diagnosis: Diagnosis of dysphagia based on clinical and instrumental assessments.
2. Treatment Planning: Development of a treatment plan, including dietary modifications, swallowing exercises, and compensatory strategies.
3. Rehabilitation : Implementation of the treatment plan and ongoing assessment and modification as needed.
Documentation and Communication
1. Documentation: Accurate documentation of assessment findings, diagnosis, and treatment plan.
2. Communication: Communication of assessment findings and treatment plan to the patient, family, and healthcare team.
Note: This protocol should be individualized and guided by a multidisciplinary team of healthcare professionals, including speech-language pathologists, occupational therapists, and physicians.
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