Dysphagia Evaluation

The swallowing evaluation typically involves a team of medical professionals (speech-language pathologist, radiologist, otolaryngologist, gastroenterologist, physician, nurse and nutritionist/dietician). Evaluation that is undertaken to assess safety and efficiency of food/liquid intake involves:

  • Administration of bedside clinical swallow examination (CSE) protocols
  • Standardized objective evaluations, such as:
    • Video-fluoroscopic swallow study (VFSS; an x-ray technique to view the mouth and throat while swallowing).
    • Flexible endoscopic evaluation of swallowing (FEES; a technique that involves the insertion of a thin flexible instrument through the nose to view parts of the throat during swallowing). 

These evaluations help to determine:

  • the underlying swallowing physiology impairments
  • the foods that enter the airway or are at risk for entering the airway
  • the safest texture of food for patients 
  • the ideal food amount (bolus size) to be taken at one time
  • the optimal swallow strategies to increase safety and efficiency of swallowing at meal times
  • the safe position while eating
  • compensatory changes in the head/neck positions for improving airway protection during swallowing
  • rehabilitative swallowing exercises (strength and/or skill based) for restoring the swallow function

(Dated Jan 3, 2020)




News & Events

The Family Guide (Facts about Aphasia and Stroke) has been published in Bengali and is available on request from Ratna Sagar Publishers, New Delhi.

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This association cannot offer any medical advice or assess any medical-neurological condition.

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