Clinical swallow evaluation


Each Clinical Swallow Evaluation includes: 

  • Extensive review of medical/clinical records to determine potential impact of medications and treatment of other medical diagnoses on swallow function

  • Evaluation of the impact of cognitive and/or behavioral skills on safety and functionality of swallowing

  • Structural and functional assessment of muscles and structures used in swallowing, which may include:

    • Oral peripheral mechanism examination

    • Cranial nerve examination

    • Analysis of head–neck control, posture, oral reflexes, and involuntary movements

    • Assessment of respiratory status, cough, and throat clearing abilities

  • Non-instrumental assessment of the swallow with various foods and liquids

  • Recommendations for swallow intervention and support, as necessary

  • Recommendations for optimizing safe and efficient intake of food and liquid

  • Determination of need for further instrumental assessment to examine the impact of swallowing anatomy and physiology

    • Specification of diagnostic questions to be answered by instrumental evaluations

  • Identification of need for referrals to other services or professionals to support optimal swallow and feeding outcomes

  • Counseling, education, and training to the client, health care providers, and caregivers

  • Detailed written evaluation outlining findings and recommendations

Clinical Swallow Evaluations are 50 minutes in length. Clinical Swallow Evaluations are best completed in-person, but can be modified to telehealth if absolutely necessary.

Note: This evaluation does not include instrumental assessment (e.g. MBSS or FEES).