MBS V FEES
What stage(s) of the swallow can be seen on an MBS?
ALL OF THEM!
Decreased facial movement & sensation
CN VII
Collect all the saliva in your mouth onto the center of your tongue. Keep your lips closed and tight together. Pretend you are swallowing a grape whole in one big, hard swallow. The number of repetitions is patient specific.
Effortful swallow
Feeding is a
NEURODEVELOPMENTAL SKILL
Opens mouth for a spoon
4-6 months
What stage(s) of the swallow can be see on a FEES?
Pharyngeal
Decreased lingual strength and ROM
CN XII (Hypoglossal)
Stick your tongue out of your mouth between your front teeth and gently bite down to hold it in place. Swallow while keeping your tongue gently between your teeth. You can let go of your tongue between swallows and repeat
Masako
Suckle to swallow to respiration ratio
1:1:1
Holds head upright when sitting
6-9 months
What test cannot assess feeding fatigue?
MBS (only 3 mins of fluro per test)
Decreased hyolaryngeal elevation & excursion
CN X (Vagus)
Lie down on a flat surface. Do not use a pillow. Keep your shoulders flat and lift your chin towards your chest so you can see your toes and immediately lower you head. Repeat these steps as many times as prescribed, then rest and repeat as prescribed
Shaker
What movements are protusion and retraction?
Suckle movements
Uses tongue to move food side to side
12-18 months
Patients with craniofacial trauma should not have what instrumental?
FEES
Delayed pharyngeal trigger
CN IX (Glossopharyngeal)
Collect a small amount of saliva in your mouth. Take a deep breath and hold your breath. Keep holding your breath while you swallow. Immediately after you swallow, cough. Practice with saliva prior to food or liquid
Supraglottic swallow
First reflex to diminsh
Suckling
2-3 years
If you are referred to do an instrumental, should you begin with a BSE/CSE
NO
Sensory to anterior 2/3 of the tongue
CN V (Trigeminal)
Place your middle three fingers on your Adam's apple. Swallow once to practice. Feel your Adam's apple slide upward as you swallow. Now, swallow again and when your Adam's apple gets to its highest position in the throat, squeeze your throat muscles and hold it as high as you can for as long as your clinician has directed for this exercise
Mendelsohn
What are Orofacial Myofunctional Disorders
AKA tongue trust
Abnormal movements of face/mouth
9-12 months