The Modified Barium Swallow Impairment Profile (MBSImP): A New Standard Physiologic Approach to Swallowing Assessment and Targeted Treatment One of the most critical roles of a speech-language pathologist (SLP) is making decisions from a swallowing assessment about life sustaining and life quality issues such as the ability to continue to eat and drink. The optimal swallowing assessment requires recognizing subtle variations in the physiologic components and events that ... Article
Article  |   December 01, 2009
The Modified Barium Swallow Impairment Profile (MBSImP): A New Standard Physiologic Approach to Swallowing Assessment and Targeted Treatment
Author Affiliations & Notes
  • John Sandidge
    The Evelyn Trammell Voice & Swallowing Center, Saint Joseph's Hospital of Atlanta, Atlanta, GA
Article Information
Swallowing, Dysphagia & Feeding Disorders / Articles
Article   |   December 01, 2009
The Modified Barium Swallow Impairment Profile (MBSImP): A New Standard Physiologic Approach to Swallowing Assessment and Targeted Treatment
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2009, Vol. 18, 117-122. doi:10.1044/sasd18.4.117
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2009, Vol. 18, 117-122. doi:10.1044/sasd18.4.117
Abstract

One of the most critical roles of a speech-language pathologist (SLP) is making decisions from a swallowing assessment about life sustaining and life quality issues such as the ability to continue to eat and drink. The optimal swallowing assessment requires recognizing subtle variations in the physiologic components and events that comprise an intact, healthy swallowing mechanism. No voluntary standard currently exists for swallowing evaluation terminology, measurement, or reporting. Bonnie Martin-Harris, a practicing clinician and researcher, sought to evaluate if a protocol that standardized language, administration/measurement of contrast viscosities, and reporting method could be validly and reliably executed for the modified barium swallow study (MBSS). A five-year study supported by the National Institute on Deafness and Other Communication Disorders (NIDCD) rigorously tested the content and external validity and reliability of a method that resulted in developing a standardized tool, the Modified Barium Swallow Impairment Profile (MBSImP) (Martin-Harris et al., 2008). A web-based learning environment is under construction and will be available for any clinician who desires training and competence in using the MBSImP. This article provides background on development of the MBSImP, the importance and benefit of standardized, objective assessment, and detail on features and status of the MBSImP web site.

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