Evidence based research and educational resources to help advocate for enhancing your MBS or FEES programs.
Conducting MBS Studies
Best Practices in Modified Barium Swallow Studies
Author(s): Martin-Harris et al. (2020)
Paper Objective: MBSS best practices inlcuding conduction, frame-by-frame analysis, interpretation and more.
Preliminary Investigation of the Effect of Pulse Rate on Judgments of Swallowing Impairment and Treatment Recommendations
Author(s): Bonilha et al. (2013)
Paper Objective: Are there differences in interpretation w/varied frame rates?
Videofluoroscopy Frame Rate
Author(s): Dr. Catriona Steele, Ph.D., CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow
Article Objective: Understanding “Continuous VS Pulsed Fluoroscopy” & “Pulse Rate vs Frame Rate”
Link: https://steeleswallowinglab.ca/srrl/best-practice/videofluoroscopy-frame-rate/
Fluoroscopic Evaluation of Oro-Pharyngeal Dysphagia: Anatomy, Technique, and Common Etiologies
Author(s): Jaffer et al. (2015)
Paper Objective: Discussion on VFSS technique (including use of 30fps)
ACR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF THE MODIFIED BARIUM SWALLOW
Author(s): The American College of Radiology (2023)
Paper Objective: Recommendations and practice guidelines for the conduction of modified barium swallow studies.
Link: PDF Download
Visualizing the Esophagus During Modified Barium Swallow Studies: A Systematic Review
Author(s): Reedy et al. (2021)
Paper Objective: A review of the evidence for the inclusion of routine esophageal visualization during the MBSS, which is supported by the long-established interrelationship between all aspects of the oral, pharyngeal, and esophageal swallowing continuum.
Implementation of Esophageal Screening in an Outpatient Hospital-Based Setting: A Quality Improvement Project
Author(s): Gregor & Watts (2023)
Paper Objective: A review of an internal quality improvement project (QIP) at Mayo Clinic to educate and train SLPs on conducting the Robust Esophageal Screening Test (REST) and to determine the feasibility of REST protocol implementation in a multidisciplinary swallow clinic.
Swallow Your Pride Podcast Episode 235: MBSImP: Past, Present, and Future with Bonnie Martin-Harris PH.D., CCC-SLP, BCS-S. ASHA Honors
Swallow Your Pride Podcast Episode 293: The Esophagus Has Entered the Chat: Understanding and Addressing Esophageal Dysphagia with Dr. Watts
Conducting & Advocating for FEES Studies
Best Practices for FEES
Author(s): Langmore et al. (2022)
Paper Objective: Provide a guide for FEES from training to conduction. Including information about recording, editing, and frame-by-frame review.
Passy-Muir Podcast Episode 17: Starting a FEES Mobile Business with Jennifer Beall, MS, CCC-SLP
Speech Uncensored Podcast Episode 138: Advocating for FEES with George Barnes MS CCC-SLP and Allie Boyer MA CCC-SLP
Swallow Your Pride Podcast Episode 018: Selena Reece, M.S., CCC-SLP, BCS-S – Does Starting a FEES Program Sound Like Too Daunting Of a Task? Here Are All Things To Consider.
Swallow Your Pride Podcast Episode 082: Jennifer Kizner M.Ed CCC/SLP, BCS-S – Let’s FEES It Up! How to Start an Endoscopy Program
More Information - Instrumental Evaluations
We Don’t Have X-Ray Vision: Optimizing Dysphagia Assessment with Instrumental Exams: Presented by Rinki Varindani Desai, MS.,CCC-SLP, CBIS, CDP
Speech Uncensored Episode 69: Elements of Excellent Dysphagia Documentation: Instrumentation and Treatment with Kelsey Day, MS, CCC-SLP
The Swallow Repository
The Swallow Repository - A Database of MBSS Studies for Download
Link for videos: https://media.talkbank.org/aphasia/English/Other/Dysphagia/UNM-access/UNM/
Link for transcripts: https://sla.talkbank.org/TBB/aphasia/English/Other/Dysphagia/UNM-access/UNM
Made-for-You Advocacy Documents
Created for developing a FEES program.
Created for developing an MBS program.
Created for scope purchase decision-making.