SWALLOWING DISORDERS

North Shore Center for Speech, Language & Swallowing Disorders specializes in the correction of the following disorders:

ADULTS

Oral Stage Dysphagia

Oral-pharyngeal Stage Dysphagia

Pharyngeal Stage Dysphagia

Evaluation and Identification of:

• Cricopharyngeal Dysfunction

• Esophageal Dysphagia

• Laryngeal-pharyngeal Reflux

• Structural Anomalies

• Zenker’s Diverticulum

CHILDREN

Behavioral Feeding Disorders

Oral Stage Dysphagia

Oro-pharyngeal Stage Dysphagia

Pharyngeal Stage Dysphagia

“Picky Eaters”

Sensory-Based Feeding Disorders

And Identification of:

• Reflux

• Esophageal Dysphagia

• Structural Anomalies

SWALLOWING EVALUATION AND THERAPY

At North Shore Center for Speech, Language & Swallowing Disorders each client receives a comprehensive feeding and swallowing evaluation. We provide clinical assessments as well as modified barium swallow studies and/or fiberoptic endoscopic evaluation of swallowing studies in order to diagnose disorders and develop individualized treatment plans to improve swallowing functions. Our goal is to ensure that clients will be able to safely and effectively tolerate minimally restrictive diets. Therapy is provided 1-5 times per week for 30, 45, or 60-minute sessions depending on each client’s need. A one-way mirror is utilized in each treatment room to facilitate family participation.

The following treatment techniques are provided:

• Modified Barium Swallow Studies - MBSS

• Fiberoptic Endoscopic Evaluation of Swallowing - FEES

• Adaptive equipment such as cups, spoons, bottles, and straws that can facilitate safe and effective eating and swallowing.

• Behavioral feeding

• Frazier water protocol

• Nutritional consultation

• Caregiver/parent/patient education and counseling

• Surface electro-myography (SEMG) used for biofeedback

• Sensory stimulation therapy

• Therapeutic muscular exercise to strengthen the muscles used for swallowing

• Training in compensatory feeding/swallowing postures/strategies

• Vital-stim - swallowing therapy

• Neuromuscular electrical stimulation (NMES)

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