Table 1.

Order of Procedures

	Baseline Measure 1		Rest	Baseline Measure 2		Meal			Post-Meal Measure
Parameter	Tongue Strength	Tongue Endurance*	Baseline Effort	Tongue Strength	Tongue Endurance	Meal Effort	Meal Duration	Swallowing Difficulty	Tongue Strength	Tongue Endurance
Measure	Max Isometric Pressure (P1max)	Duration of Pressure ≥ 0.5 × P1max	Percent of Visual Analog Scale (VAS)	Max Isometric Pressure (P2max)	Duration of Pressure ≥ 0.5 × P2max	Percent of VAS	Time to Complete Meal	# of Coughs, Throat Clears, & Changes in Vocal Quality	Max Isometric Pressure (P3max)	Duration of Pressure ≥ $0.5\times \left(\frac{\mathrm{P}{1}_{\max }+\mathrm{P}{2}_{\max }}{2}\right)$
Approx Time	10 Minutes		20 Minutes	10 Minutes		30 Minutes			10 Minutes

^*Refer to Figure 1 for tongue endurance measurement criteria