Table 4.
Patient Dietary level and results of Intake Videofluoroscopy Study with scores on the Modified Barium Swallow Impairment Profile (MBSImP) consistencies used on Modified Barium Swallow Study (MBS) and Dysphagia Outcome and Severity Scores (DOSS)
| Participant ID |
Dietary Level |
MBSImP Oral Score* (out of 15) |
MBSImP Pharyngeal Score*(out of 30) |
MBSImP Initiation of the pharyngeal swallow score (out of 4)** |
Consistencies trialed on MBS*** |
DOSS+* |
|---|---|---|---|---|---|---|
| S1 | PEG tube; Puree for pleasure |
Not available | Not available | Not available | Not available | 1, Severe |
| S2 | PEG tube | 7 | 25 | 4 | Thin liquid, honey thick liquid | 1, Severe |
| S3 | PEG tube | Not available | Not available | Not available | Not available | 1, Severe |
| S4 | Partial PEG dependent; Most textures by mouth;avoided dry foods |
12 | 12 | 3 | Thin liquid, nectar thick liquid, honey thick liquid, pudding, solid | 2, Mod/severe |
| S5 | PEG tube; Some liquids and purees for pleasure |
5 | 19 | 4 | Thin liquid, nectar thick liquid, honey thick liquid, pudding | 2, Mod/severe |
| S6 | PEG tube | 5 | 24 | 4 | Thin liquid, nectar thick liquid, honey thick liquid | 1, Severe |
| S7 | PEG tube; some liquids for pleasure |
3 | 17 | 1 | Thin liquid, nectar thick liquid | 1, Severe |
| S8 | PEG tube | 4 | 23 | 3 | Thin liquid, nectar thick liquid | 1, Severe |
| S9 | PEG tube; some liquids and soft solids for pleasure |
6 | 22 | 4 | Thin liquid, nectar thick liquid, honey thick liquid | 1, Severe |
| S10 | PEG tube | 8 | 20 | 4 | Thin liquid, nectar thick liquid, honey thick liquid | 1, Severe |
| S11 | PEG tube; Puree for pleasure |
6 | 16 | 0 | Thin liquid, nectar thick liquid, honey thick liquid, pudding | 1, Severe |
| S12 | PEG tube; water for pleasure |
3 | 24 | 3 | Thin liquid, nectar thick liquid, honey thick liquid | 1, Severe |
| S13 | PEG tube; some liquids for pleasure |
5 | 24 | 3 | Thin liquid, nectar thick liquid, honey thick liquid | 1, Severe |
MBSImP: Modified Barium Swallow Impairment Profile; Both pharyngeal and oral score represent the sum of the worst score each component received. Components 3 and 13 were not included in the oral and pharyngeal sums, respectively. A higher score indicates a worse severity.
Represents the worst score obtained on Component 6 of the MBSImP protocol, which is judged at the first movement of brisk superior-anterior hyoid trajectory. The scoring is as follows: 0=Bolus head at posterior angle of ramus; 1=Bolus head in valleculae; 2=Bolus head at posterior laryngeal surface of epiglottis; 3=Bolus head in pyriforms; 4=No visible initiation at any location.
MBSImP protocol followed with patient safety considered.
DOSS score of 1 = Severe dysphagia requiring complete NPO, unable to tolerate any P.O. safely; DOSS score of 2= Moderately severe dysphagia requiring maximum assistance or use of strategies with partial P.O. only on at least one consistency (31).