A Comprehensive Look at Swallow Assessments


Swallow assessment is a subjective measure that varies clinician to clinician based on preferred protocol most often utilized. In a survey conducted by ASHA, Riquelme (2015) notes that the most commonly used swallow exam by SLP’s is some form of an informal checklist containing swallow characteristics. Riquelme (2015) refers to a 2011 study by Harrenberg & Carnaby – Mann that offered possible reasons for certain favored protocols over others as clinicians’ having “confidence in current clinical assessment methods, lack of education in clinical assessment techniques, use of the clinical exam as a “screen” only, limited knowledge of value and availability of valid clinical exams, lack of resources to invest in assessment training of staff, or an overreliance on expensive instrumental evaluation methods”. Riquelme (2015) notes that clinicians have been using the two terms, “screen” and “evaluation” interchangeably in the literature since 1997 when they are two distinctly different entities. There is still argument among authors about what constitutes a “screen” and what constitutes an “evaluation”. In order for a clinician to increase their effectiveness in assessing swallows, they must be able to appropriately identify their chosen protocols accurately, their benefits, and their limitations. This course will define and review all evidenced based assessment methods for the swallow including screens, evaluations, and instrumental evaluations as well as other methods previously used that have been proven ineffective in swallow assessment. Disclosures: Amy Reinstein MS, CCC-SLP has no relevant financial or nonfinancial relationships to disclose.


Hours: 1.00


Certificates provided by accrediting body (7 Match)

Kansas Health Department of Aging and Disability Services (Speech)


Approved for 1.00 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.00 contact hours.

Florida Council of Dietetics and Nutrition


Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 1.00 contact hours.

Alabama State Board of Occupational Therapy


This course has been approved by the Alabama State Board of Occupational Therapy for 1.00 contact hours, approval number 20-562902.

American Occupational Therapy Association


Relias Learning is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Category 1, 2. This activity is approved for 1.00 contact hours.

Florida Board of Occupational Therapy


This course has been approved by the Florida Board of Occupational Therapy for 1.00 contact hours, approval number 20-562902.

Commission on Dietetic Registration


Relias Learning is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials.
This activity is approved for 1.00 Continuing Professional Education units (CPEUs).
Activity Number: 127788
Learning Need Code(s): 5210; 3050
CPE Level: Level II

American Speech-Language-Hearing Association


This course is offered for 0.10 ASHA CEUs (Introductory level; Professional area).

Course Details

Course Code: REL-RT-0-ST734A
Hours: 1
Type: Online Course
Content Expiration Date: 3/31/2019
Learning Objectives:
Define and explain how to utilize swallow screens & swallow evaluations appropriately.
Identify the various existing protocols & other tools used in swallow screens & evaluations
Identify appropriate procedures to utilize

1. Anatomical review of swallow structures
2. Four Swallow Phases
3. Definition of Evidenced Based Practice
4. Compensatory Strategies
a. Behavioral
b. Postural
c. Maneuvers
5. Oral motor
6. Diet Modifications
7. Medical Intervention
8. Respiratory
9. Biofeedback
10. Muscle Stimulation
11. Esophageal
12. Review case studies and apply treatment methods

Instructor: Amy Reinstein, M.S., CCC – SLP
Amy Reinstein, M.S., CCC – SLP has been practicing speech language pathology for 8 years focusing on the dysphagia and neurogenic communication adult population. Amy has worked in various New York City acute care hospitals, skilled nursing facilities, short term rehabilitation centers, home health care, and outpatient private practice. She has extensive experience in performing and evaluating Modified Barium Swallow Studies. Her teaching experience includes supervising Clinical Fellows to attain their certification, as well as certified speech–language pathologists in home health and skilled nursing facilities. Amy has also worked extensively with the New York City Board of Education K- 12 and Special Education schools. Special projects include publishing various articles for trade magazines and blogs, contributing to CEU courses, publishing of a live website, and creating clinical assessments and evaluations. She is currently authoring a speech and language textbook and conducting a research study in dysphagia. Disclosure: Amy Reinstein, M.S., CCC – SLP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry level Speech and Language Pathologists; intermediate level Dietitians; in the following settings: All Healthcare Settings.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.
If you require special accommodations to complete this module, please contact Relias Learning Customer Support by calling (800) 381-2321 or emailing support@reliaslearning.com