Mann Assessment of Swallowing Ability ... - …

1 mann Assessment of Swallowing Ability (MASA) Scoring SheetAlertness2no response to speech5difficult to rouse8fluctuates10alertCooperation2no cooperation5reluctant8fluctuating cooperation10cooperativeAuditory comprehension2no response to speech4occasional motor response if cued6follows simpleconversation withrepetition8follows ordinary conversation with little difficulty10 NADR espiration2chest infectionsuctioning4coarse basal crepitationschest physiotherapy6fine basal crepitations8sputum upper airwayother condition10chest clearRespiratory rate (for swallow)1no independentcontrol3some control/uncoordinated5able to control breath rate for swallow Dysphasia1unable to assess2no functional speechsounds/single words 3expresses self in limited mannershort phrases/words4mild difficulty finding words or expressing ideas5 NADD yspraxia1unable to assess2groping/inaccurate/partial or irrelevant responses3speech crude/defective in accuracy or speed on command4speech accurate after trial and error.

2 Minor searchingmovements5 NADD ysarthria1unable to assess2speech unintelligible3speech intelligible but obviously defective4slow with occasional hesitation or slurring5 NADS aliva1gross drool2some drool consistently3drooling at times4frothy/expectorated5 NADLip seal1no closureunable to assess2incomplete seal3unilaterally weak poor maintenance4mild impairment occasional leakage5 NADT ongue movement2no movement4minimal movement6incomplete movement8mild impairment in range10full ROMT ongue strength2gross weakness5unilateral weakness8minimal weakness10 NADT ongue coordination2no movement unable to assess5gross incoordination8mild incoordination10 NADOral preparation2unable to examine4no bolus formationno attempt6minimal chew thrustgravity assisted8lip or tongue seal bolus escape10 NADGag1no gag2absent unilaterally3diminished unilaterally 4diminished bilaterally5hyperreflexiveNADP alate2no spread or elevation4minimal movementnasal regurgitation/air escape6unilaterally weak8slight asymmetrymobile 10 NADB olus clearance2no clearance5some clearance/residue8significant clearance/minimal residue10fully clearedOral transit2no movementobserved4delay > 10 sec6delay > 5 sec8delay > 1 sec10 NADC ough reflex1none observed/unable to assess3weak reflexive cough5 NADV oluntary cough2no attempt/ unable to assess5attempt inadequate8attempt bovine10 NADV oice2aphonicunable to assess4wet/gurgling6hoarse8mild impairmentslight huskiness10 NADT rache1trache/cuffed5trache/fenestrated10 no trachePharyngeal phase2no swallow unable to assess5pooling/gurglinglaryngeal elevation incomplete8laryngeal elevation mildly restricted slow initiationincomplete clearance10immediate laryngeal elevationclearance of materialPharyngeal response1not coping/gurgling5cough before/during/after swallow10 NADDiet recommendationsNBMrisk

3 Too greatthick vitamized oddslot dietmodified softsoftnormalFluid recommendationNBMthick fluid (batter)thick (honey)thick (nectar)normalSwallow integrityDysphagiaAspirationdefinite dysphagiaaspirationprobabledysphagiaaspi rationpossible dysphagiaaspirationunlikelydysphagiaaspi rationTotal= Additional Problems:Summary:Recommendations:Diagnos is:Date:Signature:Copyright 2002 by Singular, an imprint of Delmar, a division of Thomson Learning, Inc. Permission to photocopy granted for clinical use only. All rights reserved.