Facial-Oral Tract Therapy (F.O.T.T.)

The book offers a comprehensive approach to the assessment and treatment of disturbances in facial expression, oral movement, swallowing, breathing, voice and speech production caused by developmental and acquired neurological conditions. The principles outlined are used in patients with different etiologies (e.g. stroke, tumors, traumas).

F.O.T. T., developed by Kay Coombes, is a hands-on approach based on an understanding of neurological functions and the way we learn from experience. The approach aims to give the patient experience of physiological posture and movement using facial-oral functions in normal activities of daily living (ADL).  Rather than mere “exercises”, F.O.T.T involves meaningful activities aiming to promote participation, according to ICF criteria. 

Four main areas are covered: nutrition, oral hygiene, nonverbal communication and speech. Each chapter summarises the problems of severely ill patients and shows the clinical reasoning behind the solutions offered. Separate chapters discuss tracheostomy management and the training of the carers involved, including relatives. The chapter authors are experienced specialists (physio-, occupational- and speech-language therapists and physicians), whose contributions aim to provide interdisciplinary perspectives and translate latest research into clinical practice.

• neurogenic swallowing disorders
• disturbed facial expression
• breathing, voice and speech disorders
• weaning from tracheostomy tubes
• motor learning
• postural control
• 24 hours concept
• nutrition
• oral hygiene
• non-verbal communication
• speech movements
• rehabilitation psychology

“The book is easy to read … . I highly recommend the Book Facial-Oral Tract Therapy (F.O.T.T.) -for Eating, Swallowing, Nonverbal Communication and Speech. It describes a high level of professional theoretical knowledge regarding F.O.T.T., and I often use the book in my clinical practice, as a reference Book, as well as I use the Book in my teaching for Health Professional, where I both educate students and fully trained occupational therapists and other health professional staff.” (ergoterapien.dk, November 10, 2021)

• Instructor for Facial-Oral Tract Therapy, Berlin, Germany

  Ricki Nusser-Müller-Busch

• Physiotherapy Bahnhofplatz Belp, Belp, Switzerland

  Karin Gampp Lehmann

Ricki Nusser-Müller-Busch, MSc, Speech and language therapist; (Neurorehabilitation). Licensed F.O.T.T. Instructor (F.O.T.T.®, Kay Coombes); Senior Instructor for Manual Dysphagia Therapy; Bobath therapist. Freelance provision of therapeutic services and technical guidance in hospitals, nursing homes, and during home visits. Cooperation on clinical practice guidelines for palliative care, larynx carcinoma and oral cancer in Germany. 

Karin Gampp Lehmann, Bsc, Physiotherapist Bsc, Physiotherapy Bahnhofplatz, Belp,  Switzerland (www.physiobelp.ch), Swiss Diploma in Craniosacral Osteopathy. Freelance tutor, supervisor, and teacher of treatments for dysphagia (postgraduate centers, hospitals and rehabilitation centers in Switzerland, Germany and Austria). Development and tutoring of the concept of Structural Interrelations in Dysphagia Therapy. Qualified moderator of quality circles for dysphagia and for peripheral facial paresis/Bell's Palsy (www.fazialisparese.ch). Advanced training in dysphagia therapy (Jerilyn Logemann, Susan Langmore, Gudrun Bartholome, Kay Coombes), craniofacial therapy (Harry von Piekartz, www.crafta.org) and neurodynamics (Nora Kern, www.noigroup.com).