Skip to main content
Book cover

Facial-Oral Tract Therapy (F.O.T.T.) pp 1–19Cite as

The F.O.T.T. Approach: Functional – Complex – Relevant for Daily Life

  • 364 Accesses

Abstract

When brain damage occurs, it may cause various forms of swallowing disorders and speech dysfunctions. The goal of Facial–Oral Tract Therapy (F.O.T.T.), as developed by Kay Coombes and colleagues, is the integration and coordination of facial-oral functions. This enables the safe coordination of breathing, swallowing, voice, speech, facial expression, eating and drinking, and the efficient use of protective clearing measures, when required. In order to eat and drink safely again, many patients must relearn to adapt their postural control during daily activities, for example, transporting food to their mouths, using the tongue to remove residues from the oral cavity by coughing, swallowing or spitting out, etc. This introductory chapter offers an insight into the F.O.T.T. approach, which combines empirical therapeutic knowledge with current scientific findings in neurorehabilitation.

Keywords

  • Facial-oral functions
  • Protective mechanisms
  • Principles
  • Methods
  • Techniques
  • Postural control
  • Brain damage
  • F.O.T.T. areas
  • 24 hour approach
  • Pre-oral phase

This is a preview of subscription content, access via your institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-51637-6_1
  • Chapter length: 19 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   44.99
Price excludes VAT (USA)
  • ISBN: 978-3-030-51637-6
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   59.99
Price excludes VAT (USA)
Hardcover Book
USD   89.99
Price excludes VAT (USA)
Learn about institutional subscriptions
Fig. 1.1
Fig. 1.2

References

  • Affolter F (1991) Perception, interaction and language. Springer, Berlin, Heidelberg, New York, pp 167–189

    CrossRef  Google Scholar 

  • Affolter F, Bischofberger W (1993) Wenn die Organisation des zentralen Nervensystems zerfällt – und es an gespürter Information mangelt. Neckar, Villingen-Schwenningen

    Google Scholar 

  • Banduras A (1986) Social foundations of thought and action: a social cognitive theory. Prentice Hall, Upper Saddle River

    Google Scholar 

  • Bassoe Gjelsvik BE (2012) Die Bobath Therapie in der Erwachsenenneurologie. 2. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Biewald F (1999) Grußwort. In: Paeth Rohlfs B Erfahrungen mit dem Bobath-Konzept. Thieme, Stuttgart, S VI–VII

    Google Scholar 

  • Bobath B (1977a) Treatment of adult hemiplegia. Physiotherapy 62:310–313

    Google Scholar 

  • Bobath K (1977b) Die motorische Entwicklung bei Zerebralparesen. Thieme, Stuttgart

    Google Scholar 

  • Bobath B (1990) Adult Hemiplegia. Heinemann Medical Books, London

    Google Scholar 

  • Böggering J (2008) Einfluss einer cutanen elektrischen Stimulation des Halses auf den motorischen Kortex bei gesunden Probanden. Diplomarbeit Lehr- und Forschungslogopädie RWTH, Aachen

    Google Scholar 

  • Bolser DC, Gestreau C, Morris KF, Davenport PW, Pitts TE (2013) Central neural circuits for coordination of swallowing, breathing, and coughing: predictions from computational modeling and simulation. Otolaryngol Clin North Am 46(6) https://doi.org/10.1016/j.otc.2013.09.013. Accessed 29 Mar 2019

  • Castillo Morales R (1998) Die Orofaziale Regulationstherapie, 2. Aufl. Pflaum, München

    Google Scholar 

  • Coombes K (1996) Von der Ernährungssonde zum Essen am TisChap. In: Lipp B, Schlaegel W (Hrsg) Wege von Anfang an. Frührehabilitation schwerst hirngeschädigter Patienten Neckar, Villingen-Schwenningen, S 137–143

    Google Scholar 

  • Coombes K (2002) Zitate im Rahmen des F.O.T.T.-Refresher Kurses im Therapiezentrum Burgau 12/2002. Therapiezentrum Burgau, Dr. Friedl Str. 1, 89331 Burgau

    Google Scholar 

  • Davies PM (1994) Starting again. Early rehabilitation after traumatic brain injury or other severe brain lesion. Springer, Berlin Heidelberg

    Google Scholar 

  • Davies PM (2000) Steps to follow. The comprehensive treatment of patients with hemiplegia. Springer, Berlin

    Google Scholar 

  • Duysens J, Trippel M, Horstmann GA, Dietz V (1990) Gating and reversal of reflexes in ankle muscles during human walking. Exp Brain Res 82(2):351–358

    CAS  CrossRef  PubMed  Google Scholar 

  • German guideline palliative care for adult patients with incurable cancer. http://leitlinienprogrammonkologie.de/Palliativmedizin.80.0.html. Accessed 17 May 2018

  • Horst R (2011) N.A.P. – Therapieren in der Neuroorthopädie. Thieme, Stuttgart, S 13

    Google Scholar 

  • Hüther G, Weser I (2012) Das Geheimnis der ersten neun Monate, 2. Aufl. Beltz, Weinheim

    Google Scholar 

  • Ibita.org. http://www.ibita.org/. Accessed 04 Apr 2019

  • Iddsi.org. https://iddsi.org/. Assessed 02 Aug 2020

  • Jeannerod M (1997) The cognitive neuroscience of action. Blackwell Publishers, Cambridge

    Google Scholar 

  • Kandel EC (2007) Auf der Suche nach dem Gedächtnis. Pantheon, München 2007:87–88

    Google Scholar 

  • Kandel EC, Schwartz JH, Jessel TM (eds) (2012) Neurowissenschaften: Eine Einführung. Akademischer Verlag, Heidelberg

    Google Scholar 

  • Kleim JA, Jones TA (2008) Principles of experience dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res 51(1):S225–S239

    CrossRef  PubMed  Google Scholar 

  • Klemme B, Siegmann G (2014) Clinical Reasoning Therapeutische Denkprozesse lernen, 2. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Langmore SE (ed) (2001) Endoscopic evaluation and treatment of swallowing disorders. Thieme NY, Stuttgart

    Google Scholar 

  • Logemann JA (1998) Evaluation and Treatment of Swallowing Disorders. Pro-ed Austin

    Google Scholar 

  • Mayston M (2001) Problem solving in neurological physiotherapy – setting the scene. In: Edwards S (ed) Neurological physiotherapy – a problem-solving approach, 2nd edn. Churchill Livingstone Elsevier, Edinburgh

    Google Scholar 

  • Mulder T (2003) Citations, lecture adaptation and flexibility of human motor system – implications for neurological rehabilitation. Allgemeines Krankenhaus St. Georg, Hamburg

    Google Scholar 

  • Mulder T, Hochstenbach J (2003) Motor control and learning: implications for neurological rehabilitation. In: Greenwood RJ (ed) Handbook of neurological rehabilitation, 2nd edn. Psychology Press, New York

    Google Scholar 

  • Muratori LM, Lamberg EM, Quinn L, Duff SV (2013) Applying principles of motor learning and control to upper extremity rehabilitation. J Hand Ther 26(2):94–103. https://doi.org/10.1016/j.jht.2012.12.007

    CrossRef  PubMed  PubMed Central  Google Scholar 

  • Mütz S (2009) Einfluss einer oralen Stimulation nach F.O.T.T. auf den motorischen Kortex gesunder Probanden. Diplomarbeit Lehr- und Forschungslogopädie RWTH, Aachen

    Google Scholar 

  • NDT, Neuro-Developmental Treatment. https://www.ndta.org/. Accessed 10 May 2018

  • Nusser-Müller-Busch R (2013) Schluckstörungen auf der Intensivstation: Atmen und Schlucken – eine vitale Beziehung. DIVI 4:7–14. https://doi.org/10.3238/DIVI.2013.007-0014

  • Paeth Rohlfs B (2010) Erfahrungen mit dem Bobath-Konzept. 3. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Pascolo PB, Budai R, Rossi R (2010) Critical review of the research leading to the mirror neuron paradigm - biomed 2010. Biomed Sci Instrum 46:422–427

    Google Scholar 

  • Penner H, Bur T, Nusser-Müller-Busch R, Oster P (2010) Logopädisches Vorgehen bei Dysphagien im Rahmen der Palliativmedizin. Z Palliativmed 11:1–13

    CrossRef  Google Scholar 

  • Rizzolatti G, Sinigaglia C (2008) Empathie und Spiegelneurone. Die biologische Basis des Mitgefühls. Suhrkamp, Berlin

    Google Scholar 

  • Robbins J, Butler SG, Daniels SK, Diez Gross R, Langmore S, Lazarus CL, Martin-Harris B, McCabe D, Musson N, Rosenbek J (2008) Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence. J Speech Lang Hear Res 51:276–300

    CrossRef  Google Scholar 

  • Schultheiss S, Wolter T, Schauer H, Nahrstaedt H, RO Seidl (2015) Einfluss der Körperposition auf die Atem-Schluck-Koordination. HNO 63(6):439–446 – Effect of body position on coordination of breathing and swallowing. https://www.ncbi.nlm.nih.gov/pubmed/26059790. Accessed July 2018

  • Seidl RO, Nusser-Müller-Busch R, Ernst A (2002) Der Einfluß von Trachealkanülen auf die Schluckfrequenz. Neurol Rehabil 8:302–305

    Google Scholar 

  • Seidl R, Nusser-Müller-Busch R, Hollweg W, Westhofen M, Ernst A (2007) Pilot study of a neurophysiological dysphagia therapy for neurological patients. Clin Rehabil 21(8):686–697

    CrossRef  PubMed  Google Scholar 

  • Sticher H, Lehmann K (2017) Schluckrehabilitation therapeutisch unterstützen – Das Schlucken fördern. physiopraxis 15(03):38–41

    Google Scholar 

  • Vaughan-Graham J, Eustace C, Brock K et al. (2009) The Bobath Concept in Contemporary Clinical Practice. Top Stroke Rehabil 16:57–68

    Google Scholar 

  • Vaughan-Graham J, Eustace C, Brock K, Swain E, Irwin-Carruthers S (2015) The Bobath Concept in Contemporary Clinical Practice. Topics in Stroke Rehabilitation 16(1):57–68

    Google Scholar 

  • WHO – World Health Organization (2012) International Classification of Functioning, Disability and Health (ICF) http://www.who.int/classifications/icf/en. Deutsche Fassung: http://www.dimdi.de/static/de/klassi/icf/index.htm. Accessed 16 Mar 2015

  • Wulf G (2007) Motorisches Lernen. Physiopraxis Refresher 1(7):3–10

    Google Scholar 

  • Wulf G (2009) Aufmerksamkeit und motorisches Lernen. Urban & Fischer/Elsevier, München

    Google Scholar 

  • Wulf G, Lewthwaite R (2016) Optimizing performance through intrinsic motivation and attention for learning: the OPTIMAL theory of motor learning. Psychon Bull Rev 23(5):1382–1414

    CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Instructor for Facial-Oral Tract Therapy, Berlin, Germany

    Ricki Nusser-Müller-Busch

Authors
  1. Ricki Nusser-Müller-Busch
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Instructor for Facial-Oral Tract Therapy, Berlin, Germany

    Ricki Nusser-Müller-Busch

  2. Physiotherapy Bahnhofplatz Belp, Belp, Switzerland

    Karin Gampp Lehmann

Rights and permissions

Reprints and Permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Nusser-Müller-Busch, R. (2021). The F.O.T.T. Approach: Functional – Complex – Relevant for Daily Life. In: Nusser-Müller-Busch, R., Gampp Lehmann, K. (eds) Facial-Oral Tract Therapy (F.O.T.T.) . Springer, Cham. https://doi.org/10.1007/978-3-030-51637-6_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-51637-6_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-51636-9

  • Online ISBN: 978-3-030-51637-6

  • eBook Packages: MedicineMedicine (R0)