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Facial-Oral Tract Therapy (F.O.T.T.) pp 73–114Cite as

Eating and Drinking – Involves More Than Swallowing

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Abstract

Regaining and maintaining functional and physiological movements is a main concern for patients who are unable to eat, drink, and swallow. They are also missing out on the pleasure and the social involvement in shared mealtimes (participation).

This chapter describes routes to safe eating and drinking, based on the Facial-Oral Tract Therapy (F.O.T.T.) approach. First, different aspects of normal food intake will be examined, enabling a broader perspective on the swallowing sequence. Then the structural, functional, and activity-related issues will be reviewed, in an everyday context. Finally, this chapter describes therapeutic work around the theme of nutrition (such as therapeutic eating and assisted meals) and discusses the safety aspects relating to oral nutrition. It will be illustrated why communal eating is a very demanding goal for many patients.

Keywords

  • Activity focused
  • Functional interaction
  • Pre-oral phase
  • Swallowing sequence
  • Direct and indirect swallowing support
  • Interaction of breathing and swallowing
  • Therapeutic eating
  • Assisted meals

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  • DOI: 10.1007/978-3-030-51637-6_5
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References

  • Affolter F, Bischofberger W (1996) Gespürte Interaktion im Alltag. In: Wege von Anfang an. Neckar, Villingen-Schwenningen

    Google Scholar 

  • Affolter F, Bischofberger W, Fischer L, Hoffmann W, Linzmeier S, Ott-Schindele R, Peschke V, Stöhr S, Strathoff S, Trares M (2009) Erfassung der Wirksamkeit gespürter Interaktionstherapie bei der Behandlung von Patienten mit erworbener Hirnschädigung. Neurol Rehabil 15(1):12–17

    Google Scholar 

  • Bisch E, Logemann J, Rademaker A, Kahrilas P, Lazarus C (1994) Pharyngeal effects of bolus volume, viscosity, and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjects. J Speech Lang Hear Res 37:1041–1049

    CAS  CrossRef  Google Scholar 

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

    Google Scholar 

  • Coombes K (1992) Coursenotes and course-script F.O.T.T. ground-course, personal communication. unpublished

    Google Scholar 

  • Davies PM (1995) Wieder Aufstehen. Frühbehandlung und Rehabilitation für Patienten mit schweren Hirnschädigungen. Springer, Berlin (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, p 35

    Google Scholar 

  • dgn German society of neurology/Deutsche Gesellschaft für Neurologie (2008) Leitlinien Neurogene Dysphagien. www.dgn.org. Assessed 15 Nov 2009

  • dgn German society of neurology/Deutsche Gesellschaft für Neurologie (2012) Leitlinien Neurogene Dysphagien. www.dgn.org. Assessed 26 May 2014

  • Elferich B (2001) Rehabilitation von Dysphagiepatienten, In: Therapiezentrum Burgau (Hrsg) 1991-2001 Jubiläumsschrift 10 Jahre Schulungszentrum, Therapiezentrum Burgau Dr. Friedl Str 1 89331 Burgau

    Google Scholar 

  • Erzer Lüscher F, Sticher H (2009) Der Einfluss der Mundstimulation nach F.O.T.T. auf die Schluckfrequenz bei Patienten mit einer Trachealkanüle und erworbenen zentralneurologischen Störungen. http://www.formatt.org/attachments/article/178/MscIV_erzer%20luescher_sticher_.pdf. Assessed 27 May 2014

  • Graham JV, Eustace C, Brock K, Swain E, Irwin-Carruthers S (2009) The Bobath concept in contemporary clinical practice. Top Stroke Rehabil 16(1):57–68

    CrossRef  PubMed  Google Scholar 

  • Gratz C (1996) Essen und Trinken als geführtes Alltagsgeschehnis. In: Wege von Anfang an. Neckar, Villingen-Schwenningen

    Google Scholar 

  • Gratz C (2002) F.O.T.T.-Therapie des fazio-oralen Traktes. In: Habermann C, Kolster F (eds) Ergotherapie im Arbeitsfeld Neurologie. Thieme, Stuttgart

    Google Scholar 

  • Gratz C, Müller D (2004) Die Therapie des Facio-Oralen Traktes bei neurologischen Patienten. Zwei Fallbeispiele. Schulz-Kirchner, Idstein

    Google Scholar 

  • Greenwood DI (2013) Nutrition management of amyotrophic lateral sclerosis. Nutr Clin Pract 28:392–399

    CrossRef  PubMed  Google Scholar 

  • Gross RD, Atwood CW, Grayhack JP, Shaiman S (2003) Lung volume effects on pharyngeal swallowing physiology. J Appl Physiol 95:2211–2217

    CrossRef  PubMed  Google Scholar 

  • Hiss G, Treole K, Stuart A (2001) Effects of age, gender, bolus volume and trial on swallowing apnea duration and swallow/respiratory phase relationships of normal adults. Dysphagia 16:28–135

    CrossRef  Google Scholar 

  • Hofer A (2009) Das Affolter-Modell. Entwicklungsmodell und gespürte Interaktionstherapie. Pflaum, München

    Google Scholar 

  • Huggins P, Tuomi S, Young C (1999) Effects of nasogastric tubes on the young, normal swallowing mechanism. Dysphagia 14:157–161

    CAS  CrossRef  PubMed  Google Scholar 

  • Jakobsen D, Poulsen I, Riberholt C, Hvass Petersen T, Schultheiss C, Curtis DJ, Seidl RO (2019) The effect of intensified nonverbal facilitation of swallowing on dysphagia after severe acquired brain injury: a randomised control pilot study. NeuroRehabilitation. 45(4):525–536. https://doi.org/10.3233/NRE-192901

  • Kahrilas PJ, Lin S, Logemann JA, Ergun GA, Facchini F (1993) Deglutitive tongue action: volume accommodation and bolus propulsion. Gastroenterology 104:152–162

    CAS  CrossRef  PubMed  Google Scholar 

  • Kjaersgaard A (2013) Difficulties in swallowing and eating following acquired brain injury. From a professional and a patient perspective. http://www.hospitalsenhedmidt.dk/afdelinger+og+centre/hammel+neurocenter/research+unit/staff/annette+kj%C3%A6rsgaard. Assessed 25 May 2014

  • Klahn M, Perlman A (1999) Temporal and durational patterns associating respiration and swallowing. Dysphagia 14:131–138

    CAS  CrossRef  PubMed  Google Scholar 

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

    CrossRef  PubMed  Google Scholar 

  • Langmore S, Terpenning M, Schork A, Chen Y, Murray J, Lopatin D, Loesche W (1998) Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 13:69–81

    CAS  CrossRef  PubMed  Google Scholar 

  • Leopold NA, Daniels SK (2010) Supranuclear control of swallowing. Dysphagia 25:250–257

    CrossRef  PubMed  Google Scholar 

  • Logemann JA (1983) Evaluation and treatment of swallowing disorders. Pro-ed, Austin

    Google Scholar 

  • Logemann JA (1999) Do we know what is normal and abnormal airway protection? Dysphagia 14:233–234

    CAS  CrossRef  PubMed  Google Scholar 

  • Martin RE (2009) Neuroplasticity and swallowing. Dysphagia 24:218–229

    CrossRef  PubMed  Google Scholar 

  • Martino R (2002) When to PEG? Dysphagia 17:233–234

    CrossRef  PubMed  Google Scholar 

  • Mulder T, Hochstenbach J (2001) Adaptability and flexibility of the human motor system: implications for neurological rehabilitation. Neural Plast 8:131–140

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  • Müller D (2012) Haben F.O.T.T.-Schluckhilfen einen Einfluss auf die Häufigkeit, Effektivität und Effizienz des Schluckens bei Patienten mit Dysphagie nach Schlaganfall? http://www.formatt.org/literatur/studien-zur-f-o-t-t.html. Assessed 25 May 2014

  • Neumann S (1999) Physiologie des Schluckvorganges. In: Bartolome et al. (Hrsg) Schluckstörungen. Diagnostik und Rehabilitation, 2. Aufl. Urban & Fischer, München

    Google Scholar 

  • Nusser-Müller-Busch R (1997) Therapie des Facio-Oralen Traktes (FOTT) zur Behandlung facio-oraler Störungen und Störungen der Nahrungsaufnahme. FORUM Logopädie 2:1–4

    Google Scholar 

  • Nusser-Müller-Busch R (2001) Diätetik bei Schluckstörungen im Erwachsenen- und Kindesalter. In: Böhme G (Hrsg) Sprach-, Sprech-, Stimm- und Schluckstörungen. Bd 2: Therapie, 3. Aufl. Urban & Fischer, München

    Google Scholar 

  • Peschke V (1996) Von der Frührehabilitation zur weiterführenden Rehabilitation – erweiterte Alltagsgeschehnisse in der neuropsychologischen Milieutherapie. In: Wege von Anfang an. Neckar, Villingen-Schwenningen

    Google Scholar 

  • Ponfick M, Linden R, Lüdemann-Podubecka J, Bösl K, Neumann G, Gdynia H, Wiederer R, Nowak (2013) Dysphagie bei Critical illness Polyneuropathie. http://registration.akm.ch/einsicht.php?XNABSTRACT_ID=174356&XNSPRACHE_ID=1&XNKONGRESS_ID=190&XNMASKEN_ID=900. Assessed 26 May 2014

  • Robbins JA (1996) Normal swallowing and aging. Semin Neurol 16(4):309–317

    CAS  CrossRef  PubMed  Google Scholar 

  • Robbins JA, Coyle J, Rosenbek J, Roecker E, Wood J (1999) Differentiation of normal and abnormal airway protection during swallowing using the penetration-aspiration scale. Dysphagia 14:228–232

    CAS  CrossRef  PubMed  Google Scholar 

  • Robbins JA, Butler SG, Daniels SK, Gross RD, Langmore S, Lazarus CL, Martin-Harris B, Mc Cabe D, Musson N, Rosenbek JC (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 

  • Rolf G (2007) Schmerzpuzzle – Verlust der Beweglichkeit, Ausweichbewegungen und Selbstmanagment. Manuelle Therapie 11:10–16

    Google Scholar 

  • Rosenbek J, Robbins J, Roecker E, Coyle J, Woods J (1996) A penetration-aspiration scale. Dysphagia 11:93–96

    CAS  CrossRef  PubMed  Google Scholar 

  • Sawczuk A, Mosier KM (2001) Neural control of tongue movement with respect to respiration and swallowing. Crit Rev Oral Biol Med 12(1):18–37

    CAS  CrossRef  PubMed  Google Scholar 

  • Schaupp U (2000) Dysphagie im Alter. In: Kolb (Hrsg) Dysphagie. Kompendium für Ärzte und Sprachtherapeuten in Klinik, Rehabilitation und Geriatrie. Urban & Vogel, München

    Google Scholar 

  • Schütz M (2000) Die Bedeutung der präoralen Phase im Rahmen des oralen Kostaufbaus. In: Lipp B, Schlaegel W, Nielsen K et al (eds) Gefangen im eigenen Körper – Lösungswege. Neckar, Villingen-Schwenningen

    Google Scholar 

  • Sticher H, Gampp Lehmann K (2017) Das Schlucken fördern. physiopraxis 3/17: 38–41. Thieme, Stuttgart

    Google Scholar 

  • Tittmann D (2001) F.O.T.T. – ein interdisziplinäres Konzept. not 2001/2 Weber, Leimersheim

    Google Scholar 

  • Von Piekartz H (2005) Kiefer, Gesichts- und Zervikalregion. Neuromuskuloskeletale Untersuchung, Therapie und Managment. Thieme, Stuttgart

    Google Scholar 

  • Woite D (1997) Therapie des Facio-Oralen Traktes nach Coombes. Praxis Ergotherapie 10(5):350–352

    Google Scholar 

  • Yao D, Yamamura K, Narita N, Martin RE, Murray GM, Sessle BJ (2002) Neuronal activity patterns in primate primary motor cortex related to trained and semiautomatic jaw and tongue movements. J Neurophysiol 87:2531–2541

    CrossRef  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Klink Bavaria II, Kreischa, Germany

    Doris Müller

  2. Hardtwaldklinik I, Bad Zwesten, Germany

    Jürgen Meyer-Königsbüscher

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  1. Doris Müller
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  2. Jürgen Meyer-Königsbüscher
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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

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Müller, D., Meyer-Königsbüscher, J. (2021). Eating and Drinking – Involves More Than Swallowing. 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_5

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  • DOI: https://doi.org/10.1007/978-3-030-51637-6_5

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