A decision-algorithm defining the rehabilitation approach: 'Facial oral tract therapy'®.

Aim. The aim of this study was to describe and define the rehabilitation approach: 'Facial Oral Tract Therapy' (F.O.T.T.)(R). Method. We defined the content and process of the rehabilitation approach (F.O.T.T.)(R) in a decision-algorithm supported by a manual with supplementary material. The algorit...

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Published in:Disability & Rehabilitation Vol. 32; no. 17; pp. 1447 - 1461
Main Authors: Hansen TS, Jakobsen D
Format: algorithm research tables/charts Journal Article
Published: Taylor & Francis Ltd Nov2010
Online Access:View this record in EBSCOhost
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      dt: Nov2010
      vid: 32
      iid: 17
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: A decision-algorithm defining the rehabilitation approach: 'Facial oral tract therapy'®.
      aug:
        au:
          Hansen TS
          Jakobsen D
        affil: Brain Injury Unit, Department of Neurorehabilitation; trine.schow@gmail.com
      sug:
        subj:
          Decision Making, Clinical
          Deglutition Disorders Rehabilitation
          Rehabilitation Methods
          Algorithms
          Deglutition
          Eating
          Facial Expression
          Human
          Oral Hygiene
          Respiration
          Speech
      ab: Aim. The aim of this study was to describe and define the rehabilitation approach: 'Facial Oral Tract Therapy' (F.O.T.T.)(R). Method. We defined the content and process of the rehabilitation approach (F.O.T.T.)(R) in a decision-algorithm supported by a manual with supplementary material. The algorithm was developed by a research occupational therapist and an F.O.T.T.(R) senior instructor. We used an inductive approach combining existing knowledge from: F.O.T.T.(R) instructors, therapists trained in using the F.O.T.T.(R) approach, and existing literature. A group of F.O.T.T.(R) instructors and the originator of the treatment approach Mrs. Kay Coombes has given comments to and approved the algorithm. Result. The algorithm consist of five flowcharts: 'one assessment' chart guiding the therapist in the examination of the patient and four 'treatment charts', one for each of the four areas of F.O.T.T.(R): swallowing and eating; oral hygiene; breathing, voice, and speech articulation; facial expression, giving guidance on interventions. The algorithm outlines all important components in the treatment that the therapist should decide to use or not to use in the intervention. The algorithm is supported by a manual with criteria of when to use which components. Conclusion. This algorithm is designed to be a practical guideline to therapists using F.O.T.T.(R) in clinical practice and in educational settings. The use of this algorithm may support standardization of F.O.T.T.(R) and thereby promote and maintain the quality in the treatment. This in turn will facilitate research that addresses F.O.T.T.(R) and outcomes.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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