pISSN 2233-5978
eISSN 2713-6191

Table. 1.

Clinical evaluation and assessment of sialorrhea

Medical assessment
• Medical history
• Neurologic assessment
• Respiratory status
• Gastroesophageal reflux
• Allergies
• Dental examination
• Orofacial examination

Social evaluation
• Intrinsic motivation
• Self-management skills
• Impact of sialorrhea
• Importance of saliva control to family
Identify risk for aspiration
• Repeated episodes of pneumonia
• Repeated courses of antibiotics
• Wet breath sounds
• Need for frequent sucking
• Obvious pooling of secretions in the posterior oropharynx
+ Anterior drooling
Visible spillage of saliva from the mouth
Drooling severity
(subjective scales):
• Teacher Drool Scale (TDS)
• Drooling Severity and Frequency Scale (DSFS)
• Visual Analogue Scale (VAS) (objective scale):
• Drooling Quotient (DQ)
• Drooling Impact Scale (DIS)
• Drooling Infants and Preschoolers Scale (DRIPS)
• Drooling questionnaire
Oromotor assessment
• Head control
• Positioning
• Mouth closure
• Occlusion
• Lip seal
• Sensorimotor examination
• Swallow examination
Posterior drooling
Generally no quantitative assessment is available :
• Videofluoroscopic swallowing study (VFSS)
• Salivagram
• Flexible Endoscopic Evaluation of Swallowing (FEES)
• Pediatric Posterior Drooling Scale
Assessment by Dx. PD • Unified Parkinson’s Disease Rating Scale (UPDRS)
• The Sialorrhea Clinical Scale for PD (SCS-PD)
• Radboud Oral Motor inventory for Parkinson’s disease (ROMP)
ALS • Amyotrophic Lateral Sclerosis Functional Rating Scale
• The Oral Secretion Scale (OSS)
J Korean Dysphagia Soc 2022;12:85~95 https://doi.org/10.34160/jkds.2022.12.2.002
© J. Korean Dysphagia Soc.