Table. 1. 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.