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What is the primary purpose of a clinical swallow evaluation in speech-language pathology?

  1. To diagnose vocal cord diseases

  2. To assess the integrity of the swallowing mechanism

  3. To measure cognitive abilities

  4. To determine the need for an AAC device

The correct answer is: To assess the integrity of the swallowing mechanism

The primary purpose of a clinical swallow evaluation in speech-language pathology is to assess the integrity of the swallowing mechanism. This evaluation is essential for identifying any difficulties a patient may have when swallowing, which could lead to aspiration or inadequate nutrition. During the evaluation, the speech-language pathologist observes the patient’s ability to swallow various consistencies of food and liquids while considering factors such as oral motor skills, coordination, and physiological responses. Assessing the swallowing mechanism allows the clinician to devise appropriate treatment plans, recommend further diagnostic procedures if needed (such as a videofluoroscopic swallow study), and ensure patient safety during eating. Accurate understanding of the swallowing process aids in preventing complications related to swallowing difficulties, making this evaluation a critical component of speech-language pathology practice.