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Table 1 Dysphagia Severity Rating Scale (adapted by Gates et al.[23])

From: Improvement of dysphagia in a child affected by Pompe disease treated with enzyme replacement therapy

0

Normal swallowing

 

1

Minimal dysphagia

VFFS shows a slight deviation from a normal swallow; impairment limited to oral stage

2

Mild dysphagia swallowing suggestion

Presence of oro-pharyngeal dysphagia; can be treated by means of specific swallowing suggestion

3

Mild to moderate dysphagia

Presence of oro-pharyngeal dysphagia potential for aspiration exists but can be diminished by specific swallowing techniques

4

Moderate dysphagia

Presence of oro-pharyngeal dysphagia; potential for aspiration exists: trace aspiration can be seen at VFSS

5

Severe dysphagia

Presence of aspiration; nothing by mouth is recommended