Facial Oral Tract Therapy (F.O.T.T)

Facial Oral Tract Therapy is a comprehensive approach to the assessment and treatment of disturbances in facial expression, oral movement, swallowing, breathing, voice and speech production caused by neurological conditions such as stroke, brain injury, multiple sclerosis and motor neurone disease.

Four main areas are concerned: nutrition, oral hygiene, non-verbal communication and speech movements.

F.O.T.T is a practical, hands on, approach founded on the work of Berta and Karel Bobath. It is based on an understanding of human function and experiential learning.

There may be pathological patterns of biting, chewing and swallowing in adults with acquired neurological disorders making it difficult for individuals to self-feed and making them reliant on others to feed them. F.O.T.T. is a 24-hour therapeutic approach using real life activities.

F.O.T.T Goals

F.O.T.T Principles

Eating and drinking problems respond to treatment of the whole individual. Swallowing is influenced by a number of factors that are taken into account during treatment:

F.O.T.T therapy sessions will seek to identify facilitative swallowing postures/techniques and therapeutic oral hygiene, reduce hypersensitivity, emphasise the pre-oral stage to aid readiness for the receipt of food/fluids. Assessment will be carried out followed by a specifically tailored treatment plan which will include training to carers on how to implement the F.O.T.T techniques into everyday activities as appropriate.

F.O.T.T will be offered in blocks of therapy with review sessions as appropriate. It will be charged at £75 per hour and the number of sessions needed will be determined following assessment. Please contact me for more details if interested in this approach. If you come to me and I deem it to be an appropriate approach I will suggest it and give you more details at the time.