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!
INTRODUCTION
The
International
Dysphagia
Diet
Standardisation
Initiative
(IDDSI)
was
founded
in
2013
with
the
goal
of
developing
new
global
standardised
terminology
and
definitions
to
describe
texture
modified
foods
and
thickened
liquids
used
for
individuals
with
dysphagia
of
all
ages,
in
all
care
settings,
and
all
cultures.
Three
years
of
ongoing
work
by
the
International
Dysphagia
Diet
Standardisation
Committee
has
culminated
in
a
final
dysphagia
diet
framework
consisting
of
a
continuum
of
8
levels
(0-‐7).
Levels
are
identified
by
numbers,
text
labels
and
colour
codes.
This document provides details regarding Testing Methods for use with the IDDSI Framework.
This
document
is
to
be
read
in
conjunction
with
the
Complete
IDDSI
Framework,
IDDSI
Evidence
and
IDDSI
Frequently
Asked
Questions
(FAQs)
documents
(http://iddsi.org/resources/framework/).
The
IDDSI
Committee
would
like
to
acknowledge
the
interest
and
participation
of
the
global
community
including
patients,
caregivers,
health
professionals,
industry,
professional
associations
and
researchers.
We
would
also
like
to
thank
our
sponsors
for
their
generous
support.
Committee
Members:
Jianshe
Chen
(CHN),
Roberto
Dantas
(BRA),
Janice
Duivestein
(CAN),
Ben
Hanson
(UK),
Jun
Kayashita
(JPN),
Caroline
Lecko
(UK),
Mershen
Pillay
(ZAF),
Luis
Riquelme
(USA),
Soenke
Stanschus
(GER),
Catriona
Steele
(CAN).
The
International
Dysphagia
Diet
Standardisation
Initiative
Inc.
(IDDSI)
is
an
independent,
not-‐for-‐profit
entity.
IDDSI
is
grateful
to
a
large
number
of
agencies,
organizations
and
industry
partners
for
financial
and
other
support.
Sponsors
have
not
been
involved
with
the
design
or
development
of
the
IDDSI
framework.
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IDDSI
Flow
Test
The
IDDSI
Flow
test
uses
a
10
mL
slip
tip
hypodermic
syringe,
as
shown
in
the
image
below.
Although
10
mL
syringes
were
initially
thought
to
be
identical
throughout
the
world
based
on
reference
to
an
ISO
standard
(ISO
7886-‐1),
it
has
subsequently
been
determined
that
the
ISO
document
refers
only
to
the
nozzle
of
the
syringe
and
that
variability
in
barrel
length
and
dimensions
may
exist
between
brands.
Specifically
the
IDDSI
Flow
test
uses
a
reference
syringe
with
a
measured
length
of
61.5
mm
from
the
zero
line
to
the
10
mL
line
(BDTM
syringes
were
used
for
the
development
of
the
tests
–
manufacturer
code
301604).
IDDSI
is
aware
that
there
are
some
syringes
that
are
labeled
as
10
mL,
but
in
fact
have
a
12
mL
capacity.
Results
using
a
12
mL
syringe
will
be
different
to
those
from
a
true
10
mL
syringe.
As
a
result
it
is
important
to
check
the
barrel
length
as
shown
on
the
diagram
below.
Details
for
conducting
the
test
are
shown
below.
Videos
showing
the
IDDSI
Flow
Test
can
also
be
viewed
at:
http://iddsi.org/framework/drink-‐testing-‐
methods/
Drinks
and
liquids
such
as
gravy,
sauces
and
nutritional
supplements
are
best
assessed
using
the
IDDSI
Flow
Test
(Levels
0-‐3).
For
extremely
thick
drinks
(Level
4),
that
do
not
flow
through
a
10
mL
syringe
in
10
seconds
and
are
best
consumed
with
a
spoon,
the
IDDSI
Fork
Test
and/or
Spoon
Tilt
Test
are
recommended
as
methods
for
determining
consistency.
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