Assessment Tool: Modified Mann Assessment of Swallowing Ability (MMASA)
Score all 14 items by direct observation and bedside examination. Administer only if the patient is awake and in a safe position. A score ≤ 100 indicates likely dysphagia and requires SLP referral and NPO precautions.
Modified Mann Assessment of Swallowing Ability (MMASA)
A 14-item bedside dysphagia screening tool for use with neurological patients. Total score 0–140. Adapted from the Mann Assessment of Swallowing Ability (MASA) by Mann and Hankey. Scores ≤ 100 indicate dysphagia; scores 101–122 warrant further evaluation.
Interpretation
0–100
Dysphagia likely — NPO / SLP referral
101–122
Equivocal — consider instrumental evaluation
123–140
Low dysphagia risk
Result
MMASA Score: 0/140
Interpretation: