Professional Device for Dysphagia Rehabilitation is coming...

We are developing a dedicated professional device for dysphagia rehabilitation. Learn more about The Biber Protocol® below.

The Biber Protocol®

In 1999, American Speech Language Pathologist Ms. Teresa Biber LoMonte researched and developed The Biber Protocol®.

This innovative therapy offers a philosophy of hope for recovery by utilizing painless and effective neuromuscular electrical stimulation to re-educate the muscles required for swallowing, voicing, and facial movement.

Ms. Teresa Biber LoMonte has traveled to various countries over the years to train local speech therapists and healthcare professionals on dysphagia by effectively implementing The Biber Protocol® to help dysphagia patients. It is estimated that The Biber Protocol® has been used over 1,000,000 times worldwide with significant results and without any adverse effects.

  • The purpose of dysphagia rehabilitation is to restore swallow function to the highest level possible in order to prevent further complications and promote optimal quality of life

    Biber 2008

what's dysphagia?

Dysphagia refers to difficulty in swallowing food, liquids, or even saliva.

It can be caused by a variety of medical conditions, such as stroke, brain injury, neurological disorders, aging, cancer, etc... Dysphagia can be a serious condition that may lead to malnutrition, dehydration, and aspiration pneumonia. It is important to seek medical attention if you are experiencing difficulty in swallowing.

How to treat Dysphagia?

The most common treatment for dysphagia is the use of electrical stimulation therapy to activate muscles involved in the swallowing process.

The Biber Protocol® is a patented Neuromuscular Electrical Stimulation (NMES) therapy that has been extensively researched over the years. Individuals with dysphagia can use the BiberPLUS+ system to conduct functional training of their swallowing muscles, following the treatment parameters prescribed by their therapist.


How does NMES works?

Neuromuscular Electrical Stimulation (NMES) involves the use of a handheld device that transmits tiny pulses through small cloth pads placed on the skin's surface to stimulate the nerves and activate weak or paralyzed muscles. These pulses are painless and, when combined with specific targeted tasks, can result in improvements in swallowing, voicing, and facial movement.

The Biber Protocol® is a customized NMES protocol for dysphagia, dysphonia and facial droop/paralysis, tailored to meet specific needs of each patient.

What's so special about The Biber Protocol®?

The Biber Protocol stands out from other dysphagia electrical therapies in numerous ways, such as electrode placement, treatment parameters, treatment delivery method, treatment philosophy, and more.

The Biber Protocol® is a true NMES protocol, which can be verified by numerous electrotherapy sources. While other therapies also use electrical stimulation, they do not meet the criteria for an NMES protocol, and therefore should not be referred to as NMES.

Can I use NMES with a pacemaker?

Yes. It is recommended to go through the pacemaker interference protocol and consult your doctor beforehand. It is important to note that NMES should NEVER be used with a defibrillator.

Can I use NMES on a cancer patient?

Yes. There is no scientific evidence for any risk when using NMES on a cancer patient. Indeed there is evidence that electrical stimulation can help shrink tumors and enhance radiation therapy.