3 September 2025
This assessment specific position paper and competency framework should be used in conjunction with our sister guidance on topics related to all aspects of eating drinking and swallowing, including FEES and videofluoroscopy.
The RCSLT’s new position paper and competency framework on using high-resolution manometry assessments was published today as part of our suite of resources and guidance on multiple aspects of supporting people’s ability to eat, drink and swallow.
High-resolution manometry (sometimes referred to as pharyngeal high-resolution manometry), is a specialised assessment and growing area of practice for SLTs, helping to quantify the function of the pharynx and oesophageus through measuring changes in pressure. Our new position paper and competency framework highlights the role of the speech and language therapist in this assessment and provides support for development within this area.
As our knowledge of EDS difficulties expands to include understanding the relationship along the digestive tract, the inclusion of SLT led HRM within the role of the SLT provides an important insight to support holistic management. Advances around the world have shown the clinical utility of HRM in improving the outcomes for people with EDS difficulties.
Related guidance
These resources are part of a larger pool of guidance focusing on eating, drinking and swallowing. To review these, visit the Eating, drinking and swallowing guidance page. Links to related frameworks are available at the bottom of the page.
Information on using thickened fluids and eating and drinking with acknowledged risks is also available on our website (please note, we are in the early stages of updating our guidance on this. For more information about this project and similar projects, visit our current projects pages).
Read our new guidance
- Download and read our High-resolution manometry Position paper
- Download and read our new competency framework
Working in HRM
Joint lead author of the paper, Alex Stewart, has recently completed her PhD in the use of HRM in children and young people. She has written a piece for SLT Voices, describing her career path and how she has moved into this specialist area. To find our more, visit SLT Voices
