11/15/2023 0 Comments Chin tuck swallow![]() ![]() Īshford, J., McCabe, D., Wheeler-Hegland, K., Frymark, T., Mullen, R., Musson, N., … & Hammond, C. American Journal of Speech-Language Pathology. Evidence-based systematic review: Effects of nonspeech oral motor exercises on speech. Fiberoptic endoscopic examination of swallowing safety: a new procedure. Manual for the videofluorographic study of swallowing (Vol. Clinical anatomy & physiology of the swallow mechanism. Remember, diet consistency changes should be considered as a last resort! Do not immediately trial thickened liquids and change a diet without first trialing other strategies that may allow a patient to safely swallow thin liquids.įor more information on the new standardized diet consistency levels, visit the IDDSI website.Ĭorbin-Lewis, K., & Liss, J. Pressure-Patient may respond with a swallow given pressure from the spoon as presenting the bolus. Some patients require a larger bolus to trigger the swallow. Size-Patient may have difficulty with a small bolus vs. Patients may respond to differing tastes. Sour has been known to stimulate a faster swallow. ![]() Temperature-Patients may respond differently with a hot bolus vs. (May help you determine if thick liquids could be used therapeutically during sessions, not necessarily for diet changes.) Viscosity-May trial thicker consistencies to determine if there is an effect on the swallow. Patient may be more successful with a bolus they have to chew. Use with reduced pharyngeal contraction (pharyngeal residue, aspiration after swallow).To help clear pharyngeal residue by altering gravity.Use with patients with poor anterior-posterior propulsion of bolus such as with glossectomy.May assist patients with poor oral control or difficulty propelling the bolus.Use with unilateral pharyngeal paralysis or paresis.Closes the weak side of the swallow directing the bolus to the stronger side.Use with oral containment issues (posterior loss of bolus resulting in aspiration).Helps patient keep bolus in the oral cavity.Use with reduced tongue base retraction.Increase strength of the overall swallow.Use for reduced PharyngoEsophageal (PES) opening.Use with penetration/aspiration prior to or during the swallow.Facilitates timing and extent of laryngeal closure at specific levels of the larynx.For early closure at the entrance to the airway.Logemann recommends 10x/day x5 min with 5-6 swallows each time as exercise. Use when you see aspiration prior to or during the swallow.To close vocal cords prior to the swallow.While most compensatory strategies do not cause long-term effects to the swallowing system, some can be used as exercise to create a lasting effect to swallowing.Īny compensatory strategy should be viewed during instrumental assessment to determine the effectiveness and accuracy of completion. Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow.Ĭompensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer.Ĭompensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. ![]()
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