10.2 - Compensatory Strategies, Postural Changes and Changing Viscosity and Volumes Flashcards
What are six compensatory strategies?
Chin tuck
Head turn
Head tilt
Head back
Cyclical ingestion
Expiratory Cough (post swallow)
Dry/repeated swallow
Thickened liquids
What is a Chin Tuck?
What does it do?
Chin is pushed against chest during the swallow
Helps protect the airway by shortening the distance between the epiglottis & posterior pharyngeal wall
What can a Chin Tuck assist with?
3
Delayed onset of pharyngeal swallow
Pharyngeal weakness
Decreased laryngeal elevation
When is a Head Tilt used?
When there is unilateral weakness
What is a Head Back posture?
What does it do?
Head is tilted back at the point of swallowing initiation
Uses gravity to assist with bolus transport
When is a Head Back posture used?
When oral motor deficits inhibit bolus transport
What is Cyclical Ingestion?
What does it compensate for?
Solid food is swallowed by a liquid
When there is pharyngeal weakness and/or poor UES opening
What does Cyclic Ingestion do?
Clears residue from valleculae and pyriform sinuses
What is an Expiratory Cough (post swallow)?
Why is it used?
Coughing after swallowing
Clears any penetration
What compensatory strategy can be used for Delayed Swallow?
Chin tuck
What compensatory strategies can be used for Pharyngeal Weakness?
(2)
Chin tuck
Cyclical ingestion
What compensatory strategy can be used for Decreased Laryngeal Elevation?
Chin tuck
What compensatory strategy can be used to help with Laryngeal Elevation?
Chin tuck
What compensatory strategies can be used for Unilateral Weakness?
(2)
Head turn
Head tilt
What compensatory strategy can be used when oral motor deficits inhibit bolus transport?
Head back posture
