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ECU Dysphagia > 11.1 - Treatment of Dysphagia > Flashcards

11.1 - Treatment of Dysphagia Flashcards

1
Q

What are the two different strategies that are used to treat dysphagia?

A

Compensatory strategies

Rehabilitation

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2
Q

What are swallowing compensation strategies?

3

A

Changing viscosities

Changing postures

Swallowing strategies

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3
Q

What is swallowing rehabilitation?

2

A

Swallowing maneuvers (Masako, Mendelsohn, Shaker, Supraglottic, Super Supraglottic)

They improve swallowing physiology

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4
Q

What five things do we need to consider before settling on a dysphagia treatment?

A

Options

Physiology

Risks vs. benefits

Outcomes (Qol, etc.)

Compliance (will pt. be able to)

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5
Q

What are seven physiology-based impairments we can treat?

A

Oral stage deficits

Swallow initiation

VP closure

BoT to PPW retraction

Hyolaryngeal excursion

Airway protection

UES opening

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6
Q

What strategies can improve Oral Stage Deficits?

A

Strengthening exercises (CSL, IOPI, Therabite)

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7
Q

What strategies can improve Swallow Initiation?

A

Thermal/tactile stimulation

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8
Q

What strategies can improve VP Closure?

A

CTAP

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9
Q

What strategies can improve BoT to PPW Retraction?

2

A

Masako

Effortful swallows

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10
Q

What strategies can improve Airway Protection?

2

A

Supraglottic Maneuver

Super Supraglottic maneuver

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11
Q

What strategies can improve UES Opening?

A

Mendelsohn

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12
Q

What substances can be injected into the VFs?

3

A

Teflon

Collagen

Fat

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13
Q

What are five additional techniques that can be used to treat dysphagia?

A

Pitch gliding exercises.

Myofascial release (massage)

Expiratory Muscle Strength Training

Free-water protocol

LSVT

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14
Q

What is Pitch gliding?

What does it improve? (2)

A

Gliding from a low pitch to high pitch on sustained phonation.

//

Pharyngeal muscles

Airway protection

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15
Q

What is Myofascial Release?

3

A

Type of massage used by Physical therapists that has been recently used by SLP as well

Similar to circumlaryngeal massaging.

Targets tightness in muscles

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16
Q

Who is Myofascial Release beneficial for?

A

Individuals with fibrosis

17
Q

How does Expiratory Muscle Strength Training (EMST) help with swallowing?

(4)

A

Improved respiratory pressure

Improved strength of cough

Improved sub-mental activity (muscles under the chin)

Better airway protection

18
Q

How does LSVT improve swallowing?

3

A

Increases sub-glottal pressure.

Improve VF and laryngeal vestibule closure

May improve pharyngeal transit too.

19
Q

What is the Free-Water Protocol?

3

A

Water continues to be allowed

No water is given during meals or for 30 minutes after eating (thickened liquids used during meals)

No medications given with water

20
Q

What is the idea behind the Free-Water Protocol?

2

A

Aspirating water is a benign event

Good hydration is important for oral care and quality of life

ECU Dysphagia (31 decks)

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