Adult

Question 1

Tx strategies for anterior spillage.

Answer 1

1) Upright posture

Question 2

Tx for oral pooling/residue

Answer 2

1) Clear mouth with finger or lingual sweep

2) Modify diet

Question 3

Tx for reduced oral sensation

Answer 3

1) Modify properties of diet (temp, text, carbonation) to enhance sensory input

Question 4

Tx for reduced tongue movement.

Answer 4

1) modify diet

2) clear mouth with finger or rinse

Question 5

Tx for delayed swallow onset

Answer 5

1) Modify properties of diet (temp, text, carb)

2) Thermal Tactile Stimulation

Question 6

Tx for premature spillage or coughing/aspiration pre-swallow

Answer 6

1) Modify diet
2) Modify rate of intake/bolus size = slow down eating
3) Chin Tuck

Question 7

Contraindications for Chin Tuck?

Answer 7

1) weak lip seal
2) weak pharyngeal constrictors
3) respiratory issues

Question 8

Contraindications for supraglottic swallow

Answer 8

1) Impaired cognition

2) Respiratory issues

Question 9

Contraindications for Shaker Exercise?

Answer 9

1) Poor cognition
2) Cervical Spine deficit
3) Noncompliant

Question 10

Contraindications for Effortful Swallow (comp)?

Answer 10

1) delayed swallow initiation

Question 11

Tx for reduced hyolaryngeal excursion

Answer 11

1) Supraglottic swallow
2) Chin tuck
3) Shaker exercise (rehab)

Question 12

Tx for nasal regurgitation

Answer 12

1) Palatal prosthesis

2) CPAP (rehab)

Question 13

Tx for pharyngeal residue

Answer 13

1) Multiple swallows
2) Cyclic ingestion
3) Head rotation to weak side
4) Effortful swallow (rehab)

Question 14

Tx for reduced glottal closure/voice change during swallow (aspiration)

Answer 14

1) LVST (rehab)
2) Modify diet
3) Modify rate of intake/size of bolus
4) Chin tuck

Question 15

Tx for unilateral oral/pharyngeal weakness (lateral medullary stroke)

Answer 15

1) Head rotation to weaker side

2) Head tilt to stronger side