Compensatory Maneuvers

Question 1

Name 4 reasons to use the chin tuck

Answer 1

Reduce premature spillage (holds bolus in oral cavity)
Widens Vallecular space (hold more liquid before swallow)
Promotes better base of tongue to posterior pharyngeal wall contact
Decreases opening to the laryngeal vestibule

Question 2

Name 3 reasons to use the head turn

Answer 2

Increases TVC closure
Promotes passage of food/liquid to the stronger side of pharynx
Reduces resting pressure of the CP segment (pulls cricoid cartilage away from posterior pharyngeal wall)

Question 3

When is the head turn commonly used?

Answer 3

When there is residue in the pharyngeal wall or pyriform sinus

*especially when asymmetry is displayed

Question 4

What does the effortful swallow do?

Answer 4

Promote STRONGER tongue to palate contact

Promote STRONGER base of tongue to posterior pharyngeal wall contact

Question 5

What is the different between the contact of the BOT and posterior pharyngeal wall when the chin tuck is used compared to the effortful swallow?

Answer 5

The effortful swallow is STRONGER

Question 6

What is the supraglottic swallow?

Answer 6

Holding your breath prior to and during the swallow
THEN coughing immediately after
THEN dry swallowing

Question 7

What is a super supraglottic swallow?

Answer 7

Supraglottic swallow combined with an effortful swallow

Question 8

What is it called when a pt voluntarily prolongs the duration of their laryngeal elevation? (HINT: this also increases CP Opening)

Answer 8

Mendelsohn maneuver

Question 9

Name postural changes/maneuvers

Answer 9

Chin tuck 
Head turn 
Effortful swallow
Supraglottic swallow
Super supraglottic swallow
Mendelsohn maneuver

Question 10

Why are compensatory maneuvers used?

Answer 10

Improve oral/pharyngeal transit of food/liquid

Improve airway protection