Compensatory Techniques, Therapy, Exercises: Postural Changes

Question 1

Chin Tuck

Answer 1

• Hold bolus in front of mouth, tuck chin, swallow
• Extension of oral transit time
• Bolus has to travel against gravity; swallow is intentionally initiated when ready
• Protection measure: Can help narrow entrance of airway

Question 2

Head Turn to Right or Left

Answer 2

• Beneficial to open unilateral channel (stroke patients)
• Patient instructed to turn head to same side of weakness to direct bolus to stronger lateral channels of the larynx

Question 3

Chin Up Posturing

Answer 3

• Working against gravity
• Promoting premature spillage
• Moves airway anteriorly
• Less time, shorter transit time
• Used when cancer is present of tongue has been removed

Question 4

Truck Postural Changes

Question 5

Support Pillows/Wedges

Question 6

Alternate Solids and Liquids

Answer 6

• Clear out residue

Question 7

2-Second Prep/Bolus Hold

Question 8

Tongue Sweep/Finger Sweep