Dysphagia Symptons and Treatments

Question 1

What does residue ollection/oral stasis in lateral sulcus (pocketing) indicate?

Answer 1

Buccinator weakness

Question 2

What can help buccinator weakness?

Answer 2

Head tilt to strong side
Lingual sweep
Place bolus on strong side

Question 3

What do the following indicate:

Posterior escape of bolus
OR
residue collection on tongue
OR 
difficulty with a-p transport

Answer 3

tongue weakness/incoordination

decreased sensation

Question 4

What does a swallow delay indicate?

Answer 4

neurosensory deficit

Question 5

What does inability to initiate swallow indicate?

Answer 5

descreased sensation in pharyngeal wall

Question 6

What can help swallow delay and inability to initiate swallow?

Answer 6

thermal stimulation

Question 7

What does residue in vallecula indicate?

Answer 7

Poor tongue base retraction

Incomplete epiglottal inversion

Question 8

What does reside in pyriforms indicate?

Answer 8

Decreased laryngeal elevation

Decreased PES opening

Question 9

What can help residue in vallecula and pyriforms?

Answer 9

Head turn to strong side
Multiple swallows
effortful swallow

Question 10

What does residue on pharyngeal wall indicate?

Answer 10

Weak pharyngeal constrictiors

Question 11

What can help residue on pharyngeal wall?

Answer 11

head turn

Question 12

What does Penetration/aspiration B4 swallow indicate?

Answer 12

Swallow delay/neurosensory deficits

Posterior escape of the bolus

Question 13

What does Penetration/aspiration during swallow indicate?

Answer 13

Incomplete epiglottal inversion

Timing issue with airway closure

Question 14

What does Penetration/aspiration after swallow indicate?

Answer 14

Residue in the pyriforms or vallecula

Backflow/Reflux

Question 15

What can help penetration?

Answer 15

Chin tuck (unless its after the swallow)
Supraglottic swallow
Super-supraglottic swallow

Question 16

What does Residue at the PES indicate?

Answer 16

Reduced PES opening d/t reduced laryngeal elevation

Question 17

What can help residue at PES

Answer 17

Head turn to weak side
Super-Supraglottic
effortful swallow

Question 18

supraglottic swallow

Answer 18

Helps with:

• delayed pharyngeal swallow
• reduced airway closure

Question 19

Effortful

Answer 19

Helps with:

• decreased laryngeal elevatio
• decreased pharyngeal constriction

Question 20

Chin tuck

Answer 20

Helps with

• poor tongue base retraction,
• delayed pharyngeal swallow
• airway closure

Question 21

super super

Answer 21

Helps with

• impaired aiway closure
• diffuse pharyngeal weakness

Question 22

Head extension.

Answer 22

Helps with

• poor lingual control
• delayed A-P transport

Question 23

Mendleson

Answer 23

Helps with

-decreased PES opening

Question 24

head turn

Answer 24

Helps with

• unilateral VF
• pharyngeal wall weakness
• PES opening

Question 25

What do Shaker and jaw exercises do?

Answer 25

Help opening of UES