General Treatment Techniques/Approaches

Question 1

4 main areas of treatment

Answer 1

Behavioural (change swallow - compensatory or strengthening)
Dietary (Mod texture/taste/volume)
Medical (change meds; NG tube)
Surgical (PEG, mobilize weak VF)

Question 2

Rehabilitative interventions are designed to:

Answer 2

Restore physiology and minimize or eliminate the disordered swallow

Question 3

5 Rehabilitative Interventions are:

Answer 3

• Effortful swallow
• Mendelsohn manevuer
• Shaker exercise
• Supraglottic swallow/super-supraglottic swallow
• Vocal adduction exercises

Question 4

Compensatory strategies are designed to:

Answer 4

Provide immediate but transient effects on efficiency or safety of the swallow. Changes the flow and gravitational direction of the bolus

Question 5

Three compensatory strategies:

Answer 5

• Head turn
• Chin tuck
• Side lying

Question 6

Lighting Bolt Chart

Strategies SLPs can do:

Answer 6

• Diet manipulation
• Mendelsohn
• Supraglottic swallow
• Super supraglottic swallow
• Motor exercises (controversial)
• Volitional cough
• Sensory stimulation exercise (controversial)
• Head rotation
• Bed elevation

Question 7

Hierarchy of Treatment Procedures:

Answer 7

1. Postural changes/positioning
2. Increase sensory input
3. Maneuvers
4. Change consistency/viscosity

Question 8

Dysphagia Diets (Solids)

Answer 8

Normal
Dysphagia advanced (almost normal)
Dysphagia mechanical (chopped up)
Blenderized
(pureed)

Question 9

Dysphagia Consistencies (Liquids)

Answer 9

Thin
Nectar Thick
Honey Thick
Pudding Thick

Question 10

Canadian Guidelines for Dysphagia Diets
Level 1
Level 2
Level 3
Level 4

Answer 10

Level 1: pureed foods/thickened liquids

Level 2: Pureed and mechanically altered foods, plus thick liquids and very soft foods

Level 3: Mechanically altered and soft foods w/ liquids as tolerated

Level 4: Soft foods and all liquids, avoiding rough or coarse foods