Rehabilitative

Question 1

rehabilitative exercises

Answer 1

shaker's
tongue strengthening
mendelsohn (comp and rehab?)
effortful swallow (comp and rehab?)
Masako
effortful pitch glide
effortful swallow

Question 2

shaker’s

Answer 2

use for: poor hyolaryngeal excursion and UES opening
-lift head while keeping shoulder flat on floor (10-30 times), then sustained for 30 seconds (6 weeks)
-works anterior neck muscles and muscles that lift larynx, improves hyloryngeal excursion and UES opening
(robbins, 2007): strengthens tongue and swallow in CVA patients

Question 3

Masako

Answer 3

• hold tongue between teeth while swallowing
• used for: poor BOT retraction
• supposed to increase BOT retraction

Question 4

tongue strengthening exercises

Answer 4

• (Robbins) isometric lingual resitance exercise (use IOPI)

- strengthens tongue

Question 5

effortful pitch glide

Answer 5

“ee” from low to high with sharp high pitch at end.. hold for 10-20 seconds
-rationale: ( ) shown to work same muscles as involved in swallowing

Question 6

mendelseohn maneuver

Answer 6

(Kahrilas et al)

• focus on adam’s apple, lift as high as you can, hold for a few senconds before letting it drop
• results in higher laryngeal elevation, greater amplitude of structural movement,s longer UES opening

Question 7

EFFORTFUL SWALLOW

Answer 7

• (Logemann, 1990)
• squeeze tongue and throat muscles and hold while swallowing
• results in better tongue base retraction, pharyngeal squeeze, overall stronger swallow (compens and rehab)