Strengthening Exercises

Question 1

Non-Swallow Exercises

Answer 1

1) Shaker
2) Tongue Strengthening
3) LSVT
4) EMST
5) Pharyngeal Squeeze Maneuver
6) Falsetto
7) Effortful Pitch Glide

Question 2

Swallow Exercises

Answer 2

1) Mandelsohn Maneuver
2) Effortful Swallow
3) Super Supraglottic Swallow Maneuver
4) McNeill Dysphagia Treatment Protocol
5) Masako Tongue Hold
6) Pharyngocise
7) E-Stim

Question 3

Super Supraglottic Swallow Used For..

Answer 3

• reduced airway closure

- aspiration before or during the swallow

Question 4

Super Supraglottic Swallow Instructions

Answer 4

“bear down”

Take a break and hold it tight while bearing down

Continue to hold your breath and bear down as you swallow

Immediately after you swallow cough then immediately swallow hard again

Question 5

Effortful Swallow Used For..

Answer 5

• residue in valleculae

- reduced BOT retraction to PPW

Question 6

Effortful Swallow Instructions

Answer 6

squeeze all the swallowing muscles HARD when you swallow

Question 7

Masako Tongue Hold

Answer 7

BOT Exercise

Stick out your tongue and hold it between your lips or teeth and try to swallow

Question 8

Shaker Used for

Answer 8

Strap muscles

Strengthen suprahyoids for fwd movement

reduce post swallow pyrifrorm residue

Question 9

Shaker Instructions

Answer 9

3x/day for 6 weeks (lots of compliance here..)

lie down on back on floor - shoulders flat
lift up your head and bring chin to chest while keeping shoulders flat against bed
hold head for 60s then lower and rest
Repeat x3

then part two requires you to lift head then chin to chest then immediately lower head
repeat x30

Question 10

Controlled Swallow

Answer 10

Good for people with spillage

helps to increase awareness of where the bolus is to reduce spillage