Swallow Maneuvers

Question 1

indication of effortful swallow

Answer 1

reduced BoT contraction, pharyngeal residue, reduced pharyngeal contraction

Question 1

purpose of effortful swallow

Answer 1

increase posterior motion of the BoT during the swallow

Question 2

contraindications of effortful swallow

Answer 2

cardiac problems, arterial stenosis

Question 3

purpose of mendelsohn swallow

Answer 3

elevate the larynx for a longer duration, increase CP opening

Question 4

indication of mendelsohn swallow

Answer 4

reduced laryngeal movement and subsequent CP opening

Question 5

contraindications of mendelsohn swallow

Answer 5

neck or pain injury

Question 6

purpose of supraglottic swallow

Answer 6

close the airway at the level of the VF before and during swallow, clear residue after swallow

Question 7

indication of supraglottic swallow

Answer 7

delayed or reduced airway closure, delayed pharyngeal swallow, poor oral control of liquids with premature loss into pharynx

Question 8

contraindications of supraglottic swallow

Answer 8

stroke or CAD

Question 9

purpose of super supraglottic swallow

Answer 9

close the airway at the level of the VF before and during swallow, increase BoT retraction and pressure generation, clear residue after swallow

Question 10

indications of super supraglottic swallow

Answer 10

penetration into the airway with aspiration after swallow

Question 11

contraindications of super supraglottic

Answer 11

stroke or CAD

Question 12

1. with liquid/chewed food on tongue, press entire surface of tongue firmly against the mouth
2. begin the swallow, maintain firm tongue to palate pressure and squeezing throat muscles

Answer 12

effortful swallow

Question 13

swallow awareness:
1. place hand over adams apple
2. swallow

prolonged elevation
1. swallow and deliberately hold larynx in elevated position for 2 seconds
2. release
3. repeat

Answer 13

mendelsohn

Question 14

1. take bit or sip
2. inhale deeply and hold breath
3. swallow while holding breath
4. cough immediately after swallow
5. breathe

Answer 14

supraglottic

Question 15

1. hold liquid/chewed food in mouth
2. inhale deeply
3. hold breath
4. bear down and swallow
5. cough immediately after swallow
6. swallow hard again
7. breath

Answer 15

super supraglottic

Question 16

1. gently hold tongue out with teeth
2. swallow

Answer 16

masako

Question 17

isometric (sustained)
1. lie flat on back without a pillow
2. lift head to look at toes while keeping shoulders on floor
3. hold position for ___ seconds
4. release. repeat 3 times and rest 1 min between repetitions

isotonic (repetitive)
1. lie flat on back without a pillow
2. lift head and lower with control
3. repeat 30 times
4. rest in between as needed
5. repeat 3x a day

Answer 17

shaker