Swallowing Treatments Flashcards
When using restorative treatments, what must you consider?
Using exercises that MIMIC real swallowing movements
Name 3 ways to help patients with dysphasia
Modify diets
Use compensatory posture/maneuver
Use exercises to restore or improve swallowing function
For sign of drooling during the oral phase, which 3 tx techniques should be used?
Alternate puckering/spreading of the lips
Open mouth slowly then spread the lips
Pressing lips lightly together
For signs of poor mastication, posterior bolus propulsion, premature spillage,oral residue, during the oral phase, which tx technique should be used?
Tongue lateralization:
Tongue too elevation: (increase tongue strength/ROM/coordination)
Chin tuck (reduce spillage)
External digital pressure (oral residue)
For signs of tongue pumping during the posterior bolus propulsion, which 3 tx techniques should be used?
Use hard deliberate posterior tongue movement Straw use (push bolus further back to oral cavity) Surface Electromyography (sEMG) biofeedback (teaching tool)
For signs of delayed pharyngeal swallow which tx techniques should be used?
Use cold/sour liquid for stimulation
Stroking faucial pillars with cold laryngeal mirror (this is temporary)
Chin tuck (widens valleculae space) allows for more time for liquid to be held safely
What is the most common sign of delayed pharyngeal swallow?
Pooling of food or liquid into the hypopharynx
What typically causes Vallecular residue?
Usually base of tongue weakness
For signs of Vallecular residue during the pharyngeal stage, which 3 tx techniques should be used?
Effortfull swallow (best option) Chin tuck Masako maneuver (holding tongue tip between your teeth)-hasn't been proven
What are signs of weak pharyngeal constrictors?
Residue on the posterior pharyngeal wall
Pyriform sinus residue
For signs of weak pharyngeal contraction during the pharyngeal stage, which 4 tx techniques should be used?
Effortful swallow
Masako maneuver (to strengthen superior constrictor)
Surface Electromyography (sEMG) biofeedback
Head turn to weak side
Name the 6 ways to treat laryngeal penetration/aspiration
Chin tuck Effortful swallow Repeat dry swallow Head turn posture Thermal gustatory/tactile stimulation Supraglottic swallow
What is cricopharyngeal dysfunction?
This is when the UES does relax to allow food to pass into the esophagus
Causes a block in the pharynx
Name 7 ways to treat cricopharyngeal dysfunction
Mendelsohn maneuver
Shaker exercises
Head turn
Exercises to increase laryngeal elevation (high pitch “eee”)
cricopharyngeal myotomy (cut muscle)
cricopharyngeal dilation (tappered bougie tube)
Botox injections