Swallowing Treatments Flashcards

1
Q

When using restorative treatments, what must you consider?

A

Using exercises that MIMIC real swallowing movements

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2
Q

Name 3 ways to help patients with dysphasia

A

Modify diets
Use compensatory posture/maneuver
Use exercises to restore or improve swallowing function

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3
Q

For sign of drooling during the oral phase, which 3 tx techniques should be used?

A

Alternate puckering/spreading of the lips
Open mouth slowly then spread the lips
Pressing lips lightly together

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4
Q

For signs of poor mastication, posterior bolus propulsion, premature spillage,oral residue, during the oral phase, which tx technique should be used?

A

Tongue lateralization:
Tongue too elevation: (increase tongue strength/ROM/coordination)
Chin tuck (reduce spillage)
External digital pressure (oral residue)

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5
Q

For signs of tongue pumping during the posterior bolus propulsion, which 3 tx techniques should be used?

A
Use hard deliberate posterior tongue movement
Straw use (push bolus further back to oral cavity) 
Surface Electromyography (sEMG) biofeedback (teaching tool)
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6
Q

For signs of delayed pharyngeal swallow which tx techniques should be used?

A

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

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7
Q

What is the most common sign of delayed pharyngeal swallow?

A

Pooling of food or liquid into the hypopharynx

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8
Q

What typically causes Vallecular residue?

A

Usually base of tongue weakness

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9
Q

For signs of Vallecular residue during the pharyngeal stage, which 3 tx techniques should be used?

A
Effortfull swallow (best option) 
Chin tuck 
Masako maneuver (holding tongue tip between your teeth)-hasn't been proven
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10
Q

What are signs of weak pharyngeal constrictors?

A

Residue on the posterior pharyngeal wall

Pyriform sinus residue

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11
Q

For signs of weak pharyngeal contraction during the pharyngeal stage, which 4 tx techniques should be used?

A

Effortful swallow
Masako maneuver (to strengthen superior constrictor)
Surface Electromyography (sEMG) biofeedback
Head turn to weak side

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12
Q

Name the 6 ways to treat laryngeal penetration/aspiration

A
Chin tuck 
Effortful swallow
Repeat dry swallow
Head turn posture
Thermal gustatory/tactile stimulation 
Supraglottic swallow
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13
Q

What is cricopharyngeal dysfunction?

A

This is when the UES does relax to allow food to pass into the esophagus

Causes a block in the pharynx

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14
Q

Name 7 ways to treat cricopharyngeal dysfunction

A

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

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