Techniques that are also Exercises

Question 1

Effortful Swallow

Answer 1

• Swallow an egg/golf ball”
• To reduce valleculae residue
• Increased BOT retraction, tongue propulsion, oral pressure, duration/extent hyoid movement, TVF closure, PES relaxation
• Increase pharyngeal muscle strength

Question 2

Supraglottic Swallow

Answer 2

• Take a deep breath, hold breath, swallow, cough, exhale
• Addressed reduced or shortened VF closure
• Prolonged airway closure, increased anterior laryngeal movement, increased tongue base movement, and increased PES opening
• Can use as a compensatory technique
• Can use as exercise: 10x/day; 5 minutes; 5 swallows

Question 3

Super-Supraglottic Swallow

Answer 3

• Take a deep breath, BEAR DOWN, hold breath, swallow, cough, exhale
• Prolonged airway closure, increased anterior laryngeal movement, increased tongue base movement, and increased PES opening
• Bearing down increased ventricular fold and assist in closing posterior glottis
• Penetration/aspiration

Question 4

Breath Hold and Effortful Breath Hold

Question 5

Mendelsohn Maneuver

Answer 5

• Addresses reduced laryngeal movement and poor coordination
• Extends the duration of laryngeal excursion and UES opening
• EXERCISE ONLY!- no longer recommended as a compensatory technique
• sEMG can validate if done correctly
• prolong the swallow, mid-swallow, pressing tongue up against the hard palate, to extend laryngeal closure