Treatment examples for each phase

Question 1

ORAL PREP PHASE:

Spillage from lips

Answer 1

Compensation: labial/chin support, positioning/posture
Rehab: Lip exercises

Question 2

ORAL PREP PHASE:

Oral pooling/residue

Answer 2

Compensation:

• Lingual sweep/rinse and spit
• Modified diet
• External pressure to cheek

Question 3

ORAL PREP PHASE:

Reduced oral sensation

Answer 3

Compensation:

- Change sensory input (texture, tase, carbonation)

Question 4

ORAL PREP PHASE:

Reduced tongue movement

Answer 4

Compensation:

• Modified diet
• Clear residue with finger, rinse and spit

Rehab:

• Tongue exercises
• Effortful swallow

Question 5

ORAL TRANSIT PHASE:

Nasal regurgitation

Answer 5

Compensation:
- Palatal prosthesis

Rehab:
- Soft palate exercises

Question 6

ORAL TRANSIT PHASE:

Delayed swallow onset

Answer 6

Compensation:

- Enhance sensory input (texture, tase, carbonation)

Question 7

ORAL TRANSIT PHASE:

Premature spillage into pharynx, coughing/aspiraiton pre-swallow

Answer 7

Compensation:

• Diet/fluid modifications
• Chin tuck
• Supraglottic swallow
• Modify rate of intake/change bolus size

Rehab:
- Tongue exercises

Question 8

PHARYNGEAL PHASE:

Reduced hyolaryngeal excursion

Answer 8

Compensation:
- Supraglottic swallow

Rehab:
- Shaker exercises

Question 9

PHARYNGEAL PHASE:

Multiple swallows/pharyngeal residue

Answer 9

Compensation:

• Head rotation/tilt
• Efforful swallow

Rehab:
- Shaker exercises

Question 10

PHARYNGEAL PHASE:

Coughing/voice change post swallow

Answer 10

Compensation:

• Diet/fluid modifications
• Chin tuck
• Effortful swallow
• Modify rate of intake/change bolus size
• Head rotation/tilt

Rehab:

• Vocal fold exercises (LSVT)
• Effortful swallow
• Shaker