Dysphagia Treatment (Exam 3)

Neck Extension

For impaired bolus propulsion; compensatory

Syringe Feeding

For impaired bolus propulsion, could pose risk to aspiration/penetration; compensatory

Chin Tuck

For reduced oral bolus control with aspiration before or during the swallow; compensatory

Head Turn to Weak Side

For unilateral pharyngeal/VF paralysis/paresis; compensatory

Head Tilt to Strong Side

For unilateral oropharyngeal weakness; compensatory

Supraglottic Swallow

For inadequate or delayed laryngeal closure; compensatory

Throat Clear/Re-Swallow

For penetrated material that remains in vestibule; compensatory

Effortful Swallow

For poor tongue-base retraction with post-swallow residue; compensatory

Alternating Solids and Liquids

For post-swallow residue; compensatory

Liquid Wash

For post-swallow residue; compensatory

Side Lying

For weak pharyngeal muscle function that results in post-swallow residue (mainly for infants); compensatory

Breath Holding

For better airway protection (VF's); compensatory

Thickening Liquids

For reducing aspiration (short term); compensatory

Iowa Oral Pressure Instrument (IOPI)

For increased tongue strength; rehabilitative

Therabite

For reducing jaw tightness/trismus; rehabilitative

Effortful Swallow (increase force)

For increased lingual-palatal and pharyngeal pressures during swallow; rehabilitative

Tongue Hold (Masako) Maneuver

For increased duration and tongue base retraction; rehabilitative

Mendelsohn Maneuver

For increased hyolaryngeal excursion and UES opening; rehabilitative

Shaker Exercise

For improved UES opening; rehabilitative

Supraglottic Swallow (awareness and effort)

For increasing muscle activation and airway protection; rehabilitative

Neuromuscular Electrical Stimulation (NMES)

For increase muscle contraction/strength; rehabilitative

Biofeedback

For overall better swallow by giving insight to pt; rehabilitative

Bolus-Driven Therapy

For overall better swallow by just practicing a lot; rehabilitative