Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
9 Cards in this Set
- Front
- Back
|
Can’t move food back |
Improve ability to move food back to reduce residue that might get into airway Compensatory: pt will place food on stronger side without cues Rehabilitation: pt will push tongue tip and lateral borders against tongue blade at 4/5 strength Diet: pt will only take foods that form a cohesive bolus |
|
|
Food left in valleculae |
Reduce residue left in valleculae that might get into airway Compensatory: pt will use an effortful swallow/chin tuck with/w/o cues on _% of trials Rehabilitation: pt will demonstrate TBR with resistance on _ of _ trials Diet: pt will avoid sticky foods with/w/o cues on _ of _ trials Pt will only take pills crushed and mixed in pudding |
|
|
Residue in pyriforms after the swallow |
Increase anterior movement and elevation of HL complex to reduce amount of residue in the pyriforms that could fall into airway Compensation: pt will use an effortful swallow with/w/o cues on _% of trials Rehabilitation: Pt will perform Shaker (30 dynamic head raises & 3 min. sustain head raises 5 days a week for 6 consecutive weeks Mendelsohn with/without cues on ___% or trails |
|
|
Aspiration before the swallow Decrease |
Decreased back of tongue movement Delayed swallowing Compensatory: pt will use an chin tuck with/without cues on ___% or trails Rehabilitation: Tongue strengthening ; k/g’s Diet: Thickened liquids , control bolus size Thermal Tactile stimulation Alternate sour bolus |
|
|
Aspiration after the swallow from vallecular residue /pharyngeal wall -What is happening? -What could you do? |
Decreased TBR Decreased pharyngeal wall movement Decreased HL elevation Tongue strengthening Bolus size Multiple swallows Liquid wash Head rotation Avoid sticky food LSVT (PD) Head raises |
|
|
Aspiration after the swallow from pryriform residue |
Poor HL Elevation/Decreased anterior movement Compensatory: Mendelsohn Rehab: Head lifts Diet: Thick liquids, decreased bolus size |
|
|
Aspiration after the swallow from penetration into laryngeal vestibule |
Poor HL elevation Decreased anterior tipping of arytenoid Slow or mistimed closure of larynx Compensatory: Mendelsohn Rehab: Head lifts Diet: Thick liquids, bolus size Super-supraglottic Mendelsohn, supraglottic |
|
|
5 Rehab exercise examples |
Oral motor swallowing exercises/range and resistive exercises to improve lingual motility Hard swallow Mendelsohn maneuver Shaker exercise Vocal adduction exercises |
|
|
Compensatory examples |
Head rotation Chin Tuck Head tilt Side-lying |
