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4 Cards in this Set

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Supraglottic Maneuver-- Hold breath while swallowing
- Cough after swallow
Used for:
Reduced or late vocal fold closure


- Delayed pharyngeal swallow
Rationale:
closes VF before and during swallow
- Closes VF before and during delay
Super-supraglottic- Maneuver- Hold breath tightly
- Tilt head back
- Swallow 2 or 3 times
- Cough after swallow
Used for:
Reduced closure of airway entrance
Rationale:
- tilts arytenoid forward, closing airway entrance before and during swallow
Effortful Swallow Maneuver-
While swallowing squeeze the muscles tightly
Used for:
- Reduced posterior movement of the tongue base
Rationale:
- increases posterior tongue base movement
Mendelsohn Maneuver-- Use muscles to keep larynx raised throughout the swallow
Used for:
- Reduced laryngeal movement



- Discoordinated swallow
Rationale:- opens the upper esophageal sphincter (UES); prolonging laryngeal elevation prolongs UES opening
- Normalizes timing of pharyngeal swallow