> Closes the weak side of the swallow directing the bolus to the stronger side. Logemann recommends 10x/day x5 min with 5-6 swallows each time as exercise. 32. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. Dr. Jeri Logemann (1993) has suggested using compensatory strategies/maneuvers in the following order: Postural techniques; Sensory techniques; Maneuvers; Diet changes; Remember we can often change the swallow through sensory techniques. Use with reduced pharyngeal contraction (pharyngeal residue, aspiration after swallow). This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. Compensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer. --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. Here’s a few things to ponder. Treatment strategies are chosen based on a number of different factors including diagnosis, prognosis, reaction to compensatory strategies, severity of dysphagia, cognitive status, respiratory function, caregiver support, and patient motivation and interest. 11.1 Introduction; 11.2 Compensatory, Postural, and Rehabilitative Strategies; 11.3 Principles to Consider When Planning Treatment; 11.4 Evidence Base for Treatment of Dysphagia; 11.5 Treatment for Different Phases of Swallowing used for: - unilateral pharyngeal weakness - cricopharyngeal dysfunction. Posterior 1. When have we gotten away from trialing compensatory strategies FIRST instead of going right to the thickened? PLAY. Super-Supraglottic swallow strategy Take a deep breath and hold tightly, swallow hard or with greater force than usual, after swllow, pt should cough prior to inhalation For: pts with dysphagia secondary to oral-pharyngeal carcinoma for those with compromised airway protection and overall pharyngeal weakness Truth: The “chin tuck” is a popular compensatory strategy for swallowing impairments. postural - head turn. Size-Patient may have difficulty with a small bolus vs. a large bolus or vice versa. Types of Treatment: Therapy Procedures a. Remember, diet consistency changes should be considered as a last resort! Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Use when you see aspiration prior to or during the swallow. Your speech pathologist will check the tips that will be most helpful for you. Advances in treatment include improvements in compensatory strategies but are mainly focused on (1) peripheral stimulation strategies and (2) central, noninvasive stimulation strategies with evidence of their clinical benefits. Types: Activities, Handouts. Safe Swallowing Tips . Wheeler-Hegland, K., Ashford, J., Frymark, T., McCabe, D., Mullen, R., Musson, N., … & Schooling, T. (2009). used for: - … Any compensatory strategy should be viewed during instrumental assessment to determine the effectiveness and accuracy of completion. Categories. The Dysphagia by Rationale is a quick two sided cheat sheet organized by Dysphagia Diagnosis and presents recommended therapeutic strategies to attempt along with the rationales of why these treatments strategies are appropriate. Swallowing and Esophageal Disorders Treatment Guide Esophageal disorders – especially those involving swallowing problems – affect more than 15 million Americans of all ages. read more. Have the patient point exactly where. Swallowing compensatory strategies may be spontaneously adopted, such as dose metering ... such as by performing swallowing compensatory behaviours (B). used for: - unilateral pharyngeal weakness - cricopharyngeal dysfunction. Postural - chin tuck. Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Some patients require a larger bolus to trigger the swallow. Gravity assist. Steele and Miller … McCoy, Y., & Wallace, T. (2018). 2. Swallowing Strategies 11) Myth: People with dysphagia shouldn’t use straws. Part V–Applications for clinicians and researchers. Lateral: used with hemiparesis of the tongue and pharynx, tilt to the intact side for bolus direction. •Compensatory Strategies •Exercise •Education . Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. See more ideas about Dysphagia, Swallowing disorder, Speech language pathologists. 2). Compensatory strategies have an immediate, but temporary effect on swallow safety; rehabilitative strategies may promote a long-term effect and change the physiology of the swallow. Wheeler-Hegland, K., Frymark, T., Schooling, T., McCabe, D., Ashford, J., Mullen, R., … & Musson, N. (2009). Compensatory strategies provide a scaffold to a safer swallow by reducing the complexity of the swallowing task (Huckabee and Hughes 2013). Signs that someone may be suffering from dysphagia include, but are not limited to: coughing during or after a meal, runny nose, watery eyes, … Unfortunately, there is a paucity of evidence for dysphagia therapy, which has been highlighted in a Cochrane review 57 as well as an American Gastroenterology Association technical review. Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Other Compensatory Strategies: Application to Specific Problems a. 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