Lecture 4 - motor without swallow Flashcards
1
Q
Lingual strengthening
A
- improved lingual control can improve bolus manipulation and preparation thereby reduce oral and pharyngeal residue
- the IOPI (The Iowa Oral Performance Instrument) measures intra oral pressure
- limited evidence that it leads to swallow improvements
2
Q
Masako (tongue hold) manoeuvre
A
- designed to address inadequate BOT to PPW approximation
- hold your tongue between your teeth (or gums in the case of patients who are edentulous) and swallow
- the evidence of its effectiveness is mixed and there is no evidence that gains are maintained
3
Q
Shaker excersise
A
- used for patients with poor UES opening and to increase anterior hyolaryngeal excursion
- shown to improve both strength and endurance
- outcomes positive post stroke compared to controls
- lie flat on your back, lift head and look at feet for one minute, rest for one minute and repeat twice
- lie flat on your back, lift your head and look at your feet 30 times
4
Q
Chin tuck against resistance (CTAR)
A
- alternative to shakers (targets suprahyoid muscles strength for improved UES opening), which many clients cannot tolerate
- person sits upright, placing a resistance object (rubber ball in study), between chin and sternum then lowering chin to chest to squeeze the ball as hard as possible
- selectively activates the suprahyoid muscle, less strenuous than the shaker excersise
5
Q
Expiratory muscle strength training (EMST)
A
- aims to improve effectiveness of cough and swallowing efficiency
- patients blow into a tube against resistance to develop improved airway protection
- meant to strengthen the expiratory and mental muscles by increasing the physiologic load
- improvement noted in OD and post stroke dysphagia
6
Q
LSVT
A
- lee Silverman voice treatment designed to improve voice intensity (i.e, loudness for people with PD
- on a small sample was shown to improve swallow outcomes
