Bolus Manipulation

Question 1

how can we manipulate a bolus to maximize sensory feedback about the bolus and it’s position?

Answer 1

change…
-temperature
-texture
-taste
-placement (more intact or sensitive areas)

Question 2

how can we manipulate the bolus in terms of flow?

Answer 2

change the viscosity

Question 3

define viscosity

Answer 3

the state of being thick, sticky, or semi-fluid in consistency

Question 4

when should we manipulate the bolus to be thin?

Answer 4

with reduced…
strength
cricopharyngeal opening
pharyngeal wall constriction
tongue base posterior movement
laryngeal elevation

Question 5

when should we manipulate the bolus to be thick?

Answer 5

reduced laryngeal closure
delayed pharyngeal swallow
poor oral control