Compensatory Postures/Techniques Flashcards
(21 cards)
In terms of treating unilateral pharyngeal weakness, we TILT the head towards…
strong side
in terms of treating unilateral pharyngeal weakness, we TURN the head towards..
weak side
for UPW, what does turning your head to the weaker side do?
eliminates damaged side from the path of the bolus
for UPW, what does tilting the head towards the stronger side do?
directs bolus towards the stronger side
if there is a delay in the pharyngeal swallow, which postural compensation would we ask the patient to do? Why?
chin tuck
widens the valleculae which prevents the bolus from entering the airway (by narrowing the entrance), and pushes the epiglottis posteriorly
when assessing a patient we noticed residue in the valleculae which indicates a disorder of reduced posterior motion of tongue base
which compensatory posture would be appropriate and why?
chin tuck
pushes the base of tongue backwards towards the pharyngeal wall
when assessing a patient we noticed insufficient oral transit resulting in a diagnosis of reduced posterior propulsion of bolus by tongue.
which compensatory posture would be most appropriate and why?
head back
this utilizes gravity which helps clear the oral cavity
when assessing a patient we notice residue in the pyriform sinuses resulting in a diagnosis of circopharyngeal dysfunction
which compensatory posture would be most appropriate and why?
head rotation
pulls cricoid cartilage away from posterior pharyngeal wall which reduces resting pressure in the cricopharyngeal sphincter
you noticed aspiration in your patient. Testing revealed a diagnosis of laryngeal dysfunction.
which compensatory posture best fits your patient and why?
head rotated to the damaged or weaker side with chin down
this places extrinsic pressure on thyroid cartilage which increases adduction
extrinsic: coming from outside
you noticed your patient aspirating during a swallow resulting in a diagnosis of reduced laryngeal closure
which compensatory posture would be best and why?
head rotated to the damaged side and chin down
puts epiglottis in a more protective positions, narrows the laryngeal entrance, and increases closure of the vocal folds
when assessing your patient you noticed residue throughout the pharynx resulting in a diagnosis of reduced pharyngeal contraction.
which compensatory posture would be best suited and why?
lying down on one side to eliminate gravitational effect on pharyngeal residue
you notice residue in the pyriform sinuses as well as on the pharyngeal wall and or the valleculae. Resulting in a diagnosis of reduced tongue base movement.
which compensatory posture would be best?
effortful swallow
when would we use a supraglottic or super-supraglottic swallow?
inadequate laryngeal elevation
which signs or symptoms would indicate that a supraglottic or super-supraglottic swallow would be beneficial?
pharyngeal delay and aspiration during swallow
when would we use the super-supraglottic swallow instead of the supraglottic?
for reduced laryngeal closure
what’s the difference between the SSG and SG?
bear down
when would we use the Mendelsohn?
also for inadequate laryngeal elevation (similar to SSG or SG) but the signs and symptoms would be different from SSG or SG
what signs could indicate that the MM would be appropriate?
laryngeal penetration
residue throughout the pharynx
residue in the pyriform sinuses
residue at top of airway
describe the vital stim therapy techniques
use surface electrodes to stimulate muscle contraction
Vital Stim: the electrodes are placed in configuration matching target muscles to address…
the physiology of dysphagia
who are appropriate candidates for vital stim?
for both patients who can or cannot actively participate
infants and adults
treating pocketing or laryngeal elevation
