Compensatory Swallowing Maneuvers Flashcards

1
Q

What are the 5 main compensatory Strategies

A
  1. Supraglottic Swallow
  2. Super-supraglottic swallow
  3. Effortful swallow
  4. Mendelsohn Maneuver
  5. Tongue hold maneuver (Masako maneuver)
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2
Q

Supraglottic Swallow (what is it)

A

4 steps
1. Inhale and hold breath
2. place bolus in swallow position
3. swallow while holding breath
4. cough after swallow before inhaling

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3
Q

When to use Supraglottic Swallow

A
  • reduced or late vocal fold closure
  • delayed pharyngeal swallow
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4
Q

Super-supraglottic swallow (what is it)

A

Same as supraglottic swallow with the addition of the instruction to bear down to increase false vocal fold closure and assist in the closing of posterior glottis
–> inhale and hold breath very tightly, bear down, maintain the hold, swallow, then cough

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5
Q

When to use super-supraglottic swallow

A

Reduced closure of airway entranced

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6
Q

Effortful swallow (what is it)

A

Squeeze hard with all your muscles while you swallow

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7
Q

When to use an effortful swallow

A

Reduced posterior movement of the tongue base

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8
Q

Mendelsohn Maneuver (what is it)

A
  • patient initiates several dry swallows while trying to feel the thyroid prominence lift
  • hold the thyroid up for several seconds
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9
Q

When to use the Mendelsohn Maneuver

A
  • Reduced laryngeal movement
  • Discoordinated swallow
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10
Q

Tongue Hold Maneuver (Masako)

A

Attempts to increase the pressures and time of contact of the tongue base to the pharyngeal wall
- hold the tongue between your front teeth and swallow

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11
Q

When to use the tongue hold maneuver (Masako)

A

lack of posterior pharyngeal wall contact with tongue

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