Some maneuvers require following multistep directions and may not be appropriate for patients with cognitive impairments.
Mcneill Dysphagia Therapy Exercises Full Functionality OfPlease enable it in order to use the full functionality of our website.
Decision making must take into account many factors about the individuals overall status and prognosis. This might include information concerning the individuals health and diagnosis, cognition, social situation, cultural values, economic status, motivation, and personal choice. ![]() The SLP should consider and integrate the patients wishes and advocate on behalf of the patient to the health care team, the family, and other relevant individuals. Different management approaches may be necessary for individuals with dysphagia that has resulted from an acute event, chronicstable condition, or progressive neurological disorder. Treatment targeting a specific function or structure may also affect function in other structures. An example of a compensatory technique includes a head rotation, which is used during the swallow to direct the bolus toward one of the lateral channels of the pharyngeal cavity. Although this technique may increase swallow safety during the swallow, there is no lasting benefit or improvement in physiology when the technique is not used. The purpose of the technique is to compensate for deficits that cannot be or are not yet rehabilitated sufficiently. The intent of many exercises is to improve function in the future rather than compensate for a deficit in the moment. For example, the super-supraglottic swallow is a rehabilitative technique that increases closure at the entrance to the airway. If used during a meal, it can serve as a compensation to protect the airway. Treatment options for patients with dysphagia should be selected on the basis of evidence-based practice, which includes a combination of the best available evidence from published literature, the patients and familys wishes, and the clinicians experience. Options for dysphagia intervention include medical, surgical, and behavioral treatment. For example, patients with sufficient cognitive skills can be taught to interpret the visual information provided by these assessments (e.g., surface electromyography, ultrasound, FEES) and to make physiological changes during the swallowing process. This may include changing the viscosity of liquids andor softening, chopping, or pureeing solid foods. Modifications of the taste or temperature may also be employed to change the sensory input of the bolus. Clinicians consult with the patients and caregivers to identify patient preference and values for food when discussing modifications to oral intake. Consulting with the team, including a dietician, is also a relevant consideration when altering a diet to ensure that the patients nutritional needs continue to be met. Mcneill Dysphagia Therapy Exercises Skin Or DirectlyElectrical stimulation is promoted as a treatment technique for speech andor swallowing disorders that uses an electrical current to stimulate the nerves either superficially via the skin or directly into the muscle in order to stimulate the peripheral nerve. Electrical stimulation for swallowing is intended to strengthen the muscles that move the larynx up and forward during swallow function. A patient can use utensils to bypass specific phases of the swallow, to control for bolus size, or to facilitate oral control of the bolus. SLPs collaborate with other team members in identifying and implementing use of adaptive equipment.
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February 2021
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