Carbonated Beverages

Carbonated Beverages

Carbonated Beverages Carbonated beverages have hit the dysphagia world by storm.  Much of the recent dysphagia research has focused on the sensory portion of the swallow and how sensory drives the swallowing process.  Part of the sensory process is carbonated beverages.  One of the common misconceptions at this time is that carbonated beverages act as [...]

The Patient Exercising Their Right to Choose (Formerly The Non Compliant Patient)

The Patient Exercising Their Right to Choose (Formerly The Non Compliant Patient)

  EDIT 1/4/17.  Due to a recent Facebook post, I wanted to change some wording on this post.  As with all areas of dysphagia, I continue to grow, learn and change my beliefs, mainly because of the patients I serve. Although my belief stands that those patients who do not follow my recommendation continue to [...]

Supraglottic and Super-Supraglottic Swallows and Tongue Pressure

Supraglottic and Super-Supraglottic Swallows and Tongue Pressure

Fujiwara, S, Ono, T, Minagi, Y, Fujiu-Kurachi, M, Hori, K, Maeda, Y, Boroumand, S, Nitschke, I, Ursula, V, Bohlender, J.  Effect of Supraglottic and Super-supraglottic swallows on Tongue Pressure Production against Hard Palate.  Dysphagia (2014) 29:655-662.   The Super- and Supraglottic Swallows are maneuvers used to assist in early airway closure to prevent food or [...]

To Tuck or Not to Tuck

To Tuck or Not to Tuck

The chin tuck.  I'm not talking about Chin Tuck Against Resistance (CTAR), I'm talking about the compensatory strategy.  That strategy that we've taught so well that nurses, respiratory therapists and doctors all tell patients, if you're having trouble swallowing, just tuck your chin.  Somewhere down the road, we've made the chin tuck the end-all be-all [...]

Variations in Tongue-Palate Pressures with Xantham Gum Thickened Liquids

Variations in Tongue-Palate Pressures with Xantham Gum Thickened Liquids

Steele, CM, Molfenter, SM, Peladeau-Pigeon, M, Polacco, RC, Yee, C.  Variations in Tongue-Palate Swallowing Pressures When Swallowing Xantham Gum-Thickened Liquids.  Dysphagia (2014) 29:678-684. "Thickened liquids are frequently recommended to reduce the risk of aspiration in patients with oropharyngeal dysphagia."  We know that tongue-palate pressures increase with thicker liquids, however little is known about the differences [...]

Thickened Liquid Challenge-Revisited

Thickened Liquid Challenge-Revisited

Thickened Liquid Challenge I don't know about everybody else, but I was extremely excited to see the #thickenedliquidchallenge when it popped up on my Twitter feed.  The first thing I thought was, what an amazing way to raise awareness for dysphagia!  I continue to see so many who simply don't know what dysphagia is.   [...]

Gelmix Thickener

Gelmix Thickener

I was really excited to see Gelmix at the ASHA Convention this year.  I've heard a lot about Gelmix, but have never had the opportunity to try it until now!What is Gelmix? Gelmix is a "healthy thickener" as it is USDA Organic.  Gelmix was formulated to thick breast milk, formula and other liquids.  Gelmix is [...]

ACP and sEMG: Synchrony for Dysphagia

ACP and sEMG:  Synchrony for Dysphagia

Surface Electromyography (sEMG) has been used in dysphagia therapy for several years with research to support it's use. sEMG is a use of visual biofeedback.  Electrodes are attached to the submental muscles, or those hyolaryngeal complex elevators.  This is measuring the "strength" or muscle contraction of the swallow as you have your patient swallow, then [...]