Posted on 5 Comments

The Instrumental Guide to Compensatory Strategies and Maneuvers

When completing instrumental assessments, the easiest way to change the swallow is to change the diet consistency.

Dr. Jeri Logemann (1993) has suggested using compensatory strategies/maneuvers in the following order:

  1. Postural techniques
  2. Sensory techniques
  3. Maneuvers
  4. Diet changes

Remember we can often change the swallow through sensory techniques.   Steele and Miller 2010 concluded:  “Boluses of liquids and solids normally initiate pharyngeal swallowing using multiple modalities, including taste, water, touch, pressure, and possibly temperature to excite several types of sensory fibers of different diameters that innervate the receptors in the oropharyngeal mucosa. It appears that stimulation of a greater number of receptive fields and their individual sensory neurons induces a stronger reflex with greater muscle recruitment and force. ”

Do you want a guide to help you determine which compensatory strategy/maneuver may work best?  Click the picture below to download your guide.

The Instrumental Guide Dysphagia Ramblings

 

References:

Logemann, J. A. (1993). Manual for the videofluorographic study of swallowing (Vol. 2). Austin, TX: Pro-ed.

Logemann, J. A. (1998). The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery6(6), 395-400.

Steele, C. M., & Miller, A. J. (2010). Sensory input pathways and mechanisms in swallowing: a review. Dysphagia25(4), 323-333.

 

5 thoughts on “The Instrumental Guide to Compensatory Strategies and Maneuvers

  1. Very organized and so helpful! Thank you for sharing!

    1. You are welcome!! Thank you for reading!!

  2. This is amazing! I love how much information is provided in a very concise and clear format

  3. […] post about compensatory strategies that is definitely worth a look.  You can also read more on compensatory strategies from one of my previous posts.   How do we know for sure that a compensatory strategy is […]

Leave a Reply