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.

 

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