Treating Patients with Head and Neck Cancer

Treating Patients with Head and Neck Cancer

When treating patients with head and neck cancer, there are many questions and pieces of the puzzle that need to be put together.  You are always assessing where the cancer was, the type and amount of treatment received (surgery, CRT), prior and current swallowing status, etc. Timing of therapy is critical for rehabilitation.   Preferably, therapy [...]

The Dysphagia Outreach Project Giving Event

The Dysphagia Outreach Project Giving Event

The Dysphagia Outreach Project Giving Event 2020 Guest Post By:  Jessica Lasky, MS, CCC-SLP and Allison Boyer, MA, CCC-SLP Who We Are The Dysphagia Outreach Project is a 100% volunteer-run 501(c)(3) nonprofit organization that was founded in 2019. The mission of the Dysphagia Outreach Project is to provide meaningful assistance to low-income individuals affected by [...]

Oral Care

Oral Care

The First Thing.... Oral Care is one of the first lines in dysphagia management and in the prevention of aspiration pneumonia.   What do you know about oral care? Aspiration Aspiration is defined as the inhalation of either oropharyngeal or gastric contents into the lower airways, that is, the act of taking foreign material into the [...]

Respiratory Muscle Strength Training

Respiratory Muscle Strength Training

Inspiratory Muscle Strength Training  Inspiratory strength training works on the muscles of inspiration the diaphragm, the intercostals. Inspiration involves contractions of the diaphragm and external intercostals, which increase intrathoracic volume and decreased volume in pressure.  Respiration is a recoil from inspiration. Exhalation involves relaxation of the inhalation muscles, recruitment of abdominal and internal intercostals to force [...]

Exercise

Exercise

Recent and some previous dysphagia literature emphasizes the use of exercise physiology. Researchers such Lazarus et. al, Robbins et.al, Burkhead et. al and Clark have published the need for incorporating exercise physiology into dysphagia therapy. They emphasize the need to understand the muscles involved in the swallowing mechanism, understand their function so that you can [...]

CTAR (Chin Tuck Against Resistance)

CTAR (Chin Tuck Against Resistance)

Way back in 2014...... Way back in 2014, an article was published describing Chin Tuck Against Resistance. When we look at patients with dysphagia from Pharyngoesophageal Segment (PES) dysfunction, we look at strengthening the suprahyoid muscles. These muscles assist in hyolaryngeal excursion and therefore play a part in esophageal opening. Isokinetic vs. Isometric CTAR vs [...]