Category: Research
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LSVT LOUD and Swallowing: How a Voice Treatment Helps Dysphagia
LSVT LOUD, originally for Parkinson’s voice issues, may also benefit swallowing due to shared anatomical structures. Research indicates it can enhance vocal fold closure, improve cough strength, and optimize neuromuscular control, leading to better swallowing efficiency. However, further studies are needed to establish its efficacy for dysphagia universally.
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Strength vs. Skill in Swallowing: Rethinking Dysphagia Therapy Approaches
Should dysphagia therapy focus on skill training or strength training? Learn how both approaches impact swallowing rehabilitation, why exercise science principles matter, and what research says about effective therapy strategies for SLPs.
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MD Anderson Bootcamp for Swallowing
Dysphagia post-head and neck cancer treatment is a significant challenge for clinicians. MD Anderson’s 2012 Dysphagia Boot Camp offers a reactive therapy for patients with severe swallowing difficulties. Through intensive, multidisciplinary approaches, participants engage in personalized rehabilitation aiming to improve safety, efficiency, and quality of life, resulting in notable improvements in swallowing outcomes.
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Lingual Strengthening in Dysphagia Therapy: What the Research Really Says
Lingual strengthening is an emerging focus in dysphagia therapy, emphasizing the tongue’s crucial role in proper swallowing. Research shows that resistance-based exercises enhance tongue strength, swallow safety, and overall quality of life. Various devices, from advanced tools to simple tongue depressors, can be effectively utilized depending on budget and resources.
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Chin Tuck Against Resistance (CTAR): A Powerhouse Exercise for Suprahyoid Strengthening
Discover how the Chin Tuck Against Resistance (CTAR) exercise supports swallowing rehabilitation, strengthens the suprahyoid muscles, and offers a more accessible alternative to the Shaker exercise.
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The Yale Swallow Protocol
The Yale Swallow Protocol, based on the 3-Ounce Swallow Test, provides a quick screening method for dysphagia, focusing on cognition and oral motor function. Administering involves giving a patient three ounces of water to drink while observing for signs of aspiration. This tool is easy to teach, though not suitable for all patients.
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Swallowing Without a Tongue: Let’s Talk Glossectomy
I’ve worked with a number of patients over the years who’ve had partial glossectomies—but recently, I’ve had two patients with total glossectomies. Let that sink in for a second. Total glossectomy. As in, no tongue. It sounds like a nearly impossible task: getting someone to eat or drink again when one of the primary driving…
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Pharyngocise
Patients with head and neck cancer must engage in early swallowing function preservation, ideally before treatment begins. A study demonstrated that the “Pharyngocise” approach provided better outcomes in muscle preservation and swallowing function compared to usual care. Consistent engagement in exercise during treatment can significantly benefit recovery post-therapy.
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Measuring Lingual Range of Motion
The content emphasizes the importance of measuring lingual range of motion in addition to strength for effective tongue function assessment. A new validated scale categorizes tongue movement into four domains: protrusion, lateralization, and elevation. This comprehensive approach, especially for post-oral surgery patients, enhances evaluations, treatment planning, and overall quality of life outcomes.
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What is the McNeill Dysphagia Therapy Program (MDTP) and Why Should SLPs Care?
At the end of the day, our patients deserve the most current, evidence-supported, and effective dysphagia therapy we can offer. MDTP isn’t just another technique—it’s a shift in how we think about swallowing rehab. Let’s get out of the “tongue wag” era and into therapy that moves the needle.
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Dysphagia Ramblings 