Category: Research
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Manual Therapy for Fibrosis-Related Dysphagia in Head and Neck Cancer: Understanding the MANTLE Trial
The MANTLE trial explored manual therapy’s effectiveness in improving swallowing difficulties caused by radiation-induced fibrosis in head and neck cancer survivors. Preliminary findings indicated that manual therapy was feasible and well-tolerated, with some participants showing improved cervical mobility and potential swallowing function. The study suggests a need for further research on this approach.
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Kinesio Tape in Dysphagia Therapy: What the Research Says
Kinesio tape, developed in the 1970s, is gaining traction beyond sports medicine, particularly in dysphagia therapy. Research suggests it can enhance muscle function related to swallowing, improve lip closure, and aid in managing head and neck lymphedema. While not a standalone treatment, it supports existing rehabilitation efforts.
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Feeding Tubes and Dysphagia
Feeding tubes are medical interventions used for nutrition and hydration, not cures for dysphagia. Decisions to recommend them must consider various factors and not just aspiration risks, which they do not prevent. SLPs play an essential role in patient education and decision-making but cannot mandate feeding tube placement.
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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 glossectomiesbut recently, I’ve had five 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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