Lingual Strengthening Using Resistance

Lingual Strengthening Using Resistance

Research  Research by Dr. Lazarus and Dr. Robbins has focused heavily on lingual strengthening. Many of these research articles have proven to us that lingual strengthening using resistance such as an IOPI does increase not only tongue strength and at times, tongue mass, but also improves the overall swallow.  This same research has also shown us that using [...]

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 [...]

Glossectomy

Glossectomy

Glossectomy Let's talk total glossectomy for a minute.   I've actually worked with multiple partial glossectomies in my career and recently have had 2 total glossectomy patients. It seems like a pretty difficult task, right?  Getting someone to eat and drink again with no tongue. Taking the tongue out of the equation of swallowing makes the [...]

“Establishing a Multidisciplinary Head and Neck Clinical Pathway: An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes”

“Establishing a Multidisciplinary Head and Neck Clinical Pathway:  An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes”

  If you are considering joining or starting a head and neck cancer program, this is the read for you! I was searching through articles this morning and found this very article stating the importance of a team approach and a systematic approach to head and neck cancer! "Head and neck cancer guidelines recommend multidisciplinary [...]

Pharyngocise

Pharyngocise

Dysphagia with Head and Neck Cancer As I have worked more and more with patients with head/neck cancer, I've discovered how much I like working with that population.  One thing I have really learned with these patients, is they need to do SOMETHING, particularly during treatment.  They need education well before treatment begins. Many of [...]

Supraglottic and Super-Supraglottic Swallows and Tongue Pressure

Supraglottic and Super-Supraglottic Swallows and Tongue Pressure

Fujiwara, S, Ono, T, Minagi, Y, Fujiu-Kurachi, M, Hori, K, Maeda, Y, Boroumand, S, Nitschke, I, Ursula, V, Bohlender, J.  Effect of Supraglottic and Super-supraglottic swallows on Tongue Pressure Production against Hard Palate.  Dysphagia (2014) 29:655-662.   The Super- and Supraglottic Swallows are maneuvers used to assist in early airway closure to prevent food or [...]

Variations in Tongue-Palate Pressures with Xantham Gum Thickened Liquids

Variations in Tongue-Palate Pressures with Xantham Gum Thickened Liquids

Steele, CM, Molfenter, SM, Peladeau-Pigeon, M, Polacco, RC, Yee, C.  Variations in Tongue-Palate Swallowing Pressures When Swallowing Xantham Gum-Thickened Liquids.  Dysphagia (2014) 29:678-684. "Thickened liquids are frequently recommended to reduce the risk of aspiration in patients with oropharyngeal dysphagia."  We know that tongue-palate pressures increase with thicker liquids, however little is known about the differences [...]

Measuring Lingual Range of Motion

Measuring Lingual Range of Motion

Strength Vs. Range of Motion For so long, we have focused on lingual strength and range-of-motion. Instruments for Measurement The Iowa Oral Performance Instrument (IOPI) and the Tongue Press have all been developed to give us visual and numeric strength measurements of the tongue. The Research We finally have a measurement scale for lingual range of [...]