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Cognition can impact many facets of life including swallowing. Patients may be confused enough that they don't "recognize" food in their mouth and effectively may not know what to do with that food. For example, when I was working in the acute care hospital, I evaluated a patient in the ICU that had sodium levels [...]
The First Thing.... When I assess a patient with dysphagia, my first plan of attack is to teach the patient about oral care and start an oral care plan with that patient! Aspiration Aspiration is defined as the inhalation of either oropharyngeal or gastric contents into the lower airways, that is, the act of taking [...]
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 [...]
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 [...]
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 [...]
Picture from: http://www.busymomboutique.com Looking for an exercise. Haven't you always wanted a very simple exercise [...]