Uninstaller is a free small sized uninstaller program. 7 January, 2. Advanced Internet user, web developer and corporate. Complexity of the clinical presentation of the individual the mcneill dysphagia therapy program mdtp. 2,therapeutic recreation program. Protocol to patient,one. Ventilator Weaning and Best PracticesBest Practices. Rehabilitation Therapy Skilled program must address functional. Therapeutic Recreation.

Retrieved from flickr.com by fs999 Please read the before reading any of the exercises below. Please work directly with a licensed medical professional before implementing any of the following therapy exercises. Whatsapp Plus Themes Xml Free Download on this page. This information is for educational purposes only! A Beginning List of Dysphagia Exercises that Have Evidence Base I collected and typed these exercises up from the handouts that we had at work (thanks to Jamie Pulliza for supplying them). Also, much thanks to whomever compiled these with references in the beginning. I’m indebted to your original hard work!

I want anyone with experience with these exercises and others that have evidence base (even referenced directly from seminars would be nice) to help add to this list and refine it if you see errors. Thanks for your help! I will also be adding a special section for exercises that use some sort of device to assist with the swallow. I will even list Vital Stim, when I have a good reference list available. While this one is a polarizing treatment method, I will list it because there is evidence for and against it. I’ll let my readers judge which evidence is more compelling. An additional reference was pointed out by Michelle Skelley Ashford (a fellow SLP), and it’s a fantastic systematic overview of many of the exercises found below.

Check it out here: Walt Greenslade, M.S., CCC-SLP SUPRAGLOTTIC SWALLOWING MANEUVER PURPOSE To close the airway at the vocal fold level before and during the swallow and to clear residue after the swallow. APPLICABILITY Patients who have delayed airway closure, reduced airway closure, delayed pharyngeal swallow, poor oral control of liquids with premature loss into the pharynx. Patients who can follow a series of commands. ___ Only saliva swallow ___ Food/Liquid swallow INSTRUCTIONS 1.

Take a breath in. Hold your breath after you inhale (lightly cover your tracheostomy tube, if present).

Keep holding your breath while you swallow. Clear your throat immediately after swallow before breathing. Swallow again. Perform with each food/liquid swallow.

Perform ___ times throughout the day. WARNING Patients with uncontrolled high blood pressure should not use this maneuver; bearing down may raise blood pressure. Talk with your Doctor before beginning any exercise regimen.

References Lazarus, C., Logemann, J.A., & Gibbons, P. Effects of maneuvers on swallow functioning in a dysphagic oral cancer patient.

Head and Neck, 15, 419-424. Martin, B.J.W., Logemann, J.A., Shaker, R., & Dodds, W.J. Normal laryngeal valving patterns during three breath-hold maneuvers: A pilot investigation.

Dysphagia, 8, 11-20. McConnel, F. Download Game Psx Ps1 Tanpa Emulator Games. M., Mendelsohn, M.S., & Logemann, J.A.

Manofluorography of deglutition after supraglottic laryngectomy. Telugu Wap Net Ringtones. Head and Neck Surgery, 5, 142-150. SUPER-SUPRAGLOTTIC SWALLOWING MANEUVER PURPOSE To close the airway at the vocal fold level before and during swallow, to increase tongue base retraction and pressure generation, and to clear residue after the swallow. APPLICABILITY Patients who exhibit penetration into the airway with aspiration after the swallow. Patients who can follow multistep directions.

___ Only saliva swallow ___ Food/Liquid swallow INSTRUCTIONS 1. Hold your breath very tightly, bearing down (lightly cover your tracheostomy tube, if present). Continue to hold your breath tightly while swallowing.

Swallow hard. Clear your throat/cough immediately after swallowing. Swallow again. ___Perform with each food/liquid swallow. Perform ___ times throughout the day. WARNING Patients with uncontrolled high blood pressure should not use this maneuver; bearing down may raise blood pressure. Talk with your Doctor before beginning any exercise regimen.

References Martin, B.J.W., Logemann, J.A., Shaker, R., & Dodds, W.J. Normal laryngeal valving patterns during three breath-hold maneuvers: A pilot investigation. Dysphagia, 8, 11-20. Ohmae, Y., Logemann, J.A., Kaiser, P., Hanson, D.G., & Kahrillas, P.J. Effects of two breath-holding maneuvers on oropharyngeal swallow. Annals of Otology, Rhinology, and Laryngology, 105, 123-131.

HARD / EFFORTFUL SWALLOW PURPOSE To increase tongue base retraction and pressure during the pharyngeal phase of the swallow and reduce the amount of food residue in the valleculae of the throat. APPLICABILITY Patients who exhibit residue in the valleculae after the swallow. SUPPLIES ___ Only saliva swallow ___ Food/Liquid swallow INSTRUCTIONS Swallow normally but squeeze very hard with your tongue and throat muscles throughout the swallow. Excess effort should be clearly visible in your neck during the swallow. Perform with each food/liquid swallow.