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Compensatory Mgmt

Compensatory Mgmt Techniques for Dysphagia

QuestionAnswer
Chin Tuck/Head Flexion - Postural Technique To improve airway protection, prevent premature spillage. Moves base of tongue posteriorly, widens/flattens valleculae spaces, improves laryngeal vestibule closure, narrows oropharynx, reduces dist. b/w hyoid bone-larynx.
Chin Up/Head Extension- Postural Technique * Pt should have good airway protection, adequate pharyngeal fx, laryngeal closure* Benefits pts w/ glossectomy, oral resection, reconstruction, significant lingual paralysis (oral transit dysfunction), poor labial seal, nasal regurgitation. Widens the oropharynx, helpful in moving bolus fr mouth into pharynx posteriorly bc of gravity
Head Rotation/Turn- to WEAK side.- Postural Technique Closes off/reduces area of damaged side. Use for pts. w/ unilateral pharyngeal dysfunction, reduced PES opening. Reduces post-swallow residue/asp.
Head Tilt- to UNAFFECTED side.- Postural Technique For pts. w unilateral oral damage/unilateral oral pharyngeal dysfunction. Eliminates involvement fr affected side, keeps food on functional side.
Side-Lying Technique- Lie down on STRONGER side. Gravity pulls bolus/residue to unaffected side. Increases hypopharyngeal pressure on bolus. For pts. w/ unilateral pharyngeal dysfunction, PES dysfunction. Slows bolus, provides time to adjust/protect airway.
Postural adjustments not ideal for those: that are noncompliant due to physical/cognitive limitations.
Upright posture helps reduce/prevent: reflux that contributes to aspiration
Compensatory Strategies- when are they performed? During the exam.
Created by: kaskas
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