![]() ![]() Patient is instructed to hold their breath just before swallowing (closing the vocal folds) and cough immediately after the swallowĭesigned to voluntarily move the arytenoids anteriorly, closing off the entrance to laryngeal vestibule before and during the swallow. Patient holds the larynx in elevated position at peak of hyolaryngeal elevationĭesigned to voluntarily close vocal folds by holding one’s breath before and during swallow to protect the airway. ![]() Patient is instructed to swallow and push hard with tongue against hard palateĭesigned to elevate the larynx and open esophagus during the swallow to prevent food/liquid from entering the airway. Increases posterior tongue base movement to facilitate bolus clearance. Head is typically turned toward the damaged or weak side to direct bolus to the stronger of lateral channels of the pharynxĬhin is tucked down toward the neck during the swallow, bringing tongue base closer to posterior pharyngeal wall, narrowing opening to the airway, and widening vallecular space Head is tilted toward the strong side to keep food on chewing surface Supported upright with or without pillows 1.6K 89K views 5 years ago Instructions for individuals or caregivers of individuals with dysphagia (ie, swallowing problems). Patients are instructed to swallow, to hold the swallow for 2-3 seconds, and then to complete the swallow and relax when the pharynx is in the uppermost stage. CTAR Ball Chin Tuck Against Resistance is a swallowing rehabilitation method used for enhancing suprahyoid muscle activity in lieu of using a sustained head lift (Shaker-type) exercise. (2014), New Method For Enhancing Suprahyoid Activity Using a Shaker-type Exercise. ![]() Open cup, spoon, straw, spouted cup, sports bottle This product is based on research by Yoon WL et al. Sensory stimulation may prime the swallow system for subsequently presented bolus to lower threshold needed to initiate swallow response and improve timeliness of the swallowĪltering cup size or supervised ingestion in swallow initiation and postswallow residue in the piriform recesses. Chin tuck against resistance (CTAR): new method for. This study explored viability and outcomes of swallowing rehabilitation programs for four patients with persisting dysphagia. There are no published rehabilitation efficacy studies to date. Modified diets use alterations to food texture to reduce the need to orally prepare foodįood/liquid sensory adjustments (eg, temperature, flavor, tactile) Shanahan et al.18 reported elimination of aspiration with the chin tuck in 15. Context/objective: Swallowing difficulties (dysphagia) are well recognized after spinal injury. Thickened fluids slow the act of swallowing, thus enhancing safe swallowing. If any person has trouble swallowing, using a chin down or chin tuck maneuver will improve the swallow and reduce the risk of aspiration. Regular foods and fluids require exceptional muscle control and accurate coordination between swallowing-respiratory systems. – Liquid: Extremely thick, moderately thick, mildly think, slightly thick, thin – Food: Regular, soft and bite-sized, minced and moist, pureed, liquidized Compensatory techniques used in patients with dysphagia ![]()
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