Final: Question 6

Super supraglottic swallow

Effortful breath hold

Head extension

Elevate the chin to assist in oral bolus transit to pharynx

Compensatory strategies

Head extension Head turn Effortful swallow Chin tuck Supraglottic swallow Super supraglottic swallow Mendelsohn manuever

Mendelsohn Maneuver

Improved laryngeal elevation Improved timing and coordination

Supraglottic swallows

Improves VF closure Cough executed after swallow to clear residue from vocal folds

Chin tuck

Improves airway closure Narrows oropharynx

Effortful swallow

Increase force applied to the bolus Increase propulsion

Head turn

Turn to weak side Open up strong side to increase pharyngeal pressure