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