Oral Phase Mgmt/Tx Word Scramble

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Oral Phase Mgmt/Tx

Oral Phase Compensatory Strategies

Question	Answer
Downward Pressure on Tongue (w/spoon)	To treat reduced oral sensation, delayed oral/pharyngeal swallow. Improves oral sensory awareness.
Sour & Cold Bolus	To treat reduced oral sensation, delayed onset of swallow, pharyngeal delay. Improves oral sensory awareness. Put in mesh cloth if swallowing not wanted.
Thermal Tactile Swallow	Treats delayed initiation of pharyngeal aspect of swallowing. Improves oral sensory awareness. Stroke anterior faucial pillars w cold stimulus. Effect continues for several swallows after. Not permanent.
Bolus requiring chewing & Large Volume & Suck-Swallow	treats reduced oral sensation, delayed oral/pharyngeal swallow. Improves oral sensory awareness.
Tactile + Proprioceptive Input from	bolus requiring chewing
Increased tongue elevation from	Suck-Swallow
Other compensatory strategies	multiple swallows, small sips/amounts, modifying food presentation
Liquid Wash	immediately following pudding/solid if its getting stuck (oral/pharyngeal residue)
3 second prep	from neurological/psychological research, preparing to swallow mentally
External support	external pressure to weaker cheek, labial & chin support
Intraoral prosthetics	For tongue resection, palatal work, lower palatal work, helps swallow
Most Invasive Strategy	Changing food consistency
Thickened Liquids	Treats oral tongue dysfunction, delayed pharyngeal swallow
Purees	Treats delayed pharyngeal swallow, reduced laryngeal closure
Rehabilitative Strategies for Oral Phase	Stretch Reflex, OM exercises, resistance, bolus propulsion, ROM exercises (passive & active), lifting back of tongue,
Stretch Reflex- rehab strategy	for oral weakness
OM exercises- rehab strategy	for Oral weakness, drecreased ROM, therapist initiated (passive) lip stretches, patient initiated (active)=pucker/release,close lips smack hard, smack,retract/hold,puff cheeks,resist ext. pressure
Resistance- rehab strategy	for oral weakness/decreased ROM. Push against tongue depressor.
Bolus Manipulation- rehab strategy	for decreased ROM. therapist holds bolus in mesh on string and pt moves it around
Bolus Propulsion- rehab strategy	for decreased ROM. Juice in gauze, pt squeezes juice out and swallows
ROM exercise- rehab strategy	for decreased ROM. Elevate anterior/posterior tongue and hold. side to side. pull tongue back/hold.
Lift back of tongue- rehab strategy	for decreased lingua velar seal, not base of tongue. Hard /k/ words
protocol recommendations- how many trials a day?	25
protocol recommendations- how many days a wk?	6
protocol recommendations- how many wks?	8

Created by: kaskas on 2012-04-23