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2016/08/25

Basic Notes Concerning Oral Swallow Study For Dysphagia Techniques

By Ruth Green


Swallowing is one of the activities which involve a lot of co-ordination for it to be done perfectly. Usually the mouth, esophagus, larynx and pharynx are the parts which contribute to access of the activity. Most people who may experience impaired swallowing are thought to have a bad mind set when performing the exercise. This has made researchers to carry out a swallow study for dysphagia with the aim of finding a solution to the disorder.

When people experience these impaired swallowing disorder, they are always advised to seek medical attention from a medical practitioner who will carefully examines their physical history. Normally, the study is very crucial since it helps in identifying the path physiology of the disorder, compensatory techniques and also the empirical therapeutic testing.

Patients who have this disorder may have several symptoms which may not be common to all. These symptoms may include: coughing when trying to swallow foods, getting choked, experiencing pain while swallowing foods or drinks, massive weight loss due to lack of enough food and drink intake, heartburn and chest pains. Symptoms may differ from one patient to another where clinical tests are necessary to help determine the case.

Normally, the disorder is examined carefully be a speech language pathologist (SLP) who carefully evaluates the condition. The examination process usually involves careful evaluation of symptoms, medical condition history, behavior, feeding posture and oral movements done during drinking and eating and muscle strength evaluation involved in swallowing.

The main objective of this kind study is to create awareness especially to patients who have silent aspiration, identify the anatomic area which is usually involved and also get ideas of the etiology of such disorder. In the anatomic region identification, the evaluation usually involves determining whether it is a esophageal, oral or pharyngeal complication whereas in the etiology study evaluation of duration, onset and severity of the conditions are determined.

Effortful swallow is another common oral technique used to exercise the muscles and is done by collecting all the saliva at the center of the mouth while the lips are tight and closed together. A hard swallow is then done and the exercise is repeated to ensure that the muscles are relaxed to allow any food or drink to be swallowed with ease.

Endoscopy is another treatment method used where a screen is used to remove the foods that may be stuck. This method is usually used in cases where food may fail to go down to the gut for digestion. In cases where the condition is not that severe or the patient has a brain, muscle or nerves complications, exercises of the muscle and positioning the body well while taking meals are some of the exercises which are recommended.

The other tongue session involves sticking the tongue to the corner of the mouth and holding it firmly in either the left or right hand. Without moving the chin the tongue is then moved very fast on the right side. Protruding the tongue another left movement is done 5 times without changing anything. This is mainly aimed at exercising the muscles and makes them used. All these techniques are carried out under the supervision of a medic who in turn determines the repetition count that is needed for optimal results.




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