Supraglottic swallow vs super supraglottic swallow

Oropharyngeal dysphagia is a frequent occurrence following stroke. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge.

Federal government websites often end in. The site is secure. Swallowing dysfunction is common after stroke. The physiologic impairments that result in post-stroke dysphagia are varied. This review focuses primarily on well-established dysphagia treatments in the context of the physiologic impairments they treat. Traditional dysphagia therapies including volume and texture modifications, strategies such as chin tuck, head tilt, head turn, effortful swallow, supraglottic swallow, super-supraglottic swallow, Mendelsohn maneuver and exercises such as the Shaker exercise and Masako tongue hold maneuver are discussed.

Supraglottic swallow vs super supraglottic swallow

The objectives of this study were to evaluate the state of tongue pressure production during supraglottic swallow SS and super-supraglottic swallow SSS performed by healthy adults, and to investigate the effects of these swallowing maneuvers on the oral stage of swallowing. The participants were 19 healthy individuals. Tongue pressure against the hard palate during swallowing was measured using a tongue pressure sensor sheet system with five pressure-sensitive points. The tasks comprised swallowing 5 mL of water by normal wet swallow, SS, and SSS, and the parameters for analysis were the duration, the maximal magnitude, and the integrated value of tongue pressure during swallowing. The duration of tongue pressure was significantly longer at the anterior-median part of the hard palate during both SS and SSS than with normal wet swallow. The maximal magnitude increased significantly only at the posterior part of the hard palate during SS, but at all points during SSS. The integrated value increased significantly only at the posterior-median part of the hard palate during SS, but at all points except the mid-median part of the hard palate during SSS. The maximal magnitude and integrated value were also significantly higher at the anterior-median and posterior circumferential parts during SSS than during SS. These results show that these two swallowing maneuvers, which are known primarily as techniques to protect the airway, also function to strengthen the tongue pressure produced by the contact between the tongue and the hard palate during swallowing and this effect is more pronounced during SSS. Abstract The objectives of this study were to evaluate the state of tongue pressure production during supraglottic swallow SS and super-supraglottic swallow SSS performed by healthy adults, and to investigate the effects of these swallowing maneuvers on the oral stage of swallowing. Publication types Research Support, Non-U.

Am J Physoil. Supraglottic swallow is a swallowing method in which a person is instructed to cough right at the end of a swallow to help prevent any swallowed food or liquid from entering the airway, supraglottic swallow vs super supraglottic swallow. The effects of taste and consistency on swallow physiology in younger and older healthy individuals: a surface electromyographic study.

Boden, K. Effects of three different swallow maneuvers analyzed by videomanometry [Electronic version]. Acta Radiologica , 47 , This study was conducted to analyze how different swallowing maneuvers such as the super-supraglottic, supraglottic, and Mendelsohn affect swallowing in healthy volunteers. Videoradiography and manometry were used to analyze the upper esophageal constriction during the pharyngeal phase of three types of swallowing maneuvers. Pharyngeal manometry is the recording of muscle pressures used for the quantitative evaluation of the upper esophageal sphincter UES. The supraglottic swallow is designed to close the true vocal cords before and during swallowing to prevent the entry of food into the airways.

Swallowing dysfunction is common after stroke. The physiologic impairments that result in post-stroke dysphagia are varied. This review focuses primarily on well-established dysphagia treatments in the context of the physiologic impairments they treat. Traditional dysphagia therapies including volume and texture modifications, strategies such as chin tuck, head tilt, head turn, effortful swallow, supraglottic swallow, super-supraglottic swallow, Mendelsohn maneuver and exercises such as the Shaker exercise and Masako tongue hold maneuver are discussed. Other more recent treatment interventions are discussed in the context of the evidence available. Danielle N. Johnson, Hannah J. Janet J. Fortunately, the majority of them will recover swallowing function within 7 days [ 2 ].

Supraglottic swallow vs super supraglottic swallow

The Super Supraglottic Swallow and Supraglottic techniques are both swallowing maneuvers used in dysphagia management. The Super Supraglottic Swallow is a two-step technique that involves holding the breath tightly, swallowing, and then coughing immediately after the swallow to clear any residue. It is particularly useful for patients with reduced airway protection. On the other hand, the Supraglottic technique involves holding the breath, swallowing, and then releasing the breath before coughing. This technique is commonly used to improve airway closure during swallowing. While both techniques aim to improve swallowing safety, the Super Supraglottic Swallow focuses more on airway protection, while the Supraglottic technique emphasizes airway closure. These techniques are designed to help individuals with dysphagia, a condition that affects their ability to swallow safely and efficiently.

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San Diego: Plural; Thus, it is unknown if it was the VitalStim TM , the effortful swallow, the mass practice, or a combination of these that lead to positive results. Compensation Management of dysphagia includes the incorporation of compensatory strategies to immediately address swallowing safety e. Evaluation of manometric measures during tongue hold swallows. Crary et al. Like many of our rehabilitative approaches for dysphagia, findings for TTA are not robust. In this technique, a person is instructed to implement an effortful breath hold before a swallow to prevent any swallowed food or liquid from entering the airway. The presence of dysphonia, dysarthria, abnormal gag reflex, abnormal voluntary cough, voice change with swallowing, and cough with swallowing have been described as suggestive of increased aspiration risk. The majority of research suggests minimal effects of temperature on pharyngeal peristalsis [ 21 ], duration of true vocal fold closure [ 22 ], and elicitation of a pharyngeal swallow [ 23 ]. The supraglottic swallow is used for patients who demonstrate reduced airway protection during the swallow.

Boden, K. Effects of three different swallow maneuvers analyzed by videomanometry [Electronic version].

Jaw-opening exercise for insufficient opening of upper esophageal sphincter. For patients with dysphagia secondary to stroke, regardless of stroke etiology, the goal is to identify and treat the physiologic impairments. About this article. An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal pressures during effortful swallow. Swallowing Exercises While compensatory strategies are utilized to provide immediate benefits to ensure safe and efficient swallowing during oral alimentation, the purpose of exercise is to eliminate the need for compensation. TMS is a method, which has been used to explore the corticomotor physiology of many motor tasks, to include swallowing. Reduced pharyngeal wall residue was also significantly reduced, generally with liquid; however, residue in the oral cavity, valleculae, and pyriform sinuses did not significantly change following therapy. A systematic review by Adeyemo et al. J Neurol Rehabil. Super Supraglottic Swallow. Article Google Scholar Download references. Tongue pressure generation during tongue-hold swallows in young healthy adults measured with different tongue positions.