Several individuals reported success when putting a pill into their mouth, taking a sip of water, tilting their head down then swallowing. This technique is commonly referred to as a chin tuck or chin down position, depending on the literature and degree of neck and head flexion (Leigh et al., 2015; Corbin-Lewis & Liss, 2015; Fraser & Steele, 2012; Okada et al., 2007). However, these terms have been and continue to be used interchangeably (Steele, Hung, Sejdik, Chau, & Fraser, 2011; Okada et al., 2007). This strategy changes the pharyngeal dimensions for bolus direction, but not the physiology of the swallow (Saconato, Chiari, Lederman, & Rebelo Gonçalves, 2016). It has been used to minimize the amount of aspiration for individuals with a …show more content…
However, this strategy should be considered on a case-by-case basis, where a VFSS should be utilized to determine if it the safest way for pill swallowing. The second tip is clinically known as the tongue-hold maneuver. It is described as comfortably holding the tongue tip between the central incisors during a swallow (Hammer, Jones, Mielens, Kim, & McCulloch, 2014; Doeltgen, Witte, Gumbley, & Huckabee, 2009). It is used as a way to increase pharyngeal wall movement through “increased contraction of the superior pharyngeal constrictor” during the pharyngeal stage of the swallow (Hammer et al., 2014, p. 564; Fujiu-Kurachi et al., 2014). It encourages an increase in anterior bulging on the posterior pharyngeal wall (PPW) due to the distance between the PPW and the posterior tongue (Fujiu-Kurachi et al., 2014). The base of the tongue is connected to structures on the pharyngeal wall through muscles, nerves, and the hyoid bone, where its continuous anterior movement is thought to strengthen the movement of the middle and superior constrictors (Doeltgen et al., 2009). It was found that the tongue-hold maneuver compared to a control swallow demonstrates less pharyngeal pressure in both the oropharynx and hypopharynx due to limited posterior movement of
When using the wet snuff it would be held either between your lips or between your gums and cheek. The dried snuff is snorted up the nose and the chewing tobacco is chewed.
By opening the victim?s airway, you are lifting the tongue from the back of the throat which could be the one thing obstructing the airway.
This product can be compared to the Blue Boa suction which also attaches to the HVE system. The suctioning end of the Blue Boa is spiral shaped instead of leaf shaped and provides less coverage or retraction of the buccal mucosa. Like the ReLeaf, it provides the power of the HVE with hands free suctioning. It also can rest farther posterior in the mouth with less chance of tissue damage from the suction than the slow speed “candy cane” method. However, at 100 tips for $15 dollars ($0.15 per piece) the Blue Boa is significantly cheaper (Blue
Yes, athletes should be required to sit out for longer periods of time when they have a head related injury. High school students are more vulnerable to have a second concussion after the first one, women are more susceptible to concussions then men, and a second concussion can lead to death or severe brain damage.
Scientific studies showed a link between concussions and head to head contact. A Neurological study of head injuries from contact sports was conducted by Dr. Ann McKee, a neurologist at the Boston University School of Medicine. She examined the brains of deceased NFL professional football players. The Boston University study found that only one of the 35 deceased NFL players’ brains did not show evidence of advanced CTE, which can only be proven by autopsy after death.Her study received resistance from the NFL and its Commissioner, Roger Goodell.The studies indicated that it was constant head trauma (not including other types of body trauma such as knees, shoulders, and internal organs sustained in contact sports) that was causing the CTE.
The Epiglottis is a flexible flap of cartilage at the top end of the larynx which covers the air only passage and stops food going into the trachea when we swallow. The
When addressing the Tracy and her current use of swallowing, it is important to consider many factors. One of the primary questionx throughout this process that should be answered is if she is able to eat and drink safely. Therefore, we will look at environmental modifications, oral motor and oral sensory techniques, therapeutic feeding strategies, postural changes, diet modifications, caregiver instruction, the team’s role, and the opportunities for communication with Tracy throughout this process. These different areas will provide a comprehensive framework to improve Tracy’s swallowing.
Cranial kinesis describes the movement of skull bones in relation to each other in addition to movement at the joint between the upper jaw and the braincase. Anthony Herrel, Peter Aerts and Frits De Vree conducted an investigation at the University of Antwerp in Belgium on cranial kinesis. The purpose of their study was to examine the functional implications of cranial kinesis in geckos.
Finding the best treatment for children with swallowing disorders is a problem many Speech-Language Pathologists are challenged with. Knowing the etiology is of the utmost importance when determining the appropriate treatment for the disorder. This articles emphasizes the significance of finding the etiology of the disorder. To find the etiology, a battery of test
If sensory input is impaired during this phase there will likely be a disconnect with the swallowing and breathing system which could cause impaired timing allowing for food to go into the airway while the airway is not being protected (Cichero, 2006). Further, sensory input is used to determine the volume of the bolus. Volume is the most important variable in changing the normal pharyngeal stage of swallowing in its timing and coordination (Logemann, 2014). The pharyngeal trigger initiates velopharyngeal closure (muscles in Appendix A) so food will not go up the nose. Moreover, the pharyngeal trigger initiates the tongue base movement to touch the posterior pharyngeal wall and the movement of the lateral pharyngeal wall to move to meet the base of the tongue (Logemann, 2014). Because of this velopharyngeal closure a buildup of pressure is accumulated in the pharynx. The elevation of the hyoid bone and larynx contribute to the closure of the airway (Cichero, 2006). As the posterior tongue and the posterior pharyngeal wall move towards each other to make contact, pressure builds allowing the bolus to move more efficiently. The bolus is split and goes around into the pyriform sinuses where the bolus is directed and pushed downward into the pharyngeal constrictors (Cichero, 2006). When the bolus enters the pharynx, the superior,
Achalasia is a not visit oesophageal engine issue that influences both the body of the throat and the lower oesophageal sphincter (LES).It includes loss of ordinary peristalsis and sphincter hypertonic, and indications are incapacitating.The path physiology of the hindered peristalsis is spoken to by the dynamic degeneration and annihilation of a subpopulation of inhibitory neuronal ganglion cells of the Auerbach my enteric plexus of the throat The subsequent dependable constriction of the lower oesophageal sphincter (LES) causes stasis of nourishment inside of the oesophageal lumen until the rising intra oesophageal weight conquers the deterrent spoke to by the car dial fit and the bolus gradually travels into the stomach.The outpouring deterrent
Cervical auscultation (CA) has been used to assess the pathophysiology of the swallowing process based on the swallowing sounds during deglutition \cite{}. In CA method, a stethoscope or an acoustic detector such as a microphone (Mic) or an accelerometry (ACC) is placed on the patient’s cervical skin in the region of the larynx to listen or record the swallowing acoustic vibrations \cite{,,}. Acoustic information provided in this method is corresponding to the movement of the hyolaryngeal structure during the act of deglutition \cite{}, which is an essential component of the swallowing function and would provide important information regarding the abnormality in the swallowing function \cite{}.
The skeletal system includes the osseous tissues of the body and the connective tissues that stabilize or interconnect the individual bones. The bone is a dynamic tissue. Throughout the lifespan, bone adjusts to the physiologic and mechanical demands placed on it by the processes of growth and remodeling.
However, there was a greater decrease in the VFS scores for Group 1 because of the postural techniques. The lower the score on VFS indicates more control and the easier swallowing of boluses and fluids. Postural techniques lead to better results because of the changing of the direction of “food boluses going down the area of the pharynx”, allowing less difficulties and obstruction with swallowing. (Source-Exp) In conclusion, this study clearly displayed the positive effects of physiological positioning and how muscle strengthening can contribute to a better quality of life preventing choking and pulmonary aspiration.
Common head and neck surgery includes the removal of the voice box: largyngectomy and tracheostomy: making an incision on the anterior aspect of the neck and opening an airway through an incision in the trachea. The removal of the larynx occurs in cases of laryngeal cancer and in this case the airway is separated from the mouth, nose and oesophagus meaning that the patient will breathe through a stoma in the neck. In tracheostomy cases the resulting stoma can act as an airway and a tracheotomy tube is inserted, enabling the individual to breathe without the use of their nose and mouth.