Focused Clinical Application
Synchrony: Skill-Based Typical Swallow Interventions

ASSESSMENT:

• Resting Baseline
• Swallow Command Initiation
• Typical Swallow
• Swallow Duration

INTERVENTION:

Timing:

Bow and Arrow / Work-Rest Cycle

• Used for targeting swallow initiation 
  • Under "Edit Parameters", select a time less than patient's baseline delay

Note: Swallow repetition is considered accurate when completed within set time.

Coordination:

Trace Display

• Helps reduce excessive activity during typical swallows
• Assists in reducing swallow duration time

Note: Goal is to decrease amount of activity pre and post swallow.

Work-Rest Cycle

• Used to reduce motor activity during swallow
  • Under "Edit Parameters", modify work time based on patient's baseline swallow duration
• Used to target volitional control and timing used during swallow duration
  • Under "Edit Parameters", high/low target amplitude can be set for patients needs

Note: Within parameter settings select box next to high target to make amplitude visible.