The Pulse

Optimizing Head, Neck and Trunk Positioning to Impact Swallow Performance and Safety

Posted by ACP on Nov 15, 2018 12:59:00 PM
Swallow efficacy and safety are influenced by more than oropharyngeal muscle strength and performance. Head and neck positioning and posture can have a significant impact on an individual’s ability to effectively and safely swallow. Poor positioning can develop as a result of advanced age, neurologic impairment, and musculoskeletal involvement. The incidence of postural malalignment of the head, neck, and shoulders is increasing as a result of repetitive poor positioning with the use of computers and hand-held devices.
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Topics: Dysphagia, Clinical Tip

Improving Swallow Ability After a Stroke with Electrical Stimulation and Biofeedback

Posted by ACP on Oct 11, 2018 7:38:44 PM

Patient Information: Female, Age 78

Diagnosis: Stroke / Oropharyngeal Dysphagia

History: This woman with a history of several strokes had a subsequent stroke that resulted in severe oropharyngeal dysphagia (difficulty swallowing). She had weakness in her lips, tongue, and muscles involved in her swallow, and required a feeding tube for all nutrition and hydration. She was admitted to a skilled nursing facility after discharge from the hospital. Prior to her most recent stroke she ate a normal diet with thin liquids.

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Topics: Dysphagia, Patient Success Story

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