Speech Therapy Swallowing Exercise - Effortful Swallow

Disclaimer:
Please follow recommendations from YOUR speech-language pathologist when continuing with your plan of care. This channel and all videos/recommendations/exercises should not be implemented without proper guidance from a certified speech-language pathologist (CCC-SLP) and is provided as only a guide/tutorial to general recommendations.
HARD / EFFORTFUL SWALLOW PURPOSE
To increase tongue base retraction and pressure during the pharyngeal phase of the swallow and reduce the amount of food residue in the valleculae of the throat.
APPLICABILITY
Patients who exhibit residue in the valleculae after the swallow.
SUPPLIES
___ Only saliva swallow
___ Food/Liquid swallow
INSTRUCTIONS
Swallow normally but squeeze very hard with your tongue and throat muscles throughout the swallow. Excess effort should be clearly visible in your neck during the swallow.
Perform with each food/liquid swallow.
Perform ___ times throughout the day.
References
Lazarus, C., Logemann, J.A., & Gibbons, P. (1993). Effects of maneuvers on swallow functioning in a dysphagic oral cancer patient. Head and Neck, 15, 419-424.
Shanahan, T.K., Logemann, J.A., Rademeker, A.W., Pauloski, B.R., & Kahrillas, P.J. (1993). Chin down posture effects on aspiration in dysphagic patients. Archives of Physical Medicine and Rehabilitation, 74, 736-739.
How to improve your swallow

[@kaseyhatchell8029]

I have cerebral atrophy and having Laryngospasm attacks, cant eat or drink now without having attacks, this video I just found am watching it now

[@loridodson6442]

I have CSA1 and the same thing. Laryngospasms are terrifying. I've had only a few, thank God. The last time, I forced myself counterintuitively onto my stomach and it seemed to help just a little.

[@akdjfncoslkdlliijhdvs]

I found this video while I was looking for the song “shallow”. I made a typo mistake. But I also need to practice presentation. So I decided to subscribe. You explain very clearly to understand for non english native person. :) Thank you!

[@jasper7835]

you should be glad your not looking at this video for the actual problem... not fun

[@kdelka81]

😂

[@bdan19921]

Shallow by porcupine tree?

[@giveitwhatyouvegot]

Thank you!!!

[@SpeechTherapyPractice]

you're welcome!

[@lordviksta]

Can you help me understand this: IMPRESSIONS Grossly functional oral phase with intentionally prolonged mastication, piecemeal deglutition and adequate bolus control and transit. Pharyngeal phase characterized by mildly delayed sallow initiation, mildly reduced hyolaryngeal excursion (hyoid appears to be in elevated position at baseline) and mild vallecular residue which cleared with multiple swallows and/or liquid wash. Mild/flash penetration of thin liquid for consecutive sips and premature spillage for mixed consistency trials. No aspiration of any tested food or liquid materials. I feel like good stays in my throat

[@CrusaderKen]

You should talk to a speech-language pathologist (SLP or speech therapist sometimes). That excerpt you posted is one small piece of a much larger puzzle, and it's difficult (inappropriate) to give medical advise with such limited information. You can follow up with the SLP that performed the exam or contact an outpatient or homecare provider as well.

[@dingusdungus6204]

This is should be explained to you be the Speech Pathologist who was viewing the barium swallow. Aspiration is where food or fluid enters the airway rather than the oesophagus. The note essentially states that food/fluid isn't entering your lungs (which is good). If you have the feeling of food getting stuck in your throat, discuss with your GP about potential reflux management

[@amth3400]

When WO do these swallowing excersices after wake up or any time after eating

[@clintrule2092]

I feel small tumor on my vellecula

[@Hotchelle]

What if I’m having trouble forcing a swallow? Unable to swallow excess saliva or a forced swallow at all. The muscle just isn’t working unless it’s water. This is terrifying and I received a steroid shot today and still can’t

[@harajukubarbiee1295]

me too i really hate this :( imagine struggling to swallow your owns saliva 💔and when i try to talk to someone about it they don't understand

[@elizabethpulido729]

Me too😢 trying to repractice

[@vaniamichellepantoja3337]

is this only used for solid foods? or it can it be used for liquids too?

[@nicoleziegler6979]

liquids too! or even just saliva

[@themarkus6472]

Hey man I tried changing my swallowing and tongue posture after watching some videos about it. Now I have tmj pain and pain when I swallow. I feel like I’m going crazy and depressed. I tried going back to mouth breathing and swallowing normally but still feel terrible. It’s almost like my tongue is strong so it hurts my palate when I swallow.What should I do.

[@aquariellearetee]

Go see your doctor

[@dingusdungus6204]

Why did you try changing the way you swallow in the first place?

[@polarmod2578]

The same reason you are here ​@@dingusdungus6204

[@polarmod2578]

Get good brother this pains a mess in life can't do anything with it Praying to only 1 god Allah to fix you

[@clintrule2092]

Feel small tumor 😭

[@Mattdoyaldimka]

😂