Monday, April 30, 2007

Swallowing rehab measures in dysphagia due to inflammatory myopathy

Diet -- oral, nonoral (PEG) or both
Feeding instructions-- chew food well, swallow twice, small bites, alternate solids and liquids, sit upright during the meal.
Compensation-- Chin tuck, head turn (right and left) , effootful swallow, Mendelsohn maneuver, supraglottic swallow
Exercises-- tongue base retraction, effortful swallow, Mendelsohn maneuver, falsetto, supraglottice swallow.
Interventions done-- cricopharyngeal myotomies most helpful and were most frequently done in IBM  Other procedures done were cricopharyngeal or esophageal dilatation, and PEG. 

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