Multiple Sclerosis

Dysphagia occurs more frequently in advanced stages of MS, although it can occur at any time during the disease course. Its real prevalence can be estimated to be around 30%–40%. Dysphagia is life-threatening if not managed properly. In fact, its complications such as dehydration and aspiration pneumonia are a common cause of death and morbidity […]

Oral Motor Management

    Consultants in Dysphagia Evaluation and Management 817-514-MBS1 or 1-888-514-MBS1 Created by : Ronda Polansky M.S. CCC-SLP   Oral Motor Management An examination of the patients anatomy is done during an Bedside Swallow Eval (BSE) This usually begins with lip seal and tongue movement Of importance is evaluation of oromandibular movement during mastication, […]

Strategies with Head and Neck Cancer

    Consultants in Dysphagia Evaluation and Management Phone: 817-514-MBS1 or 1-888-514-MBS1 Fax: 817-514-MBS8 or 1-877-514-MBS8 Speech Pathologist Reference Sheet By: Ronda Polansky M.S. CCC-SLP     STRATEGIES in Head and Neck Cancer For those patients who have undergone surgical resection or organ preservation protocols for head and neck cancer and who are unable to […]

THERAPY and STRATEGIES for Pharyngeal Disorders

It is very important to understand WHY the dysphagia is occurring before initiating treatment for it. Velopharyngeal insufficiency raise and lower velum during the production of  /a/ to produce nasal and oral contrasts, as in /ng-a, ng-a/ Pretend to be “stopped up” and then gradually eliminate denasality to more oral resonance Raise the velum mechanically […]

Treatment Strategies: Why, How, What?

Strategy Why? How to do What it does Head Back Poor oral control Must have normal pharyngeal phase Tilt head back during swallow Uses gravity, duration of UES relaxation decreases with increased head extension Chin Tuck Premature loss Reduced airway closure Touching chin to chest before & during swallow widens valleculae narrows airway Pushes tongue […]


Tracheotomy – Between 43-80% of the patients with tracheotomy tubes will manifest signs of aspiration or aspiration pneumonia. Dysphagia is produced by physiological changes associated with opening the trachea to atmospheric pressure, not merely the presence of the tube in the neck ( Murray, T, Carrau, R, 2006) Physiciologic changes following a Tracheotomy Loss or […]

Speech Pathologist Reference Sheet on Treatment of Dysphagia

Therapy Techniques for some of the swallow dysfunctions seen on the MBSS Improve Oral Sensory Awareness – Premature spillage can be a direct result of reduced oral sensation Increase downward pressure of the spoon against the tongue when presenting food in the mouth Presenting sour bolus Presenting cold bolus Presenting bolus requiring chewing Presenting a […]