Neurogenic Dysphagia
IDDSI Diet Levels
Evaluation
Compensatory strategies
Indirect Strategies
Types of Dysphagia
100
This occurs when there is blood flow restriction to the brain.
What is CVA/ Stroke?
100
The diet level presented here
What is the pureed diet?
100
Patients are given an oral mech exam, orientation questions, and asked to drink 3 ounces of water without stopping.
What is the Yale Swallow Protocol?
100
This strategy helps to clear pharyngeal residue by alternating solids and liquids
What is cyclical injestion?
100
The swallowing exercise that is most functional and requires increased focus and energy in the swallow. Can be done with and without food
What is the effortful swallow?
100
Pocketing in the cheek of solids after swallow can be a sign of this type of dysphagia.
What is oral dysphagia?
200
This etiology symptoms include difficulty with thinking, difficulty with recognizing food, difficulty with impulsivity.
What is TBI: Traumatic Brain Injury?
200
A diet where items can easily be compressed with just your gums but foods are presented whole.
What is the Easy to Chew Diet?
200
This evaluation involves 24 areas, can be performed on patients with limited ability to participate, and ranks the patients dysphagia/ aspiration risk.
What is the MASA? Mann Assessment of swallow Ability
200
This strategy involves adding an extra swallow to remove residue.
What is the double swallow?
200
In this exercise the patient holds up the larynx for 3-4 seconds at the height of the swallow.
What is the Mendelson Maneuver?
200
Sensation of food being stuck or "globus sensation" can be a sign of this type of dysphagia.
What is esophageal dysphagia?
300
The symptoms of this etiology include generalized weakness, droopy eyes, and difficulty with speech.
What is Myesthenia Gravis?
300
The thickness labels for liquids on the IDDSI Diet
What are slightly, mildly and moderately thick liquids?
300
This Ranks penetration and aspiration in instrumental swallow evaluations in order to determine safety of swallow.
What is the PENASP Scale?
300
The posture change that can work to prevent aspiration if posterior oral loss of bolus is resulting in aspiration. When it does not work, it can cause aspiration so this strategy is only used if it works under MBS/ FEES.
What is the chin tuck?
300
In this exercise the patient takes in a small bolus swallows while holding breath and coughs right after the swallow.
The Supraglottic Swallow
300
Tongue pumping and difficulty with anterior to posterior transfer of the bolus is a sign of this type of dysphagia.
What is oral dysphagia?
400
Unlike the spinal onset of the same disease name, symptoms of this neurogenic disease start with difficulties in speech and swallowing.
What is bulbar ALS?
400
The way to test solids to determine if they are mashable without teeth.
What is the fork press test?
400
This evaluation uses a cracker and a sip of water to judge chewing ability.
What is the TOMASS? Test of Mastication and Swallowing Solids
400
The posture change that can help move the bolus in the oral cavity from the anterior to posterior cavity. It should use carefully and only with patients that have good oral control.
What is head back posture.
400
The exercise that works the pharyngeal wall by holding the tongue between the teeth and initiating a swallow.
What is the Masako?
400
Throat clearing immediately after swallowing liquids can be a sign of this type of dysphagia.
What is pharyngeal dysphagia?
500
Patients with this etiology tend to have silent aspiration, decreased awareness of deficits, and difficulty with swallow initiation.
What is Parkinsons Disease?
500
The best way to measure viscosity of liquids that are thickened with and without thickener.
What is the IDDSI Flow Test?
500
This is used during FEES to judge secretions
What is the Murray Secretion Scale
500
The compensatory strategy that brings awareness to the swallow prior to swallow initiation.
What is the bolus hold?
500
An intensive dysphagia program that incorporates the phrase "swallow hard and fast"
What is the McNeill Dysphagia Program (MDTP)?
500
Multiple swallows for bolus that is small in size can be a sign of this type of dysphagia.
What is pharyngeal dysphagia?