Changing your swallowing technique often involves learning and practicing specific exercises under the guidance of a speech-language pathologist (SLP). One technique, the super-supraglottic swallow, is described below.
The Super-Supraglottic Swallow Technique
The super-supraglottic swallow is a specific swallowing maneuver often used to improve airway protection during swallowing. It involves actively closing off the airway before and during the swallow to prevent food or liquid from entering the lungs (aspiration).
Steps for Performing a Super-Supraglottic Swallow:
- Inhale deeply and hold your breath very tightly. This step is crucial to prepare for closing the airway.
- Bear down (like you are having a bowel movement). This increases the pressure in your chest cavity, further assisting in airway closure.
- Keep holding your breath and bearing down as you swallow. Consciously swallow while maintaining both breath-holding and bearing down.
- Cough immediately after the swallow. Coughing helps to clear any residue that may have entered the airway despite the maneuver.
- Swallow again. A second swallow helps to clear any remaining residue in the pharynx.
Important Considerations:
- Professional Guidance: This technique, like all swallowing exercises, should be taught and monitored by a qualified speech-language pathologist. They can assess your specific swallowing difficulties and tailor the exercises to your needs.
- Medical Conditions: Certain medical conditions may make this technique unsafe or unsuitable. A thorough evaluation by an SLP and your physician is essential.
- Purpose: This specific technique aims to close the airway voluntarily before and during the swallow, offering protection against aspiration.
Other Swallowing Maneuvers
It's important to note that the super-supraglottic swallow is just one type of swallowing exercise. Other techniques exist, and the most appropriate one for you will depend on the specific nature of your swallowing difficulty. An SLP can assess your needs and recommend the best course of action.
