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Swallowing and postural techniques Swallowing maneuvers and exercises

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The majority of OPD patients require specialized rehabilitation of their swallowing functions. Swallow therapy is performed with the aid of videofluoroscopy and, more recently, unsedated transnasal videoendoscopy. The therapy requires a cooperative patient with intact cognition. Swallow therapies (Table 3.3) are time‐consuming and must be tailored to each individual patient and their specific oropharyngeal abnormalities. At times, attempts at various techniques and maneuvers are required until an efficient and safe swallow is achieved. Swallowing maneuvers are used to improve bolus transfer and airway safety. In our practice, we find that they are more effective than postural techniques.

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