Читать книгу The Esophagus - Группа авторов - Страница 90

Postural changes employ altered angles and/or gravitational forces to allow safe passage of the bolus and therefore reduce or eliminate aspiration. Chin tuck, chin up, head rotation to the affected side, and tilting of the head to the stronger side are examples of postural techniques (see Table 3.3). Abnormalities of oropharyngeal transit are often overlapping, and rehabilitation of the swallowing mechanism often requires the use of a number of the swallowing maneuvers and postural techniques. Abnormalities of UES opening, which usually present with increased pharyngeal residue and post‐deglutitive aspiration, respond to maneuvers that improve transphincteric transit, and a single approach, e.g. Mendelsohn’s maneuver, Shaker exercise, may suffice.