Definition: Suzette Cochiara Perrin

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Definition: Suzette Cochiara Perrin

  1. 1. Thermal-Tactile Stimulation Defined Suzette Cochiara Perrin WKU CD 514 Spring 2008
  2. 2. Overview <ul><li>Swallowing is a complex process that moves food and liquids from the mouth to the stomach, which involves the use of many nerves, and muscles in the lips, tongue, mouth, throat and esophagus (Boczko & Mckeon, 2005). </li></ul><ul><li>Dysphagia can be described as a difficulty in moving food from the mouth to the stomach(Logemann, 1998, p.2). </li></ul><ul><li>Speech Language Pathologists have developed many types of treatments to aid clients in the swallowing process when problems arise. </li></ul><ul><li>Thermal-tactile stimulation is one such therapeutic treatment that helps to improve triggering of the pharyngeal swallow. </li></ul>
  3. 3. Thermal Tactile Stimulation <ul><li>Stimulation involves rubbing the anterior faucial arch. </li></ul><ul><li>The rubbing is done in a firm manner 4 or 5 times. </li></ul><ul><li>The therapist uses a size 00 laryngeal mirror which has been chilled--held in crushed ice for several seconds. </li></ul>
  4. 4. Applications <ul><li>Thermal-tactile stimulation is done before the client is given the bolus or before a swallow attempt has happened. </li></ul><ul><li>Thermal-tactile stimulation is used to heighten oral awareness for the client and the chilled mirror is used in alerting the senses in the brain to prepare for a swallow. </li></ul><ul><li>This preparation with thermal stimulation will trigger the pharyngeal swallow more quickly. </li></ul>
  5. 5. Results <ul><li>Thermal-tactile stimulation techniques have been used in faster triggering of the pharyngeal swallow. </li></ul><ul><li>The thermal stimulation has been proven to reduce the delay in the pharyngeal swallow for several swallows after the initial stimulation. </li></ul>
  6. 6. Effectiveness <ul><li>Videofluoroscopy can be used to view effectiveness of this technique. </li></ul><ul><li>At bedside, the technique can be approximated and observed with fingers lightly contacting the area below the mandible and anterior neck. </li></ul><ul><li>Thermal-tactile therapy is classified as a sensory enhancement procedure. </li></ul>
  7. 7. Swallowing Mechanism at Rest Felt, P. (2006, Spring). Nutritional Management of Dysphagia. Healthcare Caterer, 1(2), 12.
  8. 8. References <ul><li>Boczka, F. & McKeon, S.(2005, September). Case report: dysphagia: age is no barrier. Clinical Geriatrics, 13 (9), 15-20. </li></ul><ul><li>Cancer Control 9 (5):400-409, 2002 H. Lee Moffitt Cancer Center and Research Institute, Inc. Oropharyngeal dysphagia in head and neck cancer: treatment strategies for dysphagia. </li></ul><ul><li>Logemann, J. A.(1998). Evaluation and treatment of swallowing disorders (2nd ed.). Austin: Pro-Ed. </li></ul><ul><li>Felt, P. (2006, Spring). Nutritional Management of Dysphagia. Healthcare Caterer, 1(2), 12. </li></ul>

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