Appendix C: How the Maneuver Works- Logemann
Logemann, J. A. (2006, May 16). Medical and rehabilitative therapy of oral, pharyngeal motor disorders. GI Motility Online. Retrieved April 22, 2009, from http://www.nature.com/gimo/contents/pt1/full/gimo50.html
• Motor disorders can result in limited or no movement of the pharyngeal walls, leading to reduced contraction of the pharyngeal walls during swallowing.
• As the bolus begins to make its way toward the pharynx, the BOT moves in a backward motion, putting pressure on the bolus and pushing tit through the pharynx. This occurs in tandem with the contraction of the pharyngeal constrictors. Stronger pharyngeal contraction is achieved by the tongue-holding maneuver, as described below.
• During the tongue-holding maneuver, the tongue tip is held gently but firmly between the teeth as the patient swallows. This in effect holds the tongue in an anterior position that then forces the glossopharyngeal portion of the superior constrictor to use more strength in contracting, further resulting in greater anterior movement of the posterior pharyngeal wall. This anterior motion is visually noted as a bulging of the PPW. This exercise should not be performed when eating because the anterior anchoring of the tongue makes it difficult to generate a proper pharyngeal swallow.
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Posted by Nechama Heitler