[Dysphagia] Cricopharyngeal Diet

[sorriso at adelphia.net (sorriso@adelphia.net)]

More on the subject:  One of the posters/explainers further stated something to the effect that the passage of the bolus was equated to that of a substance moving through a funnel.  Foods such as mashed/whipped potato, applesauce and pudding would be prohibited because they do not pass easily.  

Another responder did point out that foods do not "pass through."

Linda A. Zanchi, MA CCC-SLP




---- Irene Campbell-Taylor <eripley@yahoo.com> wrote: 
> 
> 
> We've come to learn that it stems from vitalstim education and the identification of and significance of cricopharyngeal dysfunction in dysphagia.
> 
> *** Well. well. Another example of the almost complete misunderstanding of swallowing physiology evidenced by the promoters of VitalStim. Many.many communications with them have led me to accept that I am banging my head against that proverbial brick wall. It is NOT a cricopharyngeal dysfunction (unless so demonstrated by manometry and in very specific cases) but failure of opening of the UES due to failure of anterior movement of the hyoid - the most common aspect of oropharyngeal dysphagia. The "diet" part refers to the multiple studies that have shown that the larger and heavier the bolus, the easier the passage through the UES - See, Kahrilas, Logemann, Dent, Cook, Ravich, Shaker etc. etc. (Which, as a by the way - has always called into question the inexplicable tendency to recommend tiny boluses for dysphagic patients. I'l never  understand that one.)
> 
> Tiny crackers may be of a better consistency when mixed with saliva but not by much.
> 
> The "diet" part is very simple - larger, heavier boluses are easier to swallow than tiny, light ones as passage through the UES depends on the traction of the hyoid combined with the weight and velocity of the bolus - on which there is a plethora of research.
> 
> 
> 
> 
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
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