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INTRODUCT

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PHILOSOPHY

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EXERCISES

Catalogue
047
  exercise

ELEVATOR

Myofunktional Exercise  Collection

Application:

This exercise will be used with incompetence in the third third of the tongue, of the oral diaphragm and the pharynx musculature (for example with the K-sound in snoring, sleep-apnoea and swallowing difficulties) in the third training phase after having finishing the performance goal for the first and second third of the tongue. The target will be to enlarge the frame of mobility as well, as the strengthening of the muscles of root of the tongue, oral diaphragm and pharynx. . (Anatomy: 1.3 Area III. 1.2 Area II).

Contents:

Definite motion and strengthening exercise of a circumscribed muscle group (see above) with the aid of surface sensitivity.

Materials:
Cornflake, grain flake.

Procedure:

- Previous exercises: Favourably the exercise SQUEEZE-A-FLAKE may be put first as it offers a landmark through the accentuated feedback effect (tactile kinaesthesia) of the foreign body cornflake against the palate.

-Starting position: The mouth is wide open; at the beginning we will operate with the hand mirror to introduce the patient how to position the flake by himself afterwards.

- Step-by-step-Description: -1 The flake is placed s far as possible backwards on the last third of the tongue.
-2 Like with a goods lift the flake, now, will be hoisted up in a constant-fluently movement till the contact with the palate and with touching it
-3 immediately is turned downwards in a reversal of the movement back to the starting position.
-4 In an other reversion it goes up again to the position of step 1.

- Timing: Through that up-and-down the training sequence gets a frequency. The lap step 1 to 3 takes about four seconds. Repetition to form a complete sequence may run four to five times.

Characteristics:
Kinesis, mobility, stretching, feedback, tone increase, motivation, sensitivity, stereognosis, pseudo-manipulation, reflex.

Remarks:
With a tendency to retch the flake should be put on more to the front, first, later on pushing it further and further back.

Discussion:

This exercise complements with the exercise SQUEEZE-A-FLAKE in a favourable way. As the latter strengthens the hold and compression force (an optimal sealing especially rostrally) the here discussed one is schooling the fluent lifting movement which is required for the “flowing” course of the swallow reflex. The exercise SQUEEZE-A-FLAKE may be supported by BACKPACK. The WORDEXERCISES 3. THIRD, however, will improve the motility through the fast action. It seems obvious to combine these exercises.
About further exercises for this target field see BACK-OF-MOUTH-EXERCISES. The exercise discussed is more a slow-motion carry-out and may also be emphasized as a HOLD-EXERCISE when, following to step 2, the position is kept for a set time by counting.

Instructions:

The muscles far back in the mouth hole shall get the power necessary to press the food into the gullet when swallowing, to say a ‘K’ and to direct the breathing correctly.
That is, why we now take a flake, a cornflake, and put it on the spot we have kept in mind.
This will be the load which our goods lift is going to transport now.
Upwards and down again and up once more and down. Every time when the flake arrives up there it precisely hits the spot we have practiced.
When it has dissolved the next one has its turn. At least three flakes should be used up in this way, or the exercise is repeated as often as we have agreed to.