SUCKER

Myofunktional Exercise  Collection

Application:

No illustration

For the habituation of the swallow reflex in an advanced stage of therapy; saliva swallow. (Anatomy: 1.3.6, Page 25a)

Contents:

Pseudo-manipulated function exercise for an advanced reflex embodiment with  MEMOS.

Materials:

Small tasty sweets, sugar-free.

Procedure:

- Previous exercises: The swallowing reflex should have been restored and rehearsed under control.

-Starting position: Not required. This exercise should be practiced in the normal daily routine.

Put a lozenge into the cheek-pocket.

- Step-by-step-description:

-1 With the ,ZIP’-method the saliva (for the patient “the resolved flavour” is being sucked out from the rostral vestibulum into the DIMPLE.

-2 TOUCH-THE-BUTTON .

-3 Swallow with the taught method (see “Discussion”)

-Timing: “Swallow the essence when a sufficient portion has gathered” – as long, as the pill has enough material. Repetitions several times a day or as often as prescribed. Recommendable are up to ten practical applications per day. For the mental preparation towards a correct saliva swallowing it may be appointed to post signs with the letter ‘P’ (for “pill”) and, when noticing one either to use a pill or to swallow several times correctly.

Characteristics:

Function-kinetic reflex, self-monitoring, embodiment, motivation, pseudo-manipulation.

Remarks:

Mind allergies (peppermint [Mentha piperita] and possible choking.

Discussion:

The here discussed exercise is the headstone fort he swallow exercises (see „Discussion“ in chapter  PIPELINE). This is why the mental component is expressively stressed.

It has been hinted towards mostly not mentioning the expression “saliva-swallow”as there are many patients who find it disgusting to swallow the own “spittle“ mindfully. The term “idle-swallow” is avoided here as it is not true in fact.

About pills and lozenges with an essence you should ask in your pharmacy as, today, there are lots of tasty sweets with sugar substitutes.

Regarding the timing it should be amplified that, in the starting phase, TIMETABLES and MEMOS might be helpful (see also NIGHT SCHEDULE).

The pills should not be problematic used at night, as aspiration or choking do not mean a great problem when the patient puts them into his cheek-pocket. A decision, though, should be left to the patient or a family member. It, in deed, serves as a useful motivating access for the skills training at night-

As a reminder to the correct swallowing pattern a completed version of the ,1-2-3'-EXERCISE may be prescribed (see there).

Instructions:

“But do only suck on it” people say if someone is going to nibble hard candies – of course those without sugar!

Let’s do this, now!

 Previously, of course, you will have to practice correct swallowing with the ,ZIP’-method.

The sweets with the delicious taste are placed in the cheek-pocket. When ample taste has dissolved: ,ZIP’ , the tongue to the POINT and SWALLOW. And this always as the tongue has learned.

You should do that several times a day. Then it is really important to take your time with it. After you should watch that the swallowing goes on correctly, not only nearly and by the way.

As a reminder you might cut out small signs with a “P” on for “Pill” and place them everywhere and you will start practicing, when you notice one.