There are many methods of rehabilitation training for swallowing function, which need to be considered in stages and according to the primary disease, the degree of dysfunction damage, the duration of the disease, and the presence of complications. Common methods include swallowing training, respiratory training and exercise training.
1. Swallowing training: patients exercise the movement of the tongue, such as tongue spitting, tongue curling and other hyoid muscle training, swallowing electromyographic biofeedback training, combined with positional phlegm expulsion and other rehabilitation nursing measures in training.
2. Breathing, sound training: expiratory training, sound training, patients can practice opening and closing the mouth, puffing, blowing and other movements.
3. Exercise training: muscle strength training can be carried out to strengthen the lumbar and back muscles training and balance training, training trunk stability and related functional transfer activities, to maintain a stable sitting posture, improve the eating posture.
At the same time also need to pay attention to: after tracheotomy to give airway management, postural drainage sputum; food preparation, nasal feeding position and the total amount of each nasal feeding control; nasal feeding after the observation of the patient’s stomach whether the amount of residual food is more, with or without reflux and other aspects of rehabilitation care.
Rehabilitation of swallowing function needs to be standardized under the guidance of doctors to avoid delaying the condition.