The various speech swallowing disorder home training guides have been uploaded one after another, subject to further improvement, so please download them and read them carefully for your help and inspiration. Swallowing disorder home training guide Generally speaking, the swallowing training time is proportional to the training effect, therefore, continuous and consistent swallowing training is very important, no matter how many times a week you receive training from a regular speech therapist, please set aside 1 to 2 hours a day for home training and record the daily eating content, training content and changes in a notebook, the more detailed the better. The following is our home training guidance based on the specific circumstances of the patient: a. About eating: 1. Strengthen oral hygiene management after each meal and timely rinse, remove residual food. The focus is on the teeth, cheek surface, tongue surface and hard palate surface of the mouth. 2. Strictly follow the dietary advice given by the therapist and choose the best food consistency. Chopped and cooked food is the easiest to swallow, paste-like food is the least likely to be inhaled into the trachea, and pure liquid and thin soup are the easiest to choke into the trachea. 3, the size of the food mass a teaspoon large. Drink water using a spoon, do not use a straw. Cough lightly several times after each meal, do a few more swallowing movements when eating, swallowing hard food through the pharynx. 4. Take a sitting position when eating. The head is not tilted back, and when eating in the prone position, the head and the whole body are tilted 45 degrees to the healthy side to promote the flow of food into the esophagus from the normal pharyngeal side. 5. Pay attention to swallowing skills. Teach the patient to breathe deeply before swallowing, then close the air, then swallow, cough after swallowing, remain seated and actively train empty swallowing. Relaxation training: Parts: shoulder, neck, head. Take a relaxed position, shrug your shoulders, bend your head forward, extend it backward, deviate to the left, deviate to the right, turn to the left and turn to the right. Each movement lasts for 3-5 seconds, 10-20 times / time, 2-3 times / day. Breathing training: 1. Sitting posture, if the patient can sit steadily, the trunk should be straight, shoulders level, and the head should be kept in a neutral position. 2.Assisted breathing training method, put both hands on the patient’s lower abdomen in the middle of the rib cage on both sides, then let the patient breathe naturally, and give pressure to the lower abdomen at the end of exhalation, so that the patient’s exhalation volume increases. 3, mouth, nose breathing separation training, smooth inhalation from the nose, and then slowly exhale from the mouth, can blow paper / blowing windmill / blowing soap bubble / blowing whistle, etc.. Fourth, other basic training: (1) lip and tongue training: pout, grin, lip smack, clip tongue depressor, (force to close and pull out the tongue depressor, and lip resistance), sucking (mouth containing a straw, closed the other end, for sucking action) tongue forward, backward, up and down and left and right lateral movement. 10-20 / time, 2-3 times / day. (2) Jaw training: maximum mouth opening, jaw movement to the left and right, exaggerated chewing movements, exaggerated opening to say ‘yah’. (3) Facial muscle training: puffing cheeks, or blowing water in a cup with a straw until bubbles are blown. (4) Sensory facilitation integrated training: draw small circles with your fingers above both cheek muscles, extending all the way to the chin. Do spiral massage with fingertips on and around the lips. 10-20 pcs/time, 2-3 times/day.