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Dukes Exercise Program Sheets 2

My exercise sheets for patients during NMES in dysphagia therapy. **I change these often to fit patient needs*

Uploaded by

Tiffani Wallace
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
660 views

Dukes Exercise Program Sheets 2

My exercise sheets for patients during NMES in dysphagia therapy. **I change these often to fit patient needs*

Uploaded by

Tiffani Wallace
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 17

Exercise Program

___ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30
times. Do 3 times. (Shaker Exercise with high resistance spring)

___ Solid bolus using effortful swallow (bolus manipulation, swallowing, mastication)

___ Pudding with straw (lingual strengthening, TBR, swallowing)

___ Lingual/Labial stretching exercises

___ Tongue depressor-hold in front of your lips and push the tongue depressor straight out
with your tongue (lingual strengthening, TBR)

___ Mastication with texture to increase mastication for a variety of foods.

___ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

___ Water from cup-take small sips and swallow hard each sip-dry swallow “stopping”
midway in the swallow, holding your Adam’s apple up as high as you can for as long as
you can (effortful swallow followed by Mendelsohn Maneuver.)

___ Tongue depressor-hold just below your bottom lip and push down with your tongue
against the depressor (Lingual strengthening, TBR)

___ Say “ahhh” pulling up on the band (Vocal closure exercise)

___ Tongue depressor-hold to the right side of your mouth and push your tongue against
the side of the depressor (Lingual strengthening, TBR)

___ Pudding with straw (lingual strengthening, TBR, swallowing)

___ Tongue depressor-hold to the left side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 1


Exercise Program

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip (effortful swallow)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip (effortful swallow)

____ Sucker (Bolus manipulation, swallowing)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 2


Exercise Program

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip

____ Sucker (Bolus manipulation, swallowing)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Water from cup-take small sips and swallow hard each sip (effortful swallow)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 3


Exercise Program

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip-then dry swallow, “stopping” in
the middle of each swallow holding your Adam’s apple up as high as you can for as long as
you can (effortful swallow followed by Mendelsohn Maneuver.)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip- then dry swallow, “stopping” in
the middle of each swallow holding your Adam’s apple up as high as you can for as long as
you can (effortful swallow followed by Mendelsohn Maneuver.)

____ Sucker (Bolus manipulation, swallowing)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 4


Exercise Program

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip-then dry swallow, “stopping” in
the middle of each swallow holding your Adam’s apple up as high as you can for as long as
you can (effortful swallow followed by Mendelsohn Maneuver.)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Water from cup-take small sips and swallow hard each sip- then dry swallow, “stopping” in
the middle of each swallow holding your Adam’s apple up as high as you can for as long as
you can (effortful swallow followed by Mendelsohn Maneuver.)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 5


Exercise Program

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip-dry swallow “stopping” midway
in the swallow, holding your Adam’s apple up as high as you can for as long as you can
(effortful swallow followed by Mendelsohn Maneuver.)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 6


Exercise Program

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Lingual/Labial stretching exercises

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip-dry swallow “stopping” midway
in the swallow, holding your Adam’s up up as high as you can for as long as you can
(effortful swallow followed by Mendelsohn Maneuver.)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Say “ahhh” pulling up on the band (Vocal closure)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 7


Exercise Program

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor in front of lips and push straight out with tongue (Lingual strengthening,
TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor on top lip and push tongue up against the depressor (Lingual strengthening,
TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor on bottom lip and push tongue down against the depressor (Lingual
strengthening, TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor on right side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor on left side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 8


Exercise Program

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Hold tongue depressor between lips (Lip closure)

____ Tongue depressor in front of lips and push straight out with tongue (Lingual strengthening,
TBR)

____ Lingual/Labial stretching exercises

____ Tongue depressor on top lip and push tongue up against the depressor (Lingual strengthening,
TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor on bottom lip and push tongue down against the depressor (Lingual
strengthening, TBR)

____ Water from cup, small sips and hard swallow (effortful swallow)

____ Tongue depressor on right side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor on left side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ Hold tongue depressor between lips (Lip closure)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 9


Exercise Program

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor in front of lips and push straight out with tongue (Lingual strengthening,
TBR)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Tongue depressor on top lip and push tongue up against the depressor (Lingual strengthening,
TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor on bottom lip and push tongue down against the depressor (Lingual
strengthening, TBR)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Tongue depressor on right side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor on left side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 10


Exercise Program

___ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30
times. Do 3 times. (Shaker Exercise with high resistance spring)

___ (Take 1 bite Cherry Ice) Solid bolus using effortful swallow (bolus manipulation,
swallowing, mastication)

___ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

___ (Take 1 bite Cherry Ice) Lingual/labial stretching exercises (cards)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold in front of your lips and push the tongue
depressor straight out with your tongue (lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold just above your top lip and push up with
your tongue against the depressor (Lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip-dry
swallow “stopping” midway in the swallow, holding your Adam’s apple up as high as you
can for as long as you can (effortful swallow followed by Mendelsohn Maneuver.)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold just below your bottom lip and push
down with your tongue against the depressor (Lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Say “ahhh” pulling up on the band (Vocal closure exercise)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold to the right side of your mouth and push
your tongue against the side of the depressor (Lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold to the left side of your mouth and push
your tongue against the side of the depressor (Lingual strengthening, TBR)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 11


Exercise Program

____ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold in front of your lips and push the tongue
depressor straight out with your tongue (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Sucker (Bolus manipulation, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold just above your top lip and push up with
your tongue against the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip
(effortful swallow)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold just below your bottom lip and push down
with your tongue against the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the right side of your mouth and push
your tongue against the side of the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the left side of your mouth and push
your tongue against the side of the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip
(effortful swallow)

____ (Take 1 bite Cherry Ice) Sucker (Bolus manipulation, swallowing)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 12


Exercise Program

____ (Take 1 bite Cherry Ice) Tongue depressor-hold in front of your lips and push the tongue
depressor straight out with your tongue (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold just above your top lip and push up with
your tongue against the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Sucker (Bolus manipulation, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold just below your bottom lip and push down
with your tongue against the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip

____ (Take 1 bite Cherry Ice) Sucker (Bolus manipulation, swallowing)

____ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the right side of your mouth and push
your tongue against the side of the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the left side of your mouth and push
your tongue against the side of the depressor (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Sucker (Bolus manipulation, swallowing)

____ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip
(effortful swallow)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 13


Exercise Program

___ Stretch your tongue out as far as you can and hold for 5 seconds.

___ Applesauce/pudding through straw (lingual strengthening, TBR, swallowing)

___ Sucker(Bolus manipulation, swallowing)

___ Move your tongue from side to side, stretching as far as you can and hold each stretch for a
count to 5.

___ Cherry ice using effortful swallow.

___ Sips of water using the Mendelsohn maneuver.

___ Mastication exercises using the Mesh Bag Feeder.

___ Applesauce/pudding through straw (lingual strengthening, TBR, swallowing)

___ Sucker (Bolus manipulation, swallowing)

___ Stretch your tongue out as far as you can and hold for 5 seconds.

___ Sips of water using the Mendelsohn maneuver.

___ Move your tongue from side to side, stretching as far as you can and hold each stretch for a
count to 5.

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 14


Exercise Program

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor in front of lips and push straight out with tongue (Lingual strengthening,
TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Tongue depressor on top lip and push tongue up against the depressor (Lingual strengthening,
TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor on bottom lip and push tongue down against the depressor (Lingual
strengthening, TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,
swallowing)

____ Tongue depressor on right side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor on left side of mouth and push tongue against the depressor (Lingual
strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 15


Exercise Program

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.
Do 3 times. (Shaker Exercise with high resistance spring)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Say “eee” pulling up on the band (Vocal closure)

____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with
your tongue (Lingual strengthening, TBR)

____ Tongue depressor-hold just above your top lip and push up with your tongue against the
depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip-dry swallow “stopping” midway
in the swallow, holding your Adam’s up up as high as you can for as long as you can
(effortful swallow followed by Mendelsohn Maneuver.)

____ Tongue depressor-hold just below your bottom lip and push down with your tongue against
the depressor (Lingual strengthening, TBR)

____ Say “ahhh” pulling up on the band (Vocal closure)

____ Tongue depressor-hold to the right side of your mouth and push your tongue against the
side of the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side
of the depressor (Lingual strengthening, TBR)

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 16


Exercise Program

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160 Page 17

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