Treatment

In patients with COPD swallowing can be affected due to the relationship between their respiratory cycle and swallowing (Good-Fratturelli, 2000). Due to this relationship patients with COPD also suffer from an increased risk of aspiration. Treatments covered in this section are mainly compensatory techniques due to the nature of aspiration. The Mendelsohn Manouever and Pursed Lip Breathing have shown some evidence of being a rehabilitative technique (Spahija, Marchie, & Grassino, 2005; Lazarus, Logemann, & Gibbons, 1993). Below are a list of links to the pages:
 * Treatment **


 * Modifying Textures
 * Chin Tuck
 * Mendelsohn Manoeuver
 * Super and Supraglottic Swallow
 * Pursed Lip Breathing

**Disclaimer:** The information contained on this and embedded pages downloads is designed as a resource tool for Speech-Language Therapists and other interested parties and is to be used as a guide only. While every effort was made to provide full and accurate information at the time of publication, the authors, Courtney Parish, Richard Key and Robin McDaniel do not take any responsibility for the accuracy and completeness of the content.

Good-Fratturelli, M., Curlee, R., & Holle, J. (2000). Prevalence and nature of dysphagia in VA patients with COPD referred for videofluoroscopic swallow examination. //Journal of Communication Disorders, 33, 93-110.// Lazarus, C., Logemann, J., & Gibbons, P. (1993). Effects of maneuvers on swallowing function in a dysphagic oral cancer patient//. Head and Neck, 15, 419-424.// Spahija, J., Marchie, M., & Grassino, A. (2005). Effects of imposed pursed-lips breathing on respiratory mechanics and dyspnea at rest and during exercise in COPD. //Chest, 128, 640-650.//
 * References:**