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. 2010 Apr 3;26(1):78–84. doi: 10.1007/s00455-010-9279-z

Table 1.

Tailored voice and swallowing rehabilitation program

Rehabilitation program (30 min per session, three times per week)
Therapy Effect
Tracheojejunal voice
Digital pressure on the jejunal graft at the level of the fifth cervical vertebra Constriction of the jejunal graft improving vibration capacities (neoglottis)
Respiratory exercises (optimization of head and body positioning) Improvement of the airflow through jejunal constriction
Swallow
Tongue base exercises (tongue-holding maneuver, stretch and push against resistance tasks) Strengthening the musculature improving bolus transport into the entrance of the jejunal graft
Bolus modification like changing bolus volume and/or consistency (increasing bolus volumes, thin-thick liquids, pureed food) Facilitation of bolus transport through the jejunal graft
Digital pressure at the level of the proximal (cervical) part of the jejunal graft Minimization of the jejunal convolutions by stretching the graft
Postural technique consisting of extending the neck Facilitation of bolus transport through the jejunal graft