Table 3.

Examples of swallow maneuvers

Swallow maneuver	Performance	Intended outcome	Reported benefit
Supraglottic swallow	• Hold breath, swallow, and then gentle cough	• Reduce aspiration and increase movement of the larynx	• Reduces aspiration66
Super supraglottic swallow	• Hold breath, bear down, swallow, and then gentle cough
Effortful swallow. Also called ‘hard’ or ‘forceful’ swallow	• Swallow ‘harder’	Increased lingual force on the bolus Less aspiration and pharyngeal residue	• Increased pharyngeal pressure and less residue67,68
Mendelsohn maneuver	• ‘Squeeze’ swallow at apex	• Improve swallow coordination	• Reduced residue and aspiration69