What is swallowing re-training and when is it used?

Shari Green
Dental Hygiene

Dr. Lee has already addressed one aspect of swallow retraining. However, I would love to elaborate more on this topic. One form of swallowing retraining, specifically involving what is known as tongue thrust, is gaining in awareness and popularity. This retraining involves the orofacial musculature; tongue, lip, and jaws, i.e., the oral phase of swallowing specifically.

Basically, the tongue should rest in the hard palate most of the day and night beyond the age of 4-6. Swallowing (oral phase) should also encompass vertically based patterns. When the tongue rests low, or the swallow is based more horizontally in nature, this is "tongue thrust". Most individuals with tongue thrust rest the tongue low, against the teeth, or push their tongue forward, sideways, or downwards inappropriately during the oral phase of swallowing. Individuals with tongue thrust may complain of bite changes or open gaps where the tongue inappropriately rests, or one may visibly see the tongue protruding at rest, appearing forward and low in nature. In fact, many referrals for this issue originate from dental professionals who have observed changes in their patient's bite!

These patterns can be retrained in the right individual. Tongue thrust concerns are commonly addressed by Certified Orofacial Myologists. This is accomplished via a series of exercises that are designed to re-establish proper vertically based oral rest postures, and retrain the tongue to lift vertically into the hard palate during the oral swallow phase. With correct guidance, the vast majority of clients with excellent learning skills, proper nasal competence, and a desire to improve can successfully achieve notable improvement in these initiatives.

Linda A. Lee, MD
Gastroenterology

Sometimes there's no way to remove or reduce whatever is making it difficult to swallow. In that case an expert, called a speech-language pathologist, designs a program to adjust to a specific person's obstacles.

Among the options this expert may choose:

  • Cutting food into smaller pieces, to make them easier to swallow.
  • Finding ways to reposition the head and/or neck while swallowing
  • Exercises

Continue Learning about Throat Disorders

Throat Disorders

Throat Disorders

Disorders of the throat may be caused by inflammation, infection, or growths such as polyps, ulcers or even cancerous tumors. Throat problems are very common, especially in young children. A sore throat is usually minor and may go ...

away on its own. However, some sore throats can be caused by a streptococcus (usually called just strep) bacteria and may require an antibiotic. If you see white patches on the back of your throat, you should suspect strep throat and see your doctor. If you have a lump or sore that doesn't go away, trouble swallowing or hoarseness and especially if you smoke and drink alcohol, you may be at risk for throat or mouth cancers. If found early these kinds of cancers are often curable. See your doctor to get the right diagnosis.
More

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.