A 78 year-old male presents to your multi-disciplinary clini…
A 78 year-old male presents to your multi-disciplinary clinic for a baseline evaluation of speech and swallowing function. The medical history is significant for progressive weakness of the right arm and leg. Additionally, examinations reveal hyperreflexia and weakness of the right lower face, right lingual fasciculations and diffuse atrophy. Perceptually, the patient’s vocal quality is strained. The patient exhibits signs of pseudobulbar affect and denies knowledge of his deficits. C. You also want to look at cough and swallowing function in this patient. You identify the following: Difficulty with bolus formation oral residue, vallecular and pyriform sinus residue, intermittent penetration to the vocal folds, intermittent silent aspiration, and reduced extent and duration of the UES. List two swallowing-specific treatment techniques you may recommend to address these deficits. (2 points).