Dukes Exercise Program Sheets 2

Exercise Program

Tiffani L. Wallace, MA, CCC-SLP 765-475-2160

___ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30

times. Do 3 times. (Shaker Exercise with high resistance spring)

___ Solid bolus using effortful swallow (bolus manipulation, swallowing, mastication)

___ Pudding with straw (lingual strengthening, TBR, swallowing)

___ Lingual/Labial stretching exercises

___ Tongue depressor-hold in front of your lips and push the tongue depressor straight out

with your tongue (lingual strengthening, TBR)

___ Mastication with texture to increase mastication for a variety of foods.

___ Tongue depressor-hold just above your top lip and push up with your tongue against the

depressor (Lingual strengthening, TBR)

___ Water from cup-take small sips and swallow hard each sip-dry swallow “stopping”

midway in the swallow, holding your Adam’s apple up as high as you can for as long as

you can (effortful swallow followed by Mendelsohn Maneuver.)

___ Tongue depressor-hold just below your bottom lip and push down with your tongue

against the depressor (Lingual strengthening, TBR)

___ Say “ahhh” pulling up on the band (Vocal closure exercise)

___ Tongue depressor-hold to the right side of your mouth and push your tongue against

the side of the depressor (Lingual strengthening, TBR)

___ Pudding with straw (lingual strengthening, TBR, swallowing)

___ Tongue depressor-hold to the left side of your mouth and push your tongue against the

side of the depressor (Lingual strengthening, TBR)

Exercise Program


____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with

your tongue (Lingual strengthening, TBR) ____ Sucker (Bolus manipulation, swallowing) ____ Tongue depressor-hold just above your top lip and push up with your tongue against the

depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip (effortful swallow) ____ Tongue depressor-hold just below your bottom lip and push down with your tongue against

the depressor (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Tongue depressor-hold to the right side of your mouth and push your tongue against the


____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side

of the depressor (Lingual strengthening, TBR)

____ Water from cup-take small sips and swallow hard each sip (effortful swallow) ____ Sucker (Bolus manipulation, swallowing)

____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.

Do 3 times. (Shaker Exercise with high resistance spring)

Exercise Program


____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with

your tongue (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Tongue depressor-hold just above your top lip and push up with your tongue against the

depressor (Lingual strengthening, TBR) ____ Sucker (Bolus manipulation, swallowing) ____ Tongue depressor-hold just below your bottom lip and push down with your tongue against

the depressor (Lingual strengthening, TBR) ____ Water from cup-take small sips and swallow hard each sip ____ Sucker (Bolus manipulation, swallowing)


side of the depressor (Lingual strengthening, TBR) ____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side


____ Sucker (Bolus manipulation, swallowing)

____ Water from cup-take small sips and swallow hard each sip (effortful swallow)



Exercise Program


____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with

your tongue (Lingual strengthening, TBR) ____ Sucker (Bolus manipulation, swallowing) ____ Tongue depressor-hold just above your top lip and push up with your tongue against the

depressor (Lingual strengthening, TBR) ____ Water from cup-take small sips and swallow hard each sip-then dry swallow, “stopping” in

the middle of each swallow holding your Adam’s apple up as high as you can for as long as

you can (effortful swallow followed by Mendelsohn Maneuver.) ____ Tongue depressor-hold just below your bottom lip and push down with your tongue against

the depressor (Lingual strengthening, TBR)



of the depressor (Lingual strengthening, TBR) ____ Water from cup-take small sips and swallow hard each sip- then dry swallow, “stopping” in






Exercise Program


____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with

your tongue (Lingual strengthening, TBR)

____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Tongue depressor-hold just above your top lip and push up with your tongue against the

depressor (Lingual strengthening, TBR) ____ Sucker (Bolus manipulation, swallowing) ____ Tongue depressor-hold just below your bottom lip and push down with your tongue against

the depressor (Lingual strengthening, TBR) ____ Water from cup-take small sips and swallow hard each sip-then dry swallow, “stopping” in






____ Sucker (Bolus manipulation, swallowing) ____ Water from cup-take small sips and swallow hard each sip- then dry swallow, “stopping” in





Exercise Program




____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing)

____ Pudding with straw (lingual strengthening, TBR, swallowing)

____ Solid bolus using effortful swallow (mastication, bolus manipulation, swallowing) ____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with

your tongue (Lingual strengthening, TBR) ____ Tongue depressor-hold just above your top lip and push up with your tongue against the

depressor (Lingual strengthening, TBR) ____ Water from cup-take small sips and swallow hard each sip-dry swallow “stopping” midway

in the swallow, holding your Adam’s apple up as high as you can for as long as you can

(effortful swallow followed by Mendelsohn Maneuver.) ____ Tongue depressor-hold just below your bottom lip and push down with your tongue against

the depressor (Lingual strengthening, TBR) ____ Sucker (Bolus manipulation, swallowing) ____ Tongue depressor-hold to the right side of your mouth and push your tongue against the



____ Tongue depressor-hold to the left side of your mouth and push your tongue against the side


Exercise Program





____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Lingual/Labial stretching exercises ____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with



in the swallow, holding your Adam’s up up as high as you can for as long as you can


the depressor (Lingual strengthening, TBR) ____ Say “ahhh” pulling up on the band (Vocal closure) ____ Tongue depressor-hold to the right side of your mouth and push your tongue against the





Exercise Program



____ Tongue depressor in front of lips and push straight out with tongue (Lingual strengthening,

TBR)


____ Tongue depressor on top lip and push tongue up against the depressor (Lingual strengthening,

TBR)

____ TheraSip with water-hard suck followed by hard swallow (lingual strengthening, TBR,

swallowing)

____ Tongue depressor on bottom lip and push tongue down against the depressor (Lingual

strengthening, TBR)


swallowing)

____ Tongue depressor on right side of mouth and push tongue against the depressor (Lingual

strengthening, TBR)


____ Tongue depressor on left side of mouth and push tongue against the depressor (Lingual

strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing) ____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.


Exercise Program



____ Hold tongue depressor between lips (Lip closure)


TBR)

____ Lingual/Labial stretching exercises


TBR)



strengthening, TBR)

____ Water from cup, small sips and hard swallow (effortful swallow)


strengthening, TBR)



strengthening, TBR)

____ Hold tongue depressor between lips (Lip closure)

Exercise Program



swallowing)


TBR)



TBR)


swallowing)


strengthening, TBR)



strengthening, TBR)


swallowing)


strengthening, TBR)

Exercise Program


___ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30

times. Do 3 times. (Shaker Exercise with high resistance spring)

___ (Take 1 bite Cherry Ice) Solid bolus using effortful swallow (bolus manipulation,

swallowing, mastication)

___ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

___ (Take 1 bite Cherry Ice) Lingual/labial stretching exercises (cards)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold in front of your lips and push the tongue

depressor straight out with your tongue (lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold just above your top lip and push up with

your tongue against the depressor (Lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip-dry

swallow “stopping” midway in the swallow, holding your Adam’s apple up as high as you

can for as long as you can (effortful swallow followed by Mendelsohn Maneuver.)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold just below your bottom lip and push

down with your tongue against the depressor (Lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Say “ahhh” pulling up on the band (Vocal closure exercise)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold to the right side of your mouth and push

your tongue against the side of the depressor (Lingual strengthening, TBR)

___ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

___ (Take 1 bite Cherry Ice) Tongue depressor-hold to the left side of your mouth and push


Exercise Program


____ (Take 1 bite Cherry Ice) Pudding with straw (lingual strengthening, TBR, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold in front of your lips and push the tongue

depressor straight out with your tongue (Lingual strengthening, TBR)

____ (Take 1 bite Cherry Ice) Sucker (Bolus manipulation, swallowing)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold just above your top lip and push up with


____ (Take 1 bite Cherry Ice) Water from cup-take small sips and swallow hard each sip

(effortful swallow)

____ (Take 1 bite Cherry Ice) Tongue depressor-hold just below your bottom lip and push down

with your tongue against the depressor (Lingual strengthening, TBR)


____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the right side of your mouth and push



____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the left side of your mouth and push



(effortful swallow)




Exercise Program


____ (Take 1 bite Cherry Ice) Tongue depressor-hold in front of your lips and push the tongue

depressor straight out with your tongue (Lingual strengthening, TBR)


____ (Take 1 bite Cherry Ice) Tongue depressor-hold just above your top lip and push up with



____ (Take 1 bite Cherry Ice) Tongue depressor-hold just below your bottom lip and push down

with your tongue against the depressor (Lingual strengthening, TBR)




____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the right side of your mouth and push


____ (Take 1 bite Cherry Ice) Tongue depressor-hold to the left side of your mouth and push




(effortful swallow)



Exercise Program


___ Stretch your tongue out as far as you can and hold for 5 seconds.

___ Applesauce/pudding through straw (lingual strengthening, TBR, swallowing)

___ Sucker(Bolus manipulation, swallowing)

___ Move your tongue from side to side, stretching as far as you can and hold each stretch for a

count to 5.

___ Cherry ice using effortful swallow.

___ Sips of water using the Mendelsohn maneuver.

___ Mastication exercises using the Mesh Bag Feeder.

___ Applesauce/pudding through straw (lingual strengthening, TBR, swallowing)

___ Sucker (Bolus manipulation, swallowing)

___ Stretch your tongue out as far as you can and hold for 5 seconds.

___ Sips of water using the Mendelsohn maneuver.

___ Move your tongue from side to side, stretching as far as you can and hold each stretch for a

count to 5.

Exercise Program




TBR)



TBR)


swallowing)


strengthening, TBR)


swallowing)


strengthening, TBR)



strengthening, TBR)

____ Sucker (Bolus manipulation, swallowing) ____ Neck Exerciser- Push down and hold for 60 seconds. Do 3 times. Then push down 30 times.


Exercise Program





____ Pudding with straw (lingual strengthening, TBR, swallowing) ____ Say “eee” pulling up on the band (Vocal closure) ____ Tongue depressor-hold in front of your lips and push the tongue depressor straight out with



in the swallow, holding your Adam’s up up as high as you can for as long as you can


the depressor (Lingual strengthening, TBR) ____ Say “ahhh” pulling up on the band (Vocal closure) ____ Tongue depressor-hold to the right side of your mouth and push your tongue against the





Exercise Program


Dukes Exercise Program Sheets 2

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Transcript of Dukes Exercise Program Sheets 2