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domain and copied from the
National Institute on Deafness and Other
National Institutes of Health
31 Center Drive, MSC 2320
Bethesda, MD USA 20892-2320
What is spasmodic dysphonia?
Spasmodic dysphonia is a neurological disorder
affecting the voice muscles in the larynx, or voice box.
When we speak, air from the lungs is pushed between
two elastic structures—called vocal folds or vocal
cords—with sufficient pressure to cause them to
vibrate, producing voice (see figure). In spasmodic
dysphonia, the muscles inside the vocal folds
experience sudden involuntary movements—called
spasms—which interfere with the ability of the folds to
vibrate and produce voice.
Spasmodic dysphonia causes voice breaks and can
give the voice a tight, strained quality. People with
spasmodic dysphonia may have occasional breaks in
their voice that occur once every few sentences.
Usually, however, the disorder is more severe and
spasms may occur on every other word, making a
person’s speech very difficult for others to understand.
At first, symptoms may be mild and occur only
occasionally, but they may worsen and become more
frequent over time. Spasmodic dysphonia is a chronic
condition that continues throughout a person’s life.
Spasmodic dysphonia can affect anyone. It is a rare
disorder, occurring in roughly one to four people per
100,000 people. The first signs of spasmodic dysphonia
are found most often in people between 30 and 50
years of age. It affects women more than men.
What is dysphagia?
People with dysphagia have difficulty
swallowing and may even experience pain while
swallowing (odynophagia). Some people may be
completely unable to swallow or may have
trouble safely swallowing liquids, foods, or
saliva. When that happens, eating becomes a
challenge. Often, dysphagia makes it difficult to
take in enough calories and fluids to nourish the
body and can lead to additional serious medical
How do we swallow?
Swallowing is a complex process. Some 50
pairs of muscles and many nerves work to
receive food into the mouth, prepare it, and
move it from the mouth to the stomach. This
happens in three stages. During the first stage,
called the oral phase, the tongue collects the
food or liquid, making it ready for swallowing.
The tongue and jaw move solid food around in
the mouth so it can be chewed. Chewing makes
solid food the right size and texture to swallow
by mixing the food with saliva. Saliva softens
and moistens the food to make swallowing
easier. Normally, the only solid we swallow
without chewing is in the form of a pill or caplet.
Everything else that we swallow is in the form of
a liquid, a puree, or a chewed solid.
The second stage begins when the tongue
pushes the food or liquid to the back of the
mouth. This triggers a swallowing response that
passes the food through the pharynx, or throat
(see figure). During this phase, called the
pharyngeal phase, the larynx (voice box) closes
tightly and breathing stops to prevent food or
liquid from entering the airway and lungs.
The third stage begins when food or liquid
enters the esophagus, the tube that carries food
and liquid to the stomach. The passage through
the esophagus, called the esophageal phase,
usually occurs in about three seconds,
depending on the texture or consistency of the
food, but can take slightly longer in some cases,
such as when swallowing a pill.
When a person has trouble swallowing,
tell your doctor.
A barium swallow test to determine the need for
Speech Therapy. Water and other liquids may need
to be thickened and some foods may need to be pureed,
to prevent choking and
aspiration (food or liquid landing in the lung.)
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The RiJe Dysphagia Cup is a drinking aid for people with swallowing disorders or restricted head and neck movement.
This adapted drinking cup accurately dispenses as little as 3cc up to 15cc of liquid each time it stands in the upright position.
After the portion is withdrawn and the RiJe cup put upright, it delivers another portion within 2- 3 seconds. This delay helps
create the natural pause between swallows needed for people with swallowing difficulties to swallow safely. The adjustment
to the quantity of liquid that the RiJe Cup dispenses is helpful for people who improve their swallowing from very small to
larger volumes of liquid. The adjustment is accomplished using a key that is provided.
The RiJe cup allows the user to drink straight from the cup or use a straw. The volume of liquid available to the user is still
controlled even when drinking through a straw. The RiJe Cup can be used with both hot and cold thin liquids, like water, and
nectar thickened liquids (approximately the viscosity of maple syrup). The cup is not suitable for use with thick or carbonated
liquids. Clean the cup by washing in a dishwasher or by hand. The cup has two sturdy ergonomically designed handles that
are easy to grip.
Simply by tipping the Provale® Cup in a normal drinking motion, 5 or 10 cc of liquid is delivered. By returning the cup to its
upright position, the chamber is refilled and ready to deliver another 5 or 10 cc. This adapted drinking cup encourages normal
drinking habits and small swallows. With each drinking action, the cup dispenses fixed amount (5 cc or 10 cc, depending on
cup model) of liquid that many dysphagia sufferers may be able to safely consume.
The Provale Cup consists of 3 parts: the inner cup, the mid cup and the outer cup. The design of inner cup lid provides very
good nose clearance which allows the user to keep their chin in a proper position to make a good swallow. The transparent
outer cup allows monitoring of liquid level. The cup is easy to assemble and disassemble for cleaning and is dishwasher safe.
Two handles are included with the Provale Cup. Choose how many handles are to be attached. The cup can be used with no
handles, one handle or two handles. Once the handles are attached, they cannot be removed from the cup.
The Provale Cup is a non-returnable hygiene item.
Provale Cup Features:
Delivers a fixed delivery amount of liquid with every normal drinking motion.
Sucking on the drinking spout will not result in additional fluid being dispensed.
Allows good nose clearance to minimize head tilt and encourages proper chin position during swallowing.
Optional one or two easy-grip-handle or no-handle design. (The handles snap in place for security and are not to be detached
Encourages normal drinking motion and patient compliance to drink small swallows.
Easy to assemble and easy-to-clean, no valves or tubes to clean. Dishwasher-safe.
Provale Cup Specifications:
Choose size: Blue 5cc (1 teaspoon) or Brown 10cc (2 teaspoon) liquid delivery.
Color: transparent outer cup.
Made in: USA.
Note: NOT for use with thickened liquids. Provale Cup is for thin liquids only.
Thick-It 2 Concentrated Instant Healthcare Food Thickener
Brings the joy of eating back to people with swallowing problems (called "Dysphagia"). When mixed with hot or
cold, thick or thin liquids and pureed foods, produces any desired consistency quickly, easily and controllably
without changing the taste or appearance of the liquids and foods it thickens.
Low in sodium. It helps prevent dehydration because it does not bind fluids.
Slowly add the recommended amount to the liquid. Stir briskly with a spoon, fork or whisk until the thickener is
dissolved or use hand mixer or blender at low speed for no more than 5-10 seconds. DO NOT OVERMIX. After
mixing, wait approximately 30 seconds for the liquid to thicken. Desired consistency recommended usage per
4 fl oz*
◦Nectar consistency: 2-3 tsp
◦Honey consistency: 3-5 tsp
◦Pudding consistency: 5-6 tsp
◦Pudding consistency: 2 tsp
◦Nectar consistency: 2-3 tsp
◦Honey consistency: 3-4 tsp
◦Nutritional supplements: 5-6 tsp
*You may need to adjust the amount of Thick-It needed to suit your requirements.
Modified Corn Starch.
More thickening and ready to eat products available from
Discount Medical Supplies
As Seen On TV The Original
Magic Bullet Express Blender / Mixer
The Magic Bullet is an entirely new concept in labor-saving devices. Unlike
bulky blenders and unwieldy food processors that most of us only pull out of
storage for specific recipes and special occasions, the Magic Bullet is so
handy, so versatile and easy to use that you'll put it to work EVERY single day
(probably several times a day). Best of all, it saves you time because it does
almost any job in the kitchen in 10 seconds or less!
The Cyclonic Cutting Zone® Process
The secret to the Magic Bullet's time-saving efficiency is the specially
designed blade and unique bullet-shaped design that automatically circulates
food back into the Cyclonic Cutting Zone® region with so much force and
speed that it can do virtually any job in 10 seconds or less.
Using the Magic Bullet® Blender Couldn't Be Easier
There are no buttons to press, no complicated manuals to read.
Simply place one of THE BULLET™Cups or Party Mugs on to the High-
Torque Power Base and press...it's a snap! With the easy-to-use Magic
Bullet, you can make delicious party dips like salsa, guacamole and bean dip,
refreshing frozen margaritas and pina coladas, a variety of tantalizing pasta
sauces, decadent desserts such as creamychocolate mousse or frosty
milkshakes and more. All with virtually no effort and no clean up.
And all in 10 seconds or less.
|Cuisinart SBC-1000 Blend and Cook Soup Maker
The Cuisinart Blend and Cook Soupmaker can cook homemade soups from start to finish or
blend up your favorite smoothie. The built in non-stick heater plate provides the perfect
surface to saute ingredients, simmer or boil soups, and with a touch of a button blend it all
to a perfect consistency.
Features • Thermal shock-resistant blender jar holds up to 48-ounces of hot liquids and 56-
ounces of cold liquids
• Cooking element provides 900 watts of power
• Push-button digital control for temperature and timer
• Easy-to-read LED 30-minute countdown timer
• Saute, simmer and full boil heat settings; Four blending speeds, pulse and stir functions
• Internal heater to ensure your soup is kept at optimum temperature
• Easy-to-clean non-stick heating plate can saute, simmer, boil and reheat right in blender
• All parts in contact with food are BPA-free
|Oralflo Pill Cup $14.95
Designed to help people with swallowing difficulties swallow pills and medication.
For some people, swallowing pills or tablets can be a real challenge. Gagging,
coughing, and sometimes vomiting are among the usual end-result for those
individuals who just can’t simply take their medicines down to their stomach.
This Oralflo Pill Swallowing Cup offers a stress-free way for you to use your
natural swallowing reflex in ingesting medication and vitamins. It eliminates
splitting and crushing of pill especially time release or coated medications. The
pill swallowing cup accepts pills of all sizes and works well in both children from 4
years old and adults. Through this efficient pill swallowing cup, you also avoid
wasting spilt medicines and instead get the most out of your pill or vitamins
The Wedge Cup is an adapted drinking cup that allows the user to adjust the amount liquid that
is delivered. This invaluable drinking aid is designed for a wide variety of users who have
dysphagia or other swallowing disorders, due to limited muscle control, decreased strength, weak
or limited range of arm or upper body motion, arm or neck injuries.
The Wedge Cup Wedge Cup is designed with a fully adjustable flow control lid. The amount of
liquid delivered can be regulated from normal flow to greatly reduced delivery, allowing the user to
comfortably and easily drink at their own pace. This drinking aid can be used with thickened liquids
or thin liquids that are hot or cold. The Wedge Cup helps users drink most any liquid easily and
Wedge Cup Instructions
Wedge Cup Specifications:
•Colors: Blue or Clear.
•Material: Polypropylene plastic.
•Measures: 4.75 inches high, 3 inch diameter.
•Made in: USA.