Effortful swallow technique

To perform the action of swallowing with greater conscious effort and vigor than comes naturally or seems necessary to the person. Normally, a person swallows without much conscious effort. However, individuals who suffer from weaker or less organized swallowing function (e.g., presbyphagia) can benefit from a superimposition of volitional effort. Just before swallowing any food or liquid, the person is told by the swallowing therapist, a family member, or him or herself: “Now, swallow hard!”