Contraindication

• Individuals with neurological disorders or impairments in the mouth-throat area (paralysis, paresis, persistent stroke symptoms, neurological diseases)
• Mental, cognitive, or intellectual impairment or disability (intellectual disability, intellectual retardation)
• Substance dependence: alcohol, drugs, and other intoxicants Medications that impair perception, judgment, and driving ability
• Patients with neurogenic and/or organic swallowing disorders (dysphagia)
• All sleep disorders that do not result from oropharyngeal muscle weakness: insomnia, non-organic sleep disorders, restless legs syndrome, central sleep apnea, sleep-related hypoventilation syndrome, Cheyne-Stokes respiration.
• Since the underlying cause of these conditions is not in the ENT area (mouth, throat, pharynx), no positive influence can be expected from speech therapy exercises.

Warnings

Some exercises pose a risk of utensil aspiration (entry into the deep airway: larynx, lungs) if performed hastily or without caution.

Preventive measure: precautionary instructions are provided for each exercise to prevent this.