4.1 - Swallowing Impairment Outline

Question 1

If there is an impairment in the Oral Stage, what might we see in a swallowing evaluation?

(3)

Answer 1

Anterior/Posterior Spillage

Prolonged Oral Transit

Oral Residue

Question 2

If there is an impairment with Swallow Initiation, what might we see in a swallowing evaluation?

(2)

Answer 2

Pre-swallow pooling

Laryngeal penetration/aspiration BEFORE the swallow

Question 3

If there is an impairment with Velopharyngeal Closure, what might we see in a swallowing evaluation?

Answer 3

Nasal regurgitation

Question 4

If there is an impairment with Base of the Tongue Retraction, what might we see in a swallowing evaluation?

Answer 4

Vallecular residue

Question 5

If there is an impairment with Hyo-Laryngeal Excursion, what might we see in a swallowing evaluation?

(2)

Answer 5

Penetration/aspiration AFTER the swallow

Residue in Pyriform Sinuses

Question 6

If there is an impairment with Epiglottic Inversion, what might we see in a swallowing evaluation?

Answer 6

Laryngeal penetration/aspiration DURING the swallow

Question 7

If there is an impairment with Pharyngeal Stripping, what might we see in a swallowing evaluation?

(2)

Answer 7

Posterior Pharyngeal Wall Residue

Diffuse Pharyngeal residue

Question 8

If there is an impairment with the Upper Esophageal Sphincter, what might we see in a swallowing evaluation?

Answer 8

Residue in the Pyriform Sinuses

Question 9

If you see Posterior Spillage during a swallowing evaluation, what step is causing the problem?

Answer 9

Oral Prep

Question 10

If you see Prolonged Oral Transit during a swallowing evaluation, what step is causing the problem?

Answer 10

Oral

Question 11

If you see Oral Residue during a swallowing evaluation, what step is causing the problem?

Answer 11

Oral

Question 12

If you see Pre-Swallow Pooling during a swallowing evaluation, what step is causing the problem?

Answer 12

Swallow Initiation

Question 13

If you see Laryngeal Penetration/Aspiration BEFORE the Swallow during a swallowing evaluation, what step is causing the problem?

Answer 13

Swallow Initiation

Question 14

If you see Nasal Regurgitation during a swallowing evaluation, what step is causing the problem?

Answer 14

Velopharyngeal Closure

Question 15

If you see Vallecular Residue during a swallowing evaluation, what step is causing the problem?

Answer 15

Base of the Tongue Retraction

Question 16

If you see Penetration/Aspiration DURING the Swallow during a swallowing evaluation, what step is causing the problem?

(2)

Answer 16

Epiglottic Inversion

Laryngeal squeeze

Question 17

If you see Residue in Pyriform Sinuses during a swallowing evaluation, what step is causing the problem?

(2)

Answer 17

Hyo-Laryngeal Excursion

Upper Esophageal Sphincter

Question 18

If you see Posterior Pharyngeal Wall Residue during a swallowing evaluation, what step is causing the problem?

Answer 18

Pharyngeal Stripping

Question 19

If you see Diffuse Pharyngeal Residue during a swallowing evaluation, what step is causing the problem?

Answer 19

Pharyngeal Stripping

Question 20

If you see Laryngeal Penetration/Aspiration AFTER the Swallow during a swallowing evaluation, what step is causing the problem?

Answer 20

Hyo-Laryngeal Excursion