Abnormal Physiology

Question 1

What are the possible oral stage dysfunctions?

Answer 1

decreased labial strength
inability to lateralize material with tongue
reduced buccal tension
reduced oral sensation
reduced tongue strength

Question 2

What are the possible pharyngeal stage dysfunctions?

Answer 2

Delayed pharyngeal swallow
Absent pharyngeal swallow 
Reduced pharyngeal contraction 
Reduced hyolaryngeal excursion
Reduced soft palate elevation
Reduced tongue base retraction 
General pharyngeal weakness
PE segment dysfunction

Question 3

What are the patient symptoms for decreased labial strength?

Answer 3

unable to keep food in mouth

Question 4

What would an SLP in a person with decreased labial strength

Answer 4

weak labial muscle tone, reduced ability for patient to make labial sounds

Question 5

What are the patient symptoms for reduced buccal tension?

Answer 5

may have difficulty masticating, avoid foods requiring chewing, pocketing food between teeth and cheek

Question 6

What would an SLP see in a person with reduced buccal tension

Answer 6

pocketed food in anterior and lateral oral sulci

Question 7

What are the patient symptoms for reduced oral sensation?

Answer 7

material goes all over mouth, can’t control food, frequent accidental tongue biting

Question 8

What would an SLP observe in a person with reduced oral sensation?

Answer 8

material spread around oral cavity, food pocketing in oral cavity

Question 9

What would you see in the MBS of a person with reduced oral sensation?

Answer 9

loss of bolus control, material spreads around oral cavity, food may spill posteriorly into pharynx before oral transit

Question 10

What are the patient symptoms for reduced tongue strength?

Answer 10

coughing, choking BEFORE swallow (posterior spillage), food catches in mouth

Question 11

What are patient symptoms for reduced pharyngeal contraction?

Answer 11

coughing, choking, food sticking in throat.