Dysphagia Note Cards Part 1 Flashcards
Lateral View
Examine and measure Movement patterns of the bolus approximate amount and cause of aspiration that occurs Movement patterns of oropharyngeal structures in oral pharyngeal and esophageal stages of deglutition
AP View
Info on oral stage Symmetry of Swallow Residue in the valleculae or pyraform sinuses VF symmetry movement
Levels of Protection
a epiglottis and aryepiglottic folds b false vocal folds with base of epiglottis c true vocal cords
Strap Muscles
Important because they connect floor of mouth tongue base hyoid bone and larynx When one move all are affected
Valleculae
Wedge-shaped spaces formed between the base of the tongue and epiglottis One on each side
Pyraform Sinuses
spaces formed between the thyroid cartilage and fibers of the inferior constrictor where they attach one on each side They end at the cricopharyngeus muscle which is the most inferior structure of the pharynx
Glossopharyngeaus muscle
the inferior fibers of the superior constrictor that attach to the base of the tongue It is responsible for tongue base retraction and simultaneous bulging of the bottom of the superior constrictor
Anterior wall
a sphenoid bone b soft palate c base of tongue d Hyoid bone e Mandible f Thyroid g Cricoid cartilages
Cricopharyngeus Muscle (or) PE Segment
Where Pharynx and esophagus come together
Lateral and posterior pharyngeal walls
3 pharyngeal constrictors superior medial inferior roughly correlate with nasopharynx oropharynx and laryngeal pharynx made up of pharyngeal constrictor muscles
Swallow Disorders
Occur in all age groups and can occur as a result of a variety of congenital abnormalities structural damage and or medical conditions It may have an acute onset such as with a CVA or TBI or may develop slowly as with a tumor or progressive disease ie Parkinson ALS MS Patients may have good awareness of their prob or may be oblivious to it
Symptoms
Are determined clinically and radiographically they alert the clinician that the patients swallow is disordered and points toward the nature of the dysfunction Things we can observe cough wet voice etc
Anatomic Neuromuscular Dysfunctions
The actual disorder leading to the symptoms for which treatment is designed ie aspiration and residue are symptoms not disorder themselves what is causing the symptoms
Videofluoroscopy Purpose
a Define anatomic neuromuscular dysfunctions b determine recommendation for oral intake vs NPO c Plan direct or indirect treatment and you can try treatment while you are there
