Dysphagia Symptons and Treatments Flashcards
What does residue ollection/oral stasis in lateral sulcus (pocketing) indicate?
Buccinator weakness
What can help buccinator weakness?
Head tilt to strong side
Lingual sweep
Place bolus on strong side
What do the following indicate:
Posterior escape of bolus OR residue collection on tongue OR difficulty with a-p transport
tongue weakness/incoordination
decreased sensation
What does a swallow delay indicate?
neurosensory deficit
What does inability to initiate swallow indicate?
descreased sensation in pharyngeal wall
What can help swallow delay and inability to initiate swallow?
thermal stimulation
What does residue in vallecula indicate?
Poor tongue base retraction
Incomplete epiglottal inversion
What does reside in pyriforms indicate?
Decreased laryngeal elevation
Decreased PES opening
What can help residue in vallecula and pyriforms?
Head turn to strong side
Multiple swallows
effortful swallow
What does residue on pharyngeal wall indicate?
Weak pharyngeal constrictiors
What can help residue on pharyngeal wall?
head turn
What does Penetration/aspiration B4 swallow indicate?
Swallow delay/neurosensory deficits
Posterior escape of the bolus
What does Penetration/aspiration during swallow indicate?
Incomplete epiglottal inversion
Timing issue with airway closure
What does Penetration/aspiration after swallow indicate?
Residue in the pyriforms or vallecula
Backflow/Reflux
What can help penetration?
Chin tuck (unless its after the swallow)
Supraglottic swallow
Super-supraglottic swallow
