Dysphasia Flashcards
Gag Reflex
This is not a reliable predictor of dysphasia during a OME at a bed side swallow. Many people naturally do not have a gag reflex
Breathy Phonation
If observed during OME for
after stroke this can suggest weak or incomplete closure of VF. this could make for a more dangerous swallow.
Infant swallow-Oral Prep
sucking makes up the oral prep phase of swallow in infants. sucking creates negative pressure that draws milk into their mouth
infant swallow- oral phase
when the milk is moved from the front to the bak of the mouth
infant swallow- pharyngeal phase
begins at the swallow reflex and involves the milk begin transferred from the mouth to the esophagus
infant swallow- esophageal phase
begins when the food passes the upper esophageal sphincter and ends. when food enters stomach
Hearing loss and dementia
Hearing loss is a risk factor for dementia and is linked to higher rates of dementia
MBS pros
- noninvasive
- evaluates oral pharyngeal and esophageal phases of swallow
- evaluarion of hyolaryngeal elevation
MBS cons
- Radiation exposure
- fluoroscopy off between swallows so you may miss salient events
- requires patient be transported to radiation
FEES pros
- provides direct view of anatomy structures to evaluate laryngeal and pharyngeal structures
- may be performed at bedside
- uses real food and liquid
FEES cons
- whiteout period during height of swallow
- high time and expense involved with decontamination of endoscope
Chin Down
technique used to bring the base of the tongue closer to the pharyngeal wall. This helps to protect the airway
Chin Elevated
technique used to help people with deficits in the oral phase. Uses gravity to move bolus towards pharyngeal wall. Does not work for someone who does not have airway protection
Head Turn
technique used for patients who have unilateral damage. This posture will help the functioning side to compensate for weakness
Stress Signals infants during eating
whole-body arching, hiccups, facial grimacing
