Exam 2 Flashcards
What is the physiologic impairment that would directly explain food falling out of mouth?
poor lip seal or poor sensation
What is the physiologic impairment that would directly explain bolus spread through oral cavity?
reduced tongue movement, tongue weakness, poor coordination
What is the physiologic impairment that would directly explain residue/food on hard palate?
tongue weakness, reduced tongue elevation
What is the physiologic impairment that would directly explain no lingual movement when food in mouth?
sensation loss, oral apraxia, tongue paralysis
What is the physiologic impairment that would directly explain general difficulties in moving bolus AP?
tongue weakness
What is the physiologic impairment that would directly explain residue/food on tongue or falls into sulcus?
reduced tongue muscle
What is the physiologic impairment that would directly explain premature spillage?
weakness of the back of the tongue, so tongue cant make a good seal with velum
What is the physiologic impairment that would directly explain slow oral transit time?
tongue weakness, difficulty chewing, or dementia
What is the physiologic impairment that would directly explain delayed triggering of pharyngeal swallow?
Sensory- CN IX and X
What is the physiologic impairment that would directly explain nasal regurgitation?
poor closure of VP port or poor elevation of the velum
What is the physiologic impairment that would directly explain residue in the valleculae?
poor contact between the base of tongue and posterior pharyngeal wall. So, weakness of tongue
What is the physiologic impairment that would directly explain residue on one/both sides of pharynx?
paralysis of pharyngeal muscle CN X
What is the physiologic impairment that would directly explain reduced displacement of larynx?
poor/weakness of the suprahyoid muscle
What is the physiologic impairment that would directly explain residue in pyriform sinuses bilaterally?
Weakness of pharynx muscle, poor laryngeal elevation coordination
What is the physiologic impairment that would directly explain penetration and/or aspiration?
no/reduced airway protection - it’s almost everything
what are the compensatory strategies used?
- postural change
- swallowing maneuvers
- increasing sensory input
- altering diet/consistencies
- adaptive feeding devices
What are the swallow therapeutic exercises?
- swallow maneuvers (Mendelsohn, supraglottic swallow, effortful swallow, and tongue-hold)
- Thermal tactile stimulation
- MDTP
- E-stim therapy
What are the non-swallow therapeutic exercises?
- oral motor exercises
- shaker
- EMST
Changing the swallowing physiology to restore function and directed at improving neuromuscular control. What is this?
Rehabilitative treatment - therapeutic
Circumvents problem using indirect strategies to alter bolus flow. What is this?
Compensatory treatment
what are postural adjustment that can be performed to improve airway protection and/or improve pharyngeal transit of food/liquid
- chin tuck/chin down
- head back/chin up
- head tilt
- head turn/rotation
- combination
what is a tracheostomy?
surgery performed when oral/nasal breathing is not adequate
-creates an opening
what is endotracheal intubation?
a tube that is inserted through mouth or nose
what are swallowing problems associated with tracheostomy?
- swallowing may or may not be affected.
- If they are affected, many can manage it well
- may increase potential dysphagia
- decreased tongue base movement
- delayed trigger
- ues cannot open completely
- reduced pharyngeal constriction
- increased risk of aspiration pneumonia
