Exam 2 Review

Question 1

Modified Swallowing Techniques for Dysphagia

Answer 1

Chin tuck
Effortful swallow
Mendelsohn maneuver
Neck rotation
Supraglottic swallow

Question 2

Define Pseudobulbar eating disorder

Answer 2

UMN Lesion

Presentation:
Aspiration
Bradykinesia (slow speech)
Decreased laryngeal elevation
Delayed swallow reflex
Rigid jaw
Poor posture

Question 3

Define Bulbar Palsy/Dysphagia eating disorder

Answer 3

LMN Lesion

Presentation:
Drooling
Difficulty chewing & swallowing
Fever
Food sticking to throat/throat clearing
Nasal regurgitation
Signs of aspiration
Wet voice
Weight loss

Question 4

NDT Basic Principles

Answer 4

Compensatory & Adaptive strategies are DISCOURAGED.
AVOIDANCE of learned nonuse.

Question 5

Most effective way of normalizing tone within NDT?

Answer 5

Facilitate weight bearing through affected side.

–This provides sensory input to hemi side through proprioception.
–Closed chain movement.

Question 6

Stages of Motor Learning:

Answer 6

Skill association, skill retention, skill transfer.

Cognitive Stage

Associative Stage

Autonomous Stage

Question 7

When would you use CIMT?

Answer 7

With both adults or peds who have a hemiparetic limb. Stroke.