Lecture 4

Question 1

Swallow rehabilitation

Answer 1

• targets; specific aspects of function to be changed by treatment
• ingredients; specific actions taken by clinician to effect changes in the target
• mechanism of action; the known or hypothesised means by which ingredients expert their effects

Question 2

What is neural plasticity

Answer 2

• the brains ability to adapt in response to changes in input such as response to training, environmental cues, experience, ageing, injury or disease
• we don’t fully understand the mechanisms but we do know these principles are important

Question 3

What do muscles need for speech/swallow?

Answer 3

• power
• endurance

Question 4

How to increase power/endurance

Answer 4

• overload
• recruitment of additional motor units
• specificity of training
• repetition

Question 5

Impact of dysphagia - social issues

Answer 5

• avoidance of eating with others
• social isolation
• Embarrassment
• social stigma associated with a modified diet/‘baby food’

Question 6

Impact of dysphagia - psychological

Answer 6

• reduced mealtime enjoyment
• fear of choking
• stress
• anxiety/panic
• depression