speech mechanism chapter 8 Flashcards
part 1 or first half of chapter 8
Mastication
Chewing process - grinding and crushing food
Preparing food for swallowing
Deglutition
Swallowing the food - complex process of
moving bolus (ball of food/ liquid) from
pharynx into esophagus
Mastication and
Deglutition process may involve the following:
-Orbicularis oris
– Intrinsic/extrinsic tongue muscles
– Velar elevators
– Pharyngeal constrictors
Mastication and
Deglutition Invokes more than
55 pairs of muscles
along with cranial and spinal nerves
Feeding skills are both
preparatory
and supportive of the speech act
Iowa Oral Pressure Instrument (IOPI)
Flexible ball that measures force - tongue or lips
Electromyography
Measures muscle function during swallowing
Multislice computer aided tomography
3 dimensional representation of structures
Pharyngeal manometry
Pressure measure
Modified barium swallow study
(MBSS)
Videoradiographically record individual
ingesting barium of various textures -
anterior and lateral views
– Definitive test of oropharyngeal dysphagia
Nasoendoscopy
Direct visualization of pharyngeal space
Fiberendoscopic evaluation of
swallow (FEES)
Detect aspiration and pharyngeal residue,
can visualize structures - see tumors
– Do not have radiology exposure or
consumption of barium
Ultrasound
Observe movement during swallowing but
bone impedes visualization
development of swallowing begins
before birth as early as 10 weeks ga
nonnutritive sucking
15 weeks, suckling also stimulable
The newborn gains nutrition through
rooting reflex
rooting reflex
Infant responds to tactile stimulation of lips
or cheek
Infant turns toward stimulus and opens mouth
Suckling relfex allows
infant to receive food
from mother’s breast in first six months
suckling is triggered by
contact to inner margin of lips causing piston- like tongue protrusion and retraction
suckling is replaced
by sucking more complex process causing negative pressure to draw liquid in
what does the Velum of infant do?
“locks” into
space between epiglottis and
tongue this action seals off infants airway
what is bolus?
a ball of liquid that cannot enter the respiratory passageway
infants can…..
breathe while swallowing
how does the Infant’s Oral-Pharyngeal
Structures differ from adult structures
– Oral cavity is smaller
– Larynx elevated at birth
*Descends over the first four years
– Velum is relatively larger
– Hyoid elevated and relatively
forward
– No dentition in neonate
what are the stages of mastication and deglutition?
-oral preparatory stage
-oral transport stage
-pharyngeal stage
-esophageal stage
Oral preparatory stage
(mastication)
Oral transport stage
(propulsion of
bolus)
Pharyngeal stage
(pharyngeal swallow)
Esophageal stage
(esophageal transit)
centrally generated patterns are
mastication and tongue movements are largely reflexive