Swallowing Rehab

Question 1

Name the 4 phases of swallowing

Answer 1

1. Oral Prep: 5-10s
2. Oral: 1s
3. Pharyngeal: 1-2s
4. Esophageal: 10s

Question 2

What 3 things does the hyoid bone contribute to swallowing that would not occur if it did not raise?

Answer 2

1. Raising the pharynx
2. Inverts the epiglottis
3. Relaxes UES

Question 3

Name and describe the locations of the two pharyngeal recesses.

Answer 3

1. Valleculae: space between epiglottis and space of tongue

2. Pyriform sinuses: above the cricopharyngeus muscle

Question 4

What is the difference between an modified barium swallow study and a regular barium swallow study?

Answer 4

MBSS: assesses the oral and pharyngeal phases of swallowing

BSS: assssssessssssessss esophageal phase

Question 5

Biggest risk factor for aspiration pneumonia.

Answer 5

Poor oral hygiene

Question 6

Biggest risk factor when prescribing thickening fluids.

Answer 6

Dehydration. Patients don’t like these fluids as therapy for dysphagia b/c they thicken as the sit and patients won’t drink them.