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22 Cards in this Set
- Front
- Back
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Disorder Observed
Inefficient oral transit Posture applied & rationale? |
Head back; utilizes gravity to clear oral cavity
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Disorder Observed
Delay in triggering the pharyngeal swallow Posture applied & rationale? |
Head down; widens valleculae to prevent bolus entering airway; narrows airway entrance
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Disorder Observed
Reduced tongue base posterior motion Posture applied & rationale? |
Head down; pushes tongue base backward toward pharyngeal wall
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Disorder Observed
Unilateral laryngeal dysfunction Posture applied & rationale? |
Head down; places epiglottis in more posterior protective position and narrows laryngeal entrance OR
Head rotated to damaged side; increases VF closure by applying extrinsic pressure and narrows laryngeal entrance |
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Disorder Observed
Reduced laryngeal closure Posture applied & rationale? |
Head down; places epiglottis in more protective position
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Disorder Observed
Reduced pharyngeal contraction Posture applied & rationale? |
Lying down on one side; changes direction of gravitational effect on pharyngeal residue
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Disorder Observed
Unilateral pharyngeal paresis Posture applied & rationale? |
Head rotated to damaged side; twists pharynx and eliminates damaged side of pharynx from bolus path
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Disorder Observed
Cricopharyngeal dysfunction Posture applied & rationale? |
head rotated; pulls cricoid cartilage away from posterior pharyngeal wall, reducing resting pressure in cricopharyngeal sphincter
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The head back posture could be applied when which disorders are observed?
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Just one, inefficient oral transit
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The head down posture could be applied when which disorders are observed?
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1. Delay in triggering the pharyngeal swallow
2. Reduced tongue base posterior motion 3. Unilateral laryngeal dysfunction 4. Reduced laryngeal closure |
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Rotating the head is a posture that could be applied when which disorders are observed?
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1. Unilateral laryngeal dysfunction (towards the damaged side)
2. Unilateral pharyngeal paresis (towards the damaged side) 3. Cricopharyngeal dysfunction |
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Lying down on one side is a posture that could be applied when which disorders are observed?
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Just one, reduced pharyngeal contraction.
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Which disorders are suggested by the symptom:
Reduced posterior propulsion of the bolus by tongue |
Inefficient oral transit
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Which disorders are suggested by the symptom:
Bolus past ramus of mandible, but pharyngeal swallow not triggered |
Delay in triggering the pharyngeal swallow. That's a hard one, I know.
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Which disorders are suggested by the symptom:
Residue in the valleculae |
Reduced tongue base posterior motion
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Which disorders are suggested by the symptom:
Aspiration during swallow |
1. Unilateral laryngeal dysfunction
2. Reduced laryngeal closure |
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Which disorders are suggested by the symptom:
Residue spread throughout pharynx |
Reduced pharyngeal contraction
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Which disorders are suggested by the symptom:
Residue on one side of the pharynx |
Unilateral pharyngeal paresis
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Which disorders are suggested by the symptom:
Residue in pyriform sinus |
Cricopharyngeal dysfunction
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What rationales are given for the posture:
Head back |
C'est un. Utilizes gravity to clear oral cavity
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What rationales are given for the posture:
Head down |
1. widens the valleculae to prevent bolus entering airway
2. narrows airway/laryngeal entrance 3. pushes tongue base backward toward the pharyngeal wall 4. places epiglottis in a more posterior protective position |
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What rationales are given for the posture:
Head rotated |
1. Twists pharynx
2. eliminates damaged side of pharynx from bolus path 3. pulls cricoid cartilage away from posterior pharyngeal wall and reduces resting pressure in UES 4. increases VF clossure by applying extrinsic pressure and narrows laryngeal entrance |
