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22 Cards in this Set

  • Front
  • Back
Disorder Observed

Inefficient oral transit

Posture applied & rationale?
Head back; utilizes gravity to clear oral cavity
Disorder Observed

Delay in triggering the pharyngeal swallow

Posture applied & rationale?
Head down; widens valleculae to prevent bolus entering airway; narrows airway entrance
Disorder Observed

Reduced tongue base posterior motion

Posture applied & rationale?
Head down; pushes tongue base backward toward pharyngeal wall
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
Disorder Observed

Reduced laryngeal closure

Posture applied & rationale?
Head down; places epiglottis in more protective position
Disorder Observed

Reduced pharyngeal contraction

Posture applied & rationale?
Lying down on one side; changes direction of gravitational effect on pharyngeal residue
Disorder Observed

Unilateral pharyngeal paresis

Posture applied & rationale?
Head rotated to damaged side; twists pharynx and eliminates damaged side of pharynx from bolus path
Disorder Observed

Cricopharyngeal dysfunction

Posture applied & rationale?
head rotated; pulls cricoid cartilage away from posterior pharyngeal wall, reducing resting pressure in cricopharyngeal sphincter
The head back posture could be applied when which disorders are observed?
Just one, inefficient oral transit
The head down posture could be applied when which disorders are observed?
1. Delay in triggering the pharyngeal swallow
2. Reduced tongue base posterior motion
3. Unilateral laryngeal dysfunction
4. Reduced laryngeal closure
Rotating the head is a posture that could be applied when which disorders are observed?
1. Unilateral laryngeal dysfunction (towards the damaged side)
2. Unilateral pharyngeal paresis (towards the damaged side)
3. Cricopharyngeal dysfunction
Lying down on one side is a posture that could be applied when which disorders are observed?
Just one, reduced pharyngeal contraction.
Which disorders are suggested by the symptom:
Reduced posterior propulsion of the bolus by tongue
Inefficient oral transit
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.
Which disorders are suggested by the symptom:
Residue in the valleculae
Reduced tongue base posterior motion
Which disorders are suggested by the symptom:
Aspiration during swallow
1. Unilateral laryngeal dysfunction
2. Reduced laryngeal closure
Which disorders are suggested by the symptom:
Residue spread throughout pharynx
Reduced pharyngeal contraction
Which disorders are suggested by the symptom:
Residue on one side of the pharynx
Unilateral pharyngeal paresis
Which disorders are suggested by the symptom:
Residue in pyriform sinus
Cricopharyngeal dysfunction
What rationales are given for the posture:

Head back
C'est un. Utilizes gravity to clear oral cavity
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
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