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15 Cards in this Set

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  • Back
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There is a relationship between the length of coma and _ of swallowing problems.
Severity
315
Swallowing problems become (more or less) severe in pts whose coma lasted longer.
more
315
Possible injuries
neurologic damage
laryngeal fracture
penetration wounds (in chest which effect the esophagus)
315
CSC injury:
if no head injury=swallowing problems that are _ in nature
pharyngeal
318
CSC injury:
If damage to C4,5,or6=poor _ or _ pharyngeal wall dysfunction
lateral
bilateral
318
CSC injury:
Damage to C1 or C2 =
no sensory awareness of their swallowing difficulty
318
SOMI
halo brace
320
What was the one measure of swallowing that changed significantly when using a SOMI?
duration of airway closure was prolonged
320
In pts w/oral tongue, tongue base, and laryngeal struggling motions and no true pharyngeal swallow, what techniques should be used?
thermal-tactile
suck-swallow
322
CN IX damage =
delay in trigger (unilateral=use postures)
322
Pharyngeal disorders resulting from poliomyelitis: (3)
(shouldn't someone tell Logemann that Polio is close to eradication? - there were only 2,000 cases in 2006 worldwide. Logemann does go on to explain postpolio syndrome, which seems relevant...)
1. reduced VP closure during swallow

2. reduced pharyngeal contraction

3. unilateral pharyngeal paralysis
323
What is the first sign of Guillain-Barre?
swallowing difficulty
323
Tx hierarchy for Guillain-Barre.
gentle resistance and ROM
After resp control regained: swallowing maneuvers, esp
supraglottic and Mendelsohn
323
Most aspiration in those w/CP occurs _ or _ the swallow.
Before
After
=not during
325
Familial Dysautomonmia (Riley-Day Syndrome) - those with this syndrome benefit most from _ exercises to improve oral tongue function and _ stimulation to improve triggering of the pharyngeal swallow.
oromotor
thermal-tactile
326