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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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There is a relationship between the length of coma and _ of swallowing problems.
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Severity
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315
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Swallowing problems become (more or less) severe in pts whose coma lasted longer.
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more
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315
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Possible injuries
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neurologic damage
laryngeal fracture penetration wounds (in chest which effect the esophagus) |
315
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CSC injury:
if no head injury=swallowing problems that are _ in nature |
pharyngeal
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318
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CSC injury:
If damage to C4,5,or6=poor _ or _ pharyngeal wall dysfunction |
lateral
bilateral |
318
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CSC injury:
Damage to C1 or C2 = |
no sensory awareness of their swallowing difficulty
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318
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SOMI
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halo brace
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320
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What was the one measure of swallowing that changed significantly when using a SOMI?
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duration of airway closure was prolonged
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320
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In pts w/oral tongue, tongue base, and laryngeal struggling motions and no true pharyngeal swallow, what techniques should be used?
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thermal-tactile
suck-swallow |
322
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CN IX damage =
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delay in trigger (unilateral=use postures)
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322
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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
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What is the first sign of Guillain-Barre?
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swallowing difficulty
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323
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Tx hierarchy for Guillain-Barre.
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gentle resistance and ROM
After resp control regained: swallowing maneuvers, esp supraglottic and Mendelsohn |
323
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Most aspiration in those w/CP occurs _ or _ the swallow.
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Before
After =not during |
325
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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.
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oromotor
thermal-tactile |
326
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