Disorders

Front 1

cannot hold food in mouth anteriorly (food falls from mouth anteriorly)

Back 1

reduced lip closure
-usually lips close & remain closed

Front 2

cannot hold a bolus - matl immediately spreads through oral cav

Back 2

reduced tongue shaping/coordination (reduced ability to shape tongue around B)

Front 3

premature loss of liquid or paste into valleculae

Back 3

reduced anterior soft palate positioning and/or poor tongue control

Front 4

cannot form a bolus; difficulty puuling food back together into a cohesive bolus

Back 4

reduced range of tongue motion or coordination
-food normally manipulated & moved throughout oral cav
-when finished w/mast or oral manip, pulled together by tongue into a single B to initiate swallow

Front 5

matl falls into anterior sulcus

Back 5

reduced labial muscle (and/or facial muslce) tension/tone

Front 6

matl falls into lateral sulcus

Back 6

reduced buccal tension/tone

Front 7

abnormal hold position

Back 7

reduced tongue control; tongue thrust

Front 8

delayed oral onset of swallow

Back 8

apraxia of swallow; reduced oral sensation

Front 9

searching tongue mvments

Back 9

apraxia of swallow

Front 10

tongue moves forward to start swallow

Back 10

tongue thrust

Front 11

residue in ant sulcus

Back 11

reduced labial tension/tone

Front 12

residue in lateral sulcus

Back 12

reduced buccal tension/tone

Front 13

residue on floor of mouth

Back 13

reduced tongue shaping or failure of the peripheral seal of the tongue to the anterior and lateral alveolus

Front 14

residue in a midtongue depression

Back 14

tongue scarring

Front 15

residue of food on the tongue

Back 15

reduced tongue range of mvment or strength

Front 16

disturbed lingual contraction (peristalsis)

Back 16

lingual discoordination

Front 17

incomplete tongue-palate contact

Back 17

reduced tongue elevation

Front 18

adherence (residue) or food on hard palate

Back 18

reduced tongue elevation or strength

Front 19

reduced anterior-posterior tongue mvment

Back 19

reduced lingual coordination

Front 20

repetititive lingual rocking-rolling actions

Back 20

parkinson's disease

Front 21

uncontrolled bolus/premature loss of liquid or pudding consistency into pharynx

Back 21

reduced tongue control; reduced linguavelar seal

Front 22

piecemeal deglutition

Back 22

may indicate a fear of swallowing

Front 23

nasal penetration during swallow

Back 23

reduced VP closure

Front 24

bony outgrowth from cervical vertebrae

Back 24

cervical osteophytes

Front 25

residue on one side of pharynx & in piriform sinuses

Back 25

unilateral pharyngeal wall weakness

Front 26

coating on pharyngeal walls after swallow

Back 26

reduced pharyngeal contraction bilaterally

Front 27

vallecular residue after swallow

Back 27

reduced tongue base posterior mvment

Front 28

coating in a depression on pharyngeal wall

Back 28

scar tissue; pharyngeal pouch

Front 29

reduced laryngeal elevation

Back 29

residue at top of airway

Front 30

laryngeal penetration & aspiration after swallow

Back 30

reduced closure of airway entrance

Front 31

aspiration during swallow

Back 31

reduced laryngeal closure

Front 32

residue in both piriform sinuses

Back 32

reduced anterior laryngeal motion; cricopharyngeal dysfunction; stricture

Front 33

unable to align teeth

Back 33

reduced mandibular mvment

Front 34

unable to lateralize matl w/tongue

Back 34

reduced tongue lateralization

Front 35

unable to mash materials

Back 35

reduced tongue elevation

Front 36

matl falls into lateral sulcus

Back 36

reduced buccal tension/tone

Front 37

matl falls to floor of mouth

Back 37

reduced tongue control

Front 38

B spread across mouth

Back 38

reduced lingual shaping & fine tongue control

Front 39

unilateral vallecular residue

Back 39

unilateral dysfunction in posterior mvment of tongue base

Front 40

residue in 1 piriform sinus

Back 40

unilateral dysfunction of pharynx