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35 Cards in this Set

  • Front
  • Back
what kind of swallow occurs most frequently in stroke, head trauma and neurosurgical populations?
delay in triggering pharyngeal swallow
neurologic damage can occur because of (3 things)
direct head injury, contra-coup damage, twisting of brainstem
head injury exhibit a variet of oral disorders including
reduced lip closure, reduced range of tonge motion, abnormal reflexes, delay/absent in triggering pharyngeal swallow
neuromuscular abnormalities related to control of pharyngeal stage can also occur including
reduced laryngeal elevation, airway entrance closure, tongue base motion, airway closure, cricopharyngeal opening, pharyngeal wall paresis, tracheoesophageal fistula, velopharyngeal port closure
additional symptoms of head injury
impulsivity, too much food in mouth, cognitive difficulties,
if no head injury in cervical spinal cord injury problems will likey be ____ in nature
pharyngeal
poor laryngeal movement and CP opening when damgage is at cervical vertebrae _, _, _
4, 5, or 6
sensory awareness not present when cervical vertebra _ , _ damaged
1 or 2
sustained cervical spinal cord injury results in
airway entrance closure issues secondary to reduction in laryngeal movement
to heighten stimulation the central nervous system in order to trigger pharyngeal swallow use
thermal tactile stimulation
acousitic neuroma or tumor would concern us with cranial nerves
IX, X, XII, VII, VIII
patients with nerve damage benefit from
posutre- head rotate, chin down
exercises- range of motion, resistance, effortful, falsetto, super-supraglottic
poliomyelitis patients have problems in what stages
oral and pharyngeal
Guillain-Barre is a
progressive viral disease causing paralysis
cerebral palsy aspiration often
before or after
cervical osteophytes displace ______
the posterior pharyngeal wall anteriorly
inert substance improve ___ and can be used for patients with ___
improve vocal fold closure

parkinson's
ALS
laryngectomy
reduced vf closure
laryngeal suspension
reduced laryngeal elevation
dilatation of scar tissue
to stretch open the cricopharyngeal region
cricopharyngeal myotomy is ____, criteria is, and used for __
permentently opens the sphincter

cp muscle dysfunction is dominant problem, must be able to move material through oral and pharyngeal stage, must be able to voluntarily close airway

patient's whose CP is in spasm with reduced laryngeal elevation and movement
CP myotomy used in combination with what maneuvers
mendelsohn, head turn
procedures should not be done unless
adequate trial of swallowing therapy has been completed
epiglottic pull-down
reversable occassionaly unsuccesful
suturing the vocal folds together
occassional unsuccessful not reversable
laryngeal bypass or tracheoesophageal diversion
seperates air and food passage

perminent
total laryngectomy
removal of hyoid bone and entire larynx
oral feeding should be considered when ___ is aspirated or swallow takes __ or longer
10%

10 seconds
multidisciplinary teams necessary for 2 reasons
rule out physiologic cause

complexity of dysphagic patients etiology, nature of problem, etc.
multidisciplinary teams include
swallowing therapist
radiologist
gastroenterologist
neurologist
otolaryngologist
pulmonologist
gerontologist
maxillofacial prosthodontist
dentist
PT
OT
dietician
attending physician
respiratory therapist
nurse
Cervical Osteophytes are
boney outgrowths on the cervical vertebra that can cause displacement of the posterior pharyngeal wall anteriorly
scar tissue in the cricopharyngeal region is treated with
dilatation procedure
jejunostomy is
a feeding tube placed directly into the jejunum through the abdominal wall
botulinum toxin injection is used for disorders of
cricopharyngeal muscle
fundoplication is
twisting the top of the stomach around the LES
3 types of head injury
coup-contracoup
coup
brainstem