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21 Cards in this Set
- Front
- Back
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the armamentarium of tx for pts with progressive disease ___ with the ___ ___
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varies with the specific disorder
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management of swallowing problems in pts with degenerative disease often involves
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shifting/restriction of diet
oral feeding to nonoral or in combination |
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pts swallowing should be evaluated regularly so that __(3 things)
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- progressively worsening function can be compensated
-the pt is put at minimal risk for serious aspiration/pulmonary problems - optimal nutrition/hydration status is maintained |
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Alzheimer's Disease- swallowing disorders
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agnosia for food
apraxia for feeding and swallowing oral tactile agnosia for food reduction in lateral tongue motion delay in triggering pharyngeal bilateral phary. wall weakness reduced lary. elev. reduced posterior motion of tongue base |
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Alzheimer Tx
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heighten sensory input prior/during placement of food
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Amyotrophic lateral sclerosis (ALS)
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progressive disease
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Alzheimer's disease
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a progressive dementia
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ALS involves what motor neuron tracks
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upper and lower (predominantly corticobulbar and corticospinal)
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ALS w/ corticobulbar involvment swallowing issues
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reduction in tongue mobility
decreased pressure generation by tongue with increased viscosity (thicker) velar dysfunction (later) laryngeal elevation reduced (earlier) tongue base post. mov. and phary. contraction reduced |
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ALS TX
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TTS at first
compensatory strategies |
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Werdnig-Hoffmann Disease
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aggressive pediatric motor neuron disease resulting in paralysis
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Werdnig-Hoffman Disease Swallowing disorders
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pharyngeal stage
by 3rd year pharyngeal swallow nonfunctional (delayed phary., reduced phary. contraction, reduced laryng. elev.) chronic aspiration |
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Werdnig-Hoffman Disease Tx
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compensatory strategies (posture, sensory)
gentle supraglottic swallow |
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Parkinson's disease swallowing disorders
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all 3 stages
festination-rolling pattern of tongue delay in trigger phary. reduced tongue base/phary. wall cont. incomplete lary. elev. and closure |
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Parkinson's disease also related to ____ in head and neck
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tremors
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Parkinson's tx
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compensatory
range of motion effortful swallow mendelsohn effortful breath hold falsetto |
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Postpolio Syndrome
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muscles weakness as a result of previously suffered polio
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postpolio syndrome swallowing disorders
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uni/bilateral phary. wall weakness
reduced tongue base retr. reduced lary. elev reduce closure of laryng. vestibule |
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postpolio tx
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postural changes
(do not preceive improvments) compensatory strategies best |
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multiple sclerosis (MS)
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plaques in the neurologic system
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MS swallowing disorders
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vary depending on what areas are affected
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