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21 Cards in this Set

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