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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
What is most frequent swallowing disorder in people w/ closed head trauma?
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Pharyngeal delay
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p. 315
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What is most frequent swallowing disorder in people w/ stroke?
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Pharyngeal delay
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p. 315
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There is a relationship btw length of coma and severity of dysphagia -- T or F?
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T
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p. 315
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Neurogenic trauma in TBI can occur from ___, ___, and ___
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direct head injury, contra-coup effects, twisting of brainstem
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p. 315
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Other causes of trauma in TBI ae ___, ___, and ___
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puncture wounds, laryngeal fracture, penetration to the chest
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p. 315
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In TBI, reduced closure of larynx and reduced CP function are related to ___, not ___
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physical damage to neck, neurological damage
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p. 316
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What are characteristics of patients w/ TBI? (3)
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impulsiveness, cognitive problems, and reduced sensation
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p. 316
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In Patients w/ cervical spine injury, if damage is at vertebrae 4, 5 or 6, they experience___ and consequent ___
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poor laryngeal mvt, poor CP opening
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p. 318
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If injury is at vertetbrae 1 or 2, patients experience
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reduced sensory awareness
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p. 318
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There is a high incidence of ___in patients w/ cervical SPI above vertebra 5
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pharyngeal disorders
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p. 319
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___will be impossible w/ people wearing cervical braces
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postural techniques
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p. 320
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Swallowing is less comfortable for people wearing SOMI braces -- T or F?
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T
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p. 320
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The only measure changed by SOMI braces may be ___
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duration of airway closure
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p. 320
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patients w/ cervical fusion usually exhibit
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reduced laryngeal elevation/forward mvt, reduced airway closure, reduced CP opening, reduced unilateral/bilateral pharyngeal wall mvt
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p. 321 (several pharyngeal disorders)
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Swallowing maneuvers helpful for people w/ cervical fusion include
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Mendelsohn, supraglottic, super-supraglotttic
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p. 322
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People w/ brainstem and/or cranial nerve damage due to neurosurgery most often experience___
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pharyngeal delay
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p. 322
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WHich relevant cranial nerves may be damaged from neurosurgery?
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CN IX, X, XII and VII
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p. 322
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patients w/ cranial nerve damage may exhibit unilateral___
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facial weakness, pharyngeal wall dysfunction, vocal fold adductor dysfunction, soft palate weakness, tongue dysfunction.
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p. 322
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Damage to CN IX may lead to __
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delay in pharyngeal swallow
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p. 322
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patients w/ unilateral CN damage may benefit from ___
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postures: head rotation, chin down posture, ROM and resistance exercises.
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p. 323
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People w/ polio experience ___ disorders including___. They may also experience ___ including ___, ___, and ___
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oral stage, reduced lingual control/bolus propulsion problems. pharyngeal stage problems, reduced pharyngeal contraction, VP closure problems, unilateral pharyngeal dysfunction
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p. 323
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People w/ Guillain-Barre may experience__
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generalized oral and pharyngeal weakness resulting in general reduced ROM
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p. 323
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In people w/ Guillain-Barre, therapy may begin w/___ and may expand to include ___ once ___
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GENTLE resistance and ROM exercises, maneuvers (Mendelsohn and supraglottic), respiratory control improves
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p. 323
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The first sign of Guillain-Barre may be
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swallowing problems
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p. 323
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People w/ CP experience swallowing problems including___, ___, and ___
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abnormal oral reflexes, inability to hold bolus, reduced lingual control
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p. 324
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___ is rarely a problem in children w/ CP
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CP dysfunction
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p. 325
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Most aspiration in kids w/ CP occurs ___ or ___ the swallow, but not ___ the swallow
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before or after, but not during
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p. 325
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