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27 Cards in this Set

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