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25 Cards in this Set

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Oral phase
Oral-phase disorders affecting the oral preparatory and oral propulsive phases usually result from impaired control of the tongue. Patients may have difficulty chewing solid food and initiating swallows
Oral Phase swallowing symptoms
*Cannot hold food in the mouth anteriorly due to reduced lip closure
*Cannot form a bolus or residue on the floor of the mouth due to reduced range of tongue motion or coordination
*Cannot hold a bolus due to reduced tongue shaping and coordination
*Unable to align teeth due to reduced mandibular movement
*Food material falls into anterior sulcus or residue in the anterior sulcus due to reduced labial tension or tone.
Pharyngeal phase
If pharyngeal clearance is impaired severely, a patient may be unable to ingest sufficient amounts of food and drink to sustain life
Pharyngeal Phase Swallowing Symptoms
*Delayed pharyngeal swallow
*Nasal penetration during swallow due to reduced velopharyngeal closure
*Pseudoepiglottis (after total laryngectomy) - Fold of mucosa at the base of the tongue
*Cervical osteophytes
*Coating of pharyngeal walls after the swallow due to reduced pharyngeal contraction bilaterally
Esophageal phase
Impaired esophageal function can result in retention of food and liquid in the esophagus after swallowing. This retention may result from mechanical obstruction, motility disorder, or impaired opening of the lower esophageal sphincter.
Causes of feeding and swallowing problems
Prematurity
Cerebral palsy
Autism
Respiratory difficulties
Typical symptoms Children with feeding and swallowing problems of
Poor feeding
Difficulty chewing
Difficulty breast feeding Refusing food or liquid
Gagging
Vomiting during meals
If you suspect that your child is having difficulty eating you should,
contact your pediatrician right away
The feeding team may involve
SLP
occupational therapist physical therapist
physician or nurse
dietitian
Possible recommendations by feeding team after evaluation
*Nutritional changes Postural or positioning changes (different seating, etc.) *Behavior management techniques
*Desensitization to new foods or textures
*Food temperature and texture changes
It has been estimated that as many as ___% of all children may manifest some type of nonspecified feeding difficulties.
25%
Difficulty swallowing may mean it take less time and effort to move food or liquid from the mouth to the stomach
False
The disorders can occur at any stage of the normal swallowing process, in which food and liquid move from the mouth, through the pharynx, into the esophagus, and finally, into the _______.
Stomach
Children with feeding and swallowing problems present with a wide variety of symptoms, depending on the ______ and _______ of their disorder.
nature and cause
_________ involves having your child eat and drink foods and liquids mixed with barium while watching them on an x-ray.
Instrumental Assessment
silent aspiration is a particularly insidious manifestation of the ______ in infants or neurologically abnormal older children.
motor disorders
Oral Pharyngeal is the act of swallowing in which a food or liquid bolus is transported from the mouth through the pharynx and esophagus into
True/ False
The newborn human infant requires the normal structure, function, and maturation of the _______ organs.
oropharyngo-esophageal
Deglutition is another term for
swallowing
There are five stages in which th act of swallowing in a food or liquid bolus is transported
True/False
Infants and children with feeding and swallowing problems is a single group, ranging from premature teenagers to adults
True/False
Infancy is the time during which ______ of these organs or effects of in utero11or neonatal exposures12usually become evident.
congenital abnormalities
When _______ prevents the appropriate caudal movement of ingested material, the material's retrograde movement may result in _______.
esophogeal dysmotility, regurgitation.
Radiographic Procedures include
Chest X-Ray and Routine Barium Fluoroscopy
________ typically appears in older children with dysphagia as the predominant symptom; when it occurs in younger children, vomiting (regurgitation) is often the primary symptom.
Achalasia