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25 Cards in this Set

  • Front
  • Back
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.
Food material falls into lateral sulcus or residue in the lateral sulcus due to reduced buccal tension or tone.
Abnormal hold position or material falls to the floor of the mouth due to tongue thrust or reduced tongue control
Delayed oral onset of swallow due to apraxia of swallow or reduced oral sensation
Searching motion or inability to organize tongue movements due to apraxia of swallow
Tongue moves forward to start the swallow due to tongue thrust.
Residue of food on the tongue due to reduced tongue range of movement or strength
Disturbed lingual contraction (peristalsis) due to lingual dyscoordination
Incomplete tongue-to-palate contact due to reduced tongue elevation
Unable to mash material due to reduced tongue elevation
Adherence of food to hard palate due to reduced tongue elevation or reduced lingual strength
Reduced anterior-posterior lingual action due to reduced lingual coordination
Repetitive lingual rolling in Parkinson disease
Uncontrolled bolus or premature loss of liquid or pudding consistency in to the pharynx due to reduced tongue control or linguavelar seal
Piecemeal deglutition
Delayed oral transit time
Oral phase
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
Vallecular residue due to reduced posterior movement of the tongue base
Coating in a depression on the pharyngeal wall due to scar tissue or pharyngeal pouch
Residue at top of airway due to reduced laryngeal elevation
Laryngeal penetration and aspiration due to reduced closure of the airway entrance (arytenoid to base of epiglottis)
Aspiration during swallow due to reduced laryngeal closure
Stasis of residue in pyriform sinuses due to reduced anterior laryngeal pressure
Delayed pharyngeal transit time
Pharyngeal phase
Esophageal phase
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
what is aspiraion?
Aspiration is the passage of food or liquid through the vocal folds. People who aspirate are at increased risk for pneumonia. People without swallowing abnormalities routinely aspirate microscopic amounts of food and liquid. Gross aspiration, however, is abnormal and may lead to respiratory complications.
Risk factors for infants with swallowing disorders
malnutrition, dehydration, and respiratory problems
Etiology of feeding and swallowing problems
Cerebral palsy
Head and neck abnormalities
Muscle weakness in the face and neck
Gastroesophageal reflux
Multiple medical problems
Respiratory difficulties
Medications that may cause lethargy or decreased appetite
Problems with parent-child interactions at mealtime
Treatments for infants with swallowing disorders
Medical intervention, as needed
Direct feeding therapy designed to meet your child's individual needs
Nutritional changes
Postural or positioning changes (different seating, etc.)
Behavior management techniques
Desensitization to new foods or textures
Food temperature and texture changes
Referral to other disciplines, such as psychology or a dentist
SLP intervention for feeding therapy with infants
therapy with infants Strengthening the muscles of the mouth
Increasing tongue movement
Improving chewing patterns
Increasing tolerance of different foods or liquids
Improving sucking /drinking ability
Coordinating the suck-swallow-breathe pattern (for infants)
Altering food textures and liquid viscosity to ensure safe swallowing
What is Videofluoroscopic Swallowing Study (VFSS)?
VFSS is used to document occurrence of aspiration, reasons for aspiration, and possible therapies for aspiration. In this study the infant is given breastmilk or formula mixed with liquid barium. The infant is placed in a feeding seat and the fluoroscope table is tilted so that the response of the pharyngeal area during feeding can be captured as a permanent video image
What is pediatric dysphagia?
Swallowing problems in infants and children is often diagnosed as this.
Deglutition is another term for
________ typically appears in older children with dysphagia as the predominant symptom; when it occurs in younger children, vomiting (regurgitation) is often the primary symptom
silent aspiration is a particularly insidious manifestation of the ______ in infants or neurologically abnormal older children.
motor disorders
Typical symptoms Children with feeding and swallowing problems of
Poor feeding
Difficulty chewing
Difficulty breast feeding Refusing food or liquid
Vomiting during meals
What are the causes of Dysphagia?
Brain tumors, spinal cord injuries, progressive diseases, and individuals who have suffered from a stroke or from traumatic brain injury
What is an Ischemic stroke?
This type of stroke refers to lack of blood borne oxygen. It is more common that hemmorhagic strokes.
What is the cause of an Ischemic stroke?
Narrowing of the arteries, blockage of the artery, or from pieces of plaque breaking off and making it's way toward the brain where it lodges in the narrower artery.
What is peristalsis?
The wave-like motion that moves the bolus down the esophagus.
Children with feeding and swallowing dificuties are at risk for ______________, ___________, and ____________.
Malnutrition, Dehydration, and Respiratory problems
What are some causes of Feeding and Swallowing problems in children and infants?
Prematurity, Cerebral Palsy, Autism, Head and Neck abnormalties, Gastroesophageal Reflux, and Respiratoy difficulties
What is the size of a newborn's larynx?
<4mm (premature <3mm)
____________is the most common primary esophageal motility disorder in children.
What is the most common cause of oral dysphagia?
Dementia affects the following area___________,____________,___________, and __________.
Memory, Attention, Language, Problem solving
________ is the act of swallowing in which a food or liquid bolus is transported from the mouth through the pharynx and esophagus into the stomach.