Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/15

Click to flip

15 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Pharyngeal Delay
X-Ray:
1)Chin Down
2)Sensory - Thermal Tactile Stim, suck-swallow, sour bolus
Therapy:
1) Thermal Tactile Stim
2) Suck Swallow
Posture and then sensory heightening. For posture - think about how to protect the patient from aspirating before the swallow. Remember this disorder is SENSORY in nature.
Reduced Pharyngeal Contraction Bilaterally
X-Ray:
1) Lying down
2) Effortful Swallow
(You can also try having the patient follow thicker bolus with thin liquid wash to clear residue)
Therapy:
1) Masako
2) Effortful Swallow (double counts!)
Posture and then maneuver. Sensory heightening will not help because this is a motor issue. For posture - how can you protect the patient from aspirating residue after the swallow? For maneuver - how can you increase muscular contraction?
Reduced UES opening
X-Ray:
1) Head Rotated
2) Lying Down
3) Mendelsohn Maneuver
Therapy:
1) Mendelsohn Maneuver (double counts)
2) Shaker Exercises
3) Falsetto
Postures and then voluntary maneuvers. For posture - what makes UES opening easier? What will protect the patient from aspirating after the swallow? For maneuvers - how can you increase UES opening?
Cricopharyngeal Dysfunction
X-Ray:
1) Nothing we can do really
Therapy:
1) Surgical procedures including myotomy and dilation.
In a true CP dysfunction, what can a swallowing therapist actually do?
Reduced Airway Entrance Closure
X-Ray:
1) Chin down
2) Super supraglottic swallow
Therapy:
1) Super supraglottic swallow
Posture first, then maneuver. Sensory won't help here. For the posture - what makes closing airway entrance easier? For the maneuver - don't forget the importance of having the patient BEAR DOWN.
Reduced airway closure throughout
X-Ray
1) Head rotation if you have a unilateral issue (to bring damaged fold to midline)
2) Head rotation + chin down - best airway closure
3) Super supraglottic swallow
Therapy:
1) Super supraglottic closure
2) Vocal fold adduction exercises
3) Surgical options (bulk up or medialize fold)
Postures and then maneuvers. What if the problem was unilateral?
Reduced lingual elevation
X-Ray:
1) Chin up
2) Supraglottic swallow
3) Suck swallow
(These don't really make sense to me but it was what Nicole listed in the review??)
Therapy:
1) Range of Motion exercises
2) Palatal Augmentation prosthesis
Posture, then maneuver, then POSSIBLY sensory choice (according to Nicole). Therapy includes exercise and a different option if elevation doesn't improve.
Reduced Tongue Base Retraction
X-Ray:
1) Chin down
2) Lying down
3) Effortful Swallow
Therapy:
1) Masako
2) Gargle
3) Yawn
4) Effortful Swallow
5) Super supraglottic swallow
Two postures and then a manuever. For postures - how can you reduce residue? How can you protect the patient if residue IS left over? For therapy - what can you do to improve tongue base function?
Unilateral Pharyngeal Wall Weakness
X-Ray:
1) Head Rotation
2) Lying Down
3) Effortful Swallow
Therapy:
1) Masako
2) Effortful Swallow
For posture - how can you avoid the damaged area? For maneuvers - what will increase muscle effort?
Reduced Laryngeal Elevation
X-Ray
1) Lying down
2) Head Rotation
3) Mendelsohn Maneuver
4) Super supraglottic swallow
Therapy:
1) Mendelsohn Maneuver
2) Shaker exercises
3) Falsetto
This is a motor issue so use postures and maneuvers. You need to protect the patient from aspirating after the swallow. Also, in therapy use techniques to increase laryngeal elevation.
Apraxia of Swallow
X-Ray:
1) Increase downward pressure on the tongue
2) Thermal Tactile Stim
3) Sour Bolus
Therapy:
1) Thermal Tactile Stim
This is NOT A MOTOR issue
Unilateral Tongue Paralysis
X-Ray:
1) Head Tilt
2) Chin Up
3) (Maybe suck-swallow)
4) Supraglottic swallow
Therapy:
1) Range of Motion Exercises
2) Resistance Exercises
3) Palatal Augmentation
This is MOTOR but there is one sensory technique Nicole mentioned. For therapy - what will you do if exercises don't work?
Delayed Oral Onset
X-Ray:
1) Increase downward pressure on the tongue
2) Thermal Tactile Stim
3) Sour Bolus
Therapy:
1) Thermal Tactile Stim
This is not a motor issue. It is the same procedures you would use for apraxia of swallow.
Reduced Velopharyngeal Closure
X-Ray:
1) Nothing because we can't fix it
Therapy:
1) Prosthetics
Is there anything the swallowing therapist can do?
Unilateral Oral/Pharyngeal Weakness
X-Ray:
1) Head Tilt
Therapy:
1) Masako
2) Effortful Swallow
3) Effortful breath hold
How does the posture differ from only pharyngeal weakness? Therapy - what can you do to increase muscular effort?