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13 Cards in this Set

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Rasley Logemann et al 1993
Prevention of Barium Aspiration during Videofluorscopic Swallowing Studies: Value of change in posture --
Conclusions
Postural techniques can eliminate aspiration of barium of at least small volumes in most pts.
1005
Aspiration during Videofluorscopic Swallowing Studies: Value of change in posture --
Postural changes are less beneficial in preventing aspiration in pts w/
substantial language or
cognitive defects or
restricted head movt
1005
Kahrilas Logemann et al 1991
Volitional augmentation of UES opening during swallow --
Conclude that swallow-related hyoid motion, laryngeal motion, and UES opening are subject to _ augmentation.
volitional
450
Bisch Logemann et al 1994
Pharyngeal Effects of Bolus Vol, Viscosity, and Temp in Pts w/Dysphagia Resulting from Neurologic impairment and in normal subjects --
_ in bolus vol and viscosity decreased pharyngeal delay times in both neurologically impaired pt groups.
increases
1041
Bisch Logemann et al 1994
Pharyngeal Effects of Bolus Vol, Viscosity, and Temp in Pts w/Dysphagia Resulting from Neurologic impairment and in normal subjects --
Stroke pts exhibited significantly longer _, but shorter pharyngeal response times, laryngeal closure, cricopharyngeal opening and laryngeal elevation than normal subjects.
pharyngeal delay time
1041
Bisch Logemann et al 1994
Pharyngeal Effects of Bolus Vol, Viscosity, and Temp in Pts w/Dysphagia Resulting from Neurologic impairment and in normal subjects --
Was there any significant effects of cold bolus on either group?
No
1047
Langmore and Logemann 1991
After the Clincial Bedside Swallowing Examination: What next? --
The bedside exame looks at: (
pt's behavior
language
cognitive skills
pt's hx and medical status
oromotor function
diff types of swallows
13
Langmore and Logemann 1991
After the Clincial Bedside Swallowing Examination: What next?--
Why do a bedside exam (5 reasons).
define etiologic factors
formulate hypothesis on nature
of disorder
devlope treatment plan
develope list of clinical questions
determine pts readiness and tolerance for instrumental assessments
13
Langmore and Logemann 1991
After the Clincial Bedside Swallowing Examination: What next?--
5 things defined and/or measured during a radiographic study.
duration of transit
nature and pattern of tong movt
curation of trigger delay
duration of neuromuscular action
ROM of pharyngeal structures
14
Langmore and Logemann 1991
After the Clincial Bedside Swallowing Examination: What next?
Medical Dx of pharyngeal swallow problems:
brainstem stroke
mod to sev Parkinson's
cervical spinal cord injury
trach for 6+ mo
partial laryngectomy
oral cancer w/base of tong resection
CP with chronic chest congestion
15
Langmore and Logemann 1991
After the Clincial Bedside Swallowing Examination: What next?--
Endoscopy is the only technique that can be used to test _ sensation directly.
laryngeal
15
Welch Logemann et al 1993
Changes in Pharyngeal dimensions Effected by Chin Tuck --
Three dimensions changed by chin tuck.
posterior shift of anterior pharyngeal structures

narrowing of the laryngeal entrance and dist from epiglottis to pharyngeal wall and the laryngeal entrance

widening the angle of the epiglottis to the anterior tracheal wall
178
Shanahan et al 1993
Chin-Down Posture Effect on Aspiration in Dysphagic Pts--
Pts who did not benefit from chin-down were significantly _ and aspirated material from the _ _ rather than the valleculae
younger
pyriform sinuses
736