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Flashcards

Dysphagia - swallow function

mathieteal Inglês 50 flashcards

Flashcards do conjunto (50)

  1. 1the voluntary control of the swallow is under ___ control.supratenetorial.
  2. 2Do people have a dominant swallow hemisphere?yes.
  3. 3The involuntary phase of the swallow is under ...infrantentorial control.
  4. 4What are some things that can affect a swallow?stroke, hemorrhage, tumors, dementia, TBI, neurological disease: MS, Parkinson, supranuclear palsy, cerebral palsy,
  5. 5Dysphagia can arise in what kinds of situations? (think of people of all ages.)neuromuscular disorder, critical illness, prematurity, genetic disorder
  6. 6Where is the infratentorial located?Beneath the tentorium of the cerebellum
  7. 7the supratentorium is how much of the brains weight?85 % - heaviest part of the brain. Location of cerebrum
  8. 8what is involved in the oral part of a swallow?1. hard and soft palate
    2. labial - lips
    3. lingual - tongue
    4. buccal - cheeks
    5. maxilla (upper) mandibular (lower)
    6. oropharynx - can see with open mouth
    7. nasopharynx -
  9. 9what does the nasopharynx connect?nose and mouth allowing you to breathe
  10. 10where is the nasopharynx located?space above the soft palate at the back of the nose.
  11. 11oral phase why is labial close important?lip closure - hold food inside
  12. 12oral phase why is soft palate elevation important?velopharyngeal closure
  13. 13oral phase lingual, labial, buccal strength and range importance?bolus formation
  14. 14oral phase posterior lingual propulsion importance?bolus force during swallow transit
  15. 15oral phase buccal strength importance? (2)1. can suck from a straw
    2. prevent food from lodging in lateral sulcus/sulci
  16. 16oral phase mandibular range is needed why?opening and closing of the mouth
  17. 17oral phase lateral rotary mandibular movement is important for?mastication
  18. 18Dysfunction oral phaseleakage of food
  19. 19dysfunction oral phase pocketing of food where?lateral and anterior sulci
  20. 20oral phase dysfunction lingual propulsioncan be weak
  21. 21oral phase dysfunction masticationweak
  22. 22oral phase dysfunction mandibular movementreduced lateral rotary for mastication
  23. 23oral phase dysfunction maxilla and mandibularinability to open / close
  24. 24oral phase dysfunction sensationreduced oral sensation to know food is still within the mouth.
  25. 25If you have reduced lingual function means?reduced mastication
  26. 26if you have reduced lingual elevation meansreduced intra oral pressure due to reduced tongue to palate contact
  27. 27reduced anterior to posterior tongue movement means..slow weak bolus transit. Sulci residue increases.
  28. 28Children commonly have a tongue thrust, what happens with the bolus?leakage from the oral cavity then.
  29. 29impaired buccal strength mandibular movement?impaired mastication
  30. 30impaired buccal strength altered mandibular / maxilla alignment?Impaired mastication
  31. 31impaired buccal strength reduced oral sensation?dispersal of material through oral cavity and loss of oral control.
  32. 32When can you say food has become a pharyngeal phase disorder?one bolus reaches faucial arches and swallow is triggered.
  33. 33pharyngeal phase disorder delayed swallow response?premature spillage of the base of the tongue
  34. 34pharyngeal phase disorder the longer the delay in a swallow initiation then...the greater the risk of aspiration
  35. 35pharyngeal phase disorder absent swallow reflex or response...material resting in the vallevulae 10 seconds or more... aspiration of bolus will occus.
  36. 36Where will food/liquid go if you have reduced VP closure?bolus enters nasal cavity.
  37. 37reduced vp closure has reduced oral pressure duringoral phase of swallow
  38. 38reduced VP closure occurs with what diseases?oral cancer, soft palate resection, cleft palate, sub mucous cleft, some neurological impairments
  39. 39Is reduced phayngeal peristalsis unilateral, bilateral, both?can be bilateral or unilateral
  40. 40if you have a reduced pharyngeal peristalsis residue can fall where?into the airway after a swallow.
  41. 41When you have reduced pharyngeal constriction food can go where? (3)1 valleculae
    2. posterior pharyngeal wall
    3. pyriform sinus
  42. 42cricopharyngeal dysfuntion is normally in a stage of constant relaxation or contraction?contraction
  43. 43Cricopharyngeal dysfunction relaxes when?during a swallow.
  44. 44In cricopharyngeal dysfunction if no relaxation is present bolus remains where?pyriform sinus
  45. 45why does aspiration occur in cricopharyngeal dysfunction?residue spills into trachea over the arytenoid cartilage
  46. 46Reduced laryngeal elevation paralysis / weakness of what muscles?strap muscles
  47. 47Surgical resection/reconstruction of the strap muscles wiht reduced laryngeal elevation causes what?material falls onto the top of the larynx, resting on the vocal cords.
    cords abduct, reside falls into the airway.
  48. 48Muscles that lower the hyoid are?TOSS:
    Thryohyoid
    Ohmohyoid
    Sternohyoid
    suprahyoid
  49. 49Muscles that elevate the hyoid?My great dane smells
    Mylohyoid
    Geneohyoid
    Digastric
    stylohyoid
  50. 50Which two nerves help squeeze the pharyngeal constrictors?CN IX and X

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Descrição
putting the pieces of swallowing together.
Criado por
mathieteal
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