Podcast
Questions and Answers
What is the primary function of the Hyoglossus muscle during mastication?
What is the primary function of the Hyoglossus muscle during mastication?
What outcome is associated with the impaired function of the Styloglossus muscle?
What outcome is associated with the impaired function of the Styloglossus muscle?
Which cranial nerve innervates the Hyoglossus and Styloglossus muscles?
Which cranial nerve innervates the Hyoglossus and Styloglossus muscles?
What role does the Palatoglossus muscle play in bolus transport?
What role does the Palatoglossus muscle play in bolus transport?
Signup and view all the answers
What is a consequence of decreased lingual motion during mastication?
What is a consequence of decreased lingual motion during mastication?
Signup and view all the answers
What is a potential effect of adaptive feeding equipment?
What is a potential effect of adaptive feeding equipment?
Signup and view all the answers
What is one technique that may be used to address efficient VP closure?
What is one technique that may be used to address efficient VP closure?
Signup and view all the answers
Which postural change technique may help reduce aspiration by changing bolus flow direction?
Which postural change technique may help reduce aspiration by changing bolus flow direction?
Signup and view all the answers
In what situation is a reclined position most beneficial?
In what situation is a reclined position most beneficial?
Signup and view all the answers
What is a likely effect of using the chin-tuck technique?
What is a likely effect of using the chin-tuck technique?
Signup and view all the answers
Which technique is used to address ineffective bolus transport?
Which technique is used to address ineffective bolus transport?
Signup and view all the answers
What effect does the side-lying position have during swallowing?
What effect does the side-lying position have during swallowing?
Signup and view all the answers
What is a consideration for using the head extension technique?
What is a consideration for using the head extension technique?
Signup and view all the answers
What is the primary role of the orbicularis oris muscle in swallowing?
What is the primary role of the orbicularis oris muscle in swallowing?
Signup and view all the answers
Which action describes the function of the buccinator muscle?
Which action describes the function of the buccinator muscle?
Signup and view all the answers
Which of the following is NOT a strategy for being culturally responsive in dysphagia management?
Which of the following is NOT a strategy for being culturally responsive in dysphagia management?
Signup and view all the answers
What defines swallowing safety?
What defines swallowing safety?
Signup and view all the answers
What is the potential result of an impaired lip seal during swallowing?
What is the potential result of an impaired lip seal during swallowing?
Signup and view all the answers
Which statement accurately describes aspiration?
Which statement accurately describes aspiration?
Signup and view all the answers
Why is it important to view behavior within a cultural context in healthcare?
Why is it important to view behavior within a cultural context in healthcare?
Signup and view all the answers
What role does cultural knowledge play in managing dysphagia?
What role does cultural knowledge play in managing dysphagia?
Signup and view all the answers
How can respiratory abnormalities impact swallowing?
How can respiratory abnormalities impact swallowing?
Signup and view all the answers
Which mechanism is NOT involved in airway protection during swallowing?
Which mechanism is NOT involved in airway protection during swallowing?
Signup and view all the answers
In attending to swallowing physiology, what does reduced oral pressure indicate?
In attending to swallowing physiology, what does reduced oral pressure indicate?
Signup and view all the answers
Why is the brainstem critical for swallowing?
Why is the brainstem critical for swallowing?
Signup and view all the answers
What is a common consequence of bolus pocketing in the oral cavity?
What is a common consequence of bolus pocketing in the oral cavity?
Signup and view all the answers
What physiologic deficits can be observed during bolus trials?
What physiologic deficits can be observed during bolus trials?
Signup and view all the answers
Which of the following actions occurs during the respiratory-swallow coordination?
Which of the following actions occurs during the respiratory-swallow coordination?
Signup and view all the answers
Which structure is not involved in airway closure during swallowing?
Which structure is not involved in airway closure during swallowing?
Signup and view all the answers
What is one limitation of the Modified Barium Swallow Study (MBSS)?
What is one limitation of the Modified Barium Swallow Study (MBSS)?
Signup and view all the answers
What is a goal of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES)?
What is a goal of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES)?
Signup and view all the answers
What role does the thyrohyoid muscle play in swallowing?
What role does the thyrohyoid muscle play in swallowing?
Signup and view all the answers
What advantage does the Modified Barium Swallow Study (MBSS) provide?
What advantage does the Modified Barium Swallow Study (MBSS) provide?
Signup and view all the answers
What is one limitation associated with FEES?
What is one limitation associated with FEES?
Signup and view all the answers
What does the Penetration-Aspiration Scale (PAS) evaluate?
What does the Penetration-Aspiration Scale (PAS) evaluate?
Signup and view all the answers
Which of the following is a common change noted in respiratory patterns during swallowing?
Which of the following is a common change noted in respiratory patterns during swallowing?
Signup and view all the answers
What is the primary purpose of the Masako maneuver?
What is the primary purpose of the Masako maneuver?
Signup and view all the answers
Which of the following is NOT an advantage of FEES?
Which of the following is NOT an advantage of FEES?
Signup and view all the answers
Which of the following exercises helps to improve UES opening and hyoid movement?
Which of the following exercises helps to improve UES opening and hyoid movement?
Signup and view all the answers
For which condition is the Shaker exercise primarily used?
For which condition is the Shaker exercise primarily used?
Signup and view all the answers
What is the correct isokinetic action in the jaw opening against resistance exercise?
What is the correct isokinetic action in the jaw opening against resistance exercise?
Signup and view all the answers
What effect does the Chin tuck against resistance exercise have?
What effect does the Chin tuck against resistance exercise have?
Signup and view all the answers
Which exercise requires the participant to produce a forceful /i/ sound at their highest pitch?
Which exercise requires the participant to produce a forceful /i/ sound at their highest pitch?
Signup and view all the answers
In the context of swallowing therapy, what does isometric exercise refer to?
In the context of swallowing therapy, what does isometric exercise refer to?
Signup and view all the answers
What is a key effect of the Shaker exercise on swallowing function?
What is a key effect of the Shaker exercise on swallowing function?
Signup and view all the answers
Study Notes
Final Exam - Study Guide
-
Introduction to Swallowing
- Safety in swallowing: Swallowing without aspiration or residue
- Efficiency in swallowing: Swallowing without leaving residue
- Penetration: Food or liquid enters the airway above the vocal folds
- Aspiration: Food or liquid enters the airway at or below the vocal folds
Swallowing Anatomy & Physiology
- Muscle-Physiological Event Matching (Table Needed): Matches swallowing muscles to their related physiological actions.
- Muscle-Cranial Nerve Matching (Table Needed): A table that matches swallowing muscles to the cranial nerves that control them.
-
Respiratory-Swallowing Coordination
- Respiratory abnormalities impact swallowing: Respiratory status needs consideration, as it affects eating and aspiration risk. Tracheostomies may affect swallowing.
- Airway protection during swallowing:
- Elevation and anterior movement of hyoid and larynx.
- Closure of larynx at four levels: Adduction of true vocal folds, Approximation of vestibular folds, Anterior adduction of arytenoids and approximation to base of epiglottis, Epiglottic inversion.
- Respiratory cessation: Suppression of breathing at brainstem level.
Neural Control of Swallowing
- Brainstem's Critical Role in Swallowing: Controls swallowing movements and regulates breathing.
- Important Brainstem Regions for Swallowing: Specific regions within the brainstem are crucial for proper swallowing control. (Details/table needed)
Clinical Swallowing Examination (CSE)
-
Goals of CSE:
- Elucidate symptomatology
- Determine need and readiness for instrumental swallowing evaluation
- Examine sensory and motor aspects related to swallowing
- Determine safety for oral intake and diet recommendation
-
Limitations of CSE:
- Cannot allow evaluation of the entire swallowing pathway
- Cannot identify physiologic cause
- Does not provide complete, comprehensive information
-
Steps in CSE: Chart review, patient/family interview, physical exam (respiratory, nutritional, cognitive, speech-language, oral mech), bolus trials (consistency, swallowing strategies)
-
Cranial Nerves Involved In Swallowing: (Details/table needed). Explains how to access and assess these nerves.
-
Physiological Components Assessed: (The text describes components but lacks specific details to summarize.)
Instrumental Swallowing Evaluation
-
Goals of MBSS: to determine if patients safely swallow different consistencies.
-
Limitations of MBSS: Limited frequency and length of studies due to radiation exposure; does not assess secretion or sensory function.
-
Advantages of MBSS: Dynamic study of swallow biomechanics (visualization), unlimited review, physiological impairment assessment.
-
Goals of FEES: assess the patient's ability to maintain airway protection during swallowing.
-
Limitations of FEES: Moment of swallow is not evaluated in entirety; Evaluation of bolus management, penetration/aspiration events, and pharyngeal events are incomplete.
-
Advantages of FEES: Real-time visual feedback, visualization of tissue/anatomical structures, and optimal information on residue.
Swallowing Disorders in Adults
- Goals of Dysphagia Intervention: Improve or maintain swallowing function, maximize oral intake, facilitate the least restrictive diet, and maximize quality of life.
- Compensatory vs. Rehabilitation Strategies: Compensation is about improving swallow efficiency/safety without directly targeting physiology. Rehabilitation techniques enhance swallow safety and efficiency by directly targeting physiological aspects.
Overview of Other Topics (pages 3-10)
- Instrumental Swallowing Evaluation: Details of methods to evaluate swallowing, including MBSS and FEES.
- Swallowing Disorders in Adults: Details of diagnostic processes and management.
- Other Important Clinical Techniques/Maneuvers: Various compensatory and therapeutic techniques are described in detail to aid with swallow dysfunction.
Additional Topics (pages 10-22)
- Physiologic Deficits with Compensatory/Rehabilitation Techniques: Several methods to remediate or improve the swallow are detailed with indications, potential effects, and contraindications.
- Muscular & Neural Function: Assessment of muscles for range of motion, strength, and coordination.
- Neurophysiological Aspects: Discussion of how neuroplasticity and motor learning aid or hinder dysphagia management.
- Matching Muscles to Action: Cross-references muscles needed for specific swallowing phases. (Details/table needed)
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This study guide covers essential concepts related to swallowing, including safety, efficiency, and the anatomy involved in the process. It matches crucial muscles to their physiological actions and cranial nerves, while also discussing the coordination between respiration and swallowing. Perfect for preparing for your final exam!
