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Jo's Dysphagia > Cause and Effect > Flashcards

Flashcards in Cause and Effect Deck (16):
1

Weak LABIAL strength/mobility (3)

1. Pocketing of food
2. Difficulty taking food from utensils
3. Anterior food leakage

2

Weak LINGUAL strength/mobility/ROM (4)

1. Difficulty forming a bolus
2. Pocketing in anterior and lateral sulcci
3. Lingual stasis (residue)
4. Premature spillage into pharyngeal area

3

Poor dentition condition (1)

decreased ability to break down food

4

Decreased jaw excursion/closure (reduced jaw ROM aka trismus) (2)

1. Poor lip closure
2. Poor mastication

5

Poor tongue mobility/control (3)

1. tongue pumping
2. increased oral transit time
3. tongue thrusting

6

Poor velo-pharyngeal closure
(when velum meets pharyngeal wall)

1. nasal regurgitation
2. nasal penetration

7

Swallow Delay: 2 effects, and 1 strategy

Effects:
1. penetration
2. aspiration

Strategy:
1. Chin tuck

8

Decreased posterior TONGUE retraction: 2 effects, 3 strategies

Effects:
1. Poor sub glottal pressure
2. Residue coating the base of the TONGUE

Strategies:
1. Hard swallow
2. Repeat/extra swallows
3. alternate liquids and solids

9

Decreased PHARYNGEAL wall contraction: 2 Effects, 3 strategies

Effects:
1. Poor supra-glottal pressure
2. Residue coating the PHARYNGEAL wall

Strategies:
1. Hard swallow
2. Repeat/extra swallows
3. alternate liquids and solids

10

Decreased LARYNGEAL elevation: 2 Effects

Effects:
1. Poor epiglottic inversion which results in residue in vallevulae, and decreased airway protection.
2. Poor crico-pharyngeal opening which results in residue in pyriform sinuses and/or back flow of material into pharyngeal vestibule.

11

Decreased LARYNGEAL elevation: 2 strategies

For epiglottic inversion: hard swallow, repeat/extra swallow with head turns, alternate solids w/ liquids, initial swallow w/ head turns, super supra-glottic swallow

For crico-pharyngeal opening: same, but sub supra-glottic swallow with mendelsohn maneuver

12

Decreased hyoid excursion

Same as decreased laryngeal elevation bc, you know, they're, like, related.

13

Decreased epiglottic inversion: 1 effect, 3 strategies

Effect: Residue in valleculae

strategies:
1. Hard swallows
2. extra/repeat swallows w/ head turns
2. alternate solids with liquids

14

Poor vocal fold closure: 2 effects, 1 strategy.

Effects:
1. decreased airway protection
2. decreased supra-glottic pressure

Strategy: Super supra-glottic swallow

15

Poor crico-pharyngeal opening

Effects:
1. Residue in pyriform sinuses
2. Backflow of material from CP

Strategies:
1. hard swallow
2. repeat/extra swallows
3. alternate solids and liquids
4. shaker exercises

16

Unilateral pharyngeal weakness: 1 effect, 3 strategies

Effect: More residue on one side

Strategies:
1. Head turns
2. repeat/extra swallows
3. alternate solids w/ liquids