stages of swallowing Flashcards
(26 cards)
What is best practice
Evidence, Experience, and Empathy is the most important
What associations define our scope of practice
ASHA
State Boards
Insurance companies
whoever you receive reimburstments from
What rules should SLPs adhere to when diagnosing and treating swallowin patients
- Physician must be present when we are conducting MBS
- We do not have exclusive rights to be the only providers of Dysphagia
- We cannot dictate what other professions do/cannot control them
Purpose of the oral prep stage
To break down food to a consistency apporopirate for swalloing and mix it with saliva
Neuromuscular actions in the Oral prep stage
labial seal, rotary chew, lateral motion of tongue and jaw.
Larynx and pharyns are at rest
What happens to larger volumes in the orap prep stage
the tonge subdivides and splits the bolus in your mouth
What cranial nerves are involved in the oral prep stage
V- trigeminal
VII- facial
X- vagus
XII- hypoglossal
When does the oral prep stage end
When the tongue starts to move back in the mouth
When does the oral stage begin
when the tongue moves back in the mouth
what is the main componenet of the oral stage
populsion (stripping action)
when does the oral stage end
with the triggering of the pharyngeal swallow
what cranial nerves are involved in the oral stage
XII- hypoglossal
how long does the oral stage last
1 second
where does the trigger for the pharyngeal swallow come from?
the lower brain
When does the pharyngeal stage begin
after the trigger of the swallow
What cranial nerves are involved in the pharyngeal stage
IX- glossopharyngeal
X- vagus
XI - spinal accessory
cranial nerve IX in pharyngeal stage
velopharyngeal closure
pharyngeal and laryngeal sensation
Cranial nerve X in pharyngeal stage
velopharyngeal closure pharyngeal wall contraction cricopharyngeal opening laryngeal closure pharyngeal and laryngeal sensation
Pharyngeal stage includes :
- velopharyngeal closure
- elevation and retraction of the soft palate
- inward movement of the losterior/lateral pharyngeal walls
- buldging of adenoid pad
- build up of pressure
How long does the pharyngeal stage take
1 second
When does the esophageal stage start
when the UES opens
When does the esophageal stage end
when the bolus passes into the stomach
Is the esophageal stage voluntary or involuntary
involuntary
What cranial nerves control the esophageal stage
X- vagus
