Swallowing Flashcards
different stages of swallowing
oral prep
oral transit
pharyngeal
esophageal
oral prep stage
voluntary
structures: motor cortex
oral transit
tongue pushes bolus toward pharynx
pharyngeal
reflexive
brainstem (medulla)
central pattern generator coordinates airway protection and bolus movement
esophageal
involuntary
brainstem and autonomic nervous system control peristalsis
dysphagia
levels of structures involved
cerebral cortex
brainstem
peripheral nerves
brainstem nuclei involved in swallowing
nucleus tractus solitarius
nucleus ambiguous
dorsal motor nucleus of vagus nerve
Central pattern generator
in brainstem
coordinates muscle movements in swallowing
silent aspiration
food/liquid entering airway without triggering cough reflex often due to impaired sensation or coordination
causes of dysphagia
neurological disorders
structural abnormalities
muscular disorders