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3.CD2-Voice/Swl

CommDis2 SLP405

TermDefinition
Oral prep stage - Motor events Lips close. Cheeks flatten. Food manipulated and chewed. Bolus formed. Jaw moves in cyclical motion mixing bolus with saliva. Velum is lowered for breathing.
Oral prep stage - Sensory events Taste, Smell, Temperature, Consistency of material
Oral stage Tongue elevates and propels bolus posteriorly (motor), tongue contacts velum to protect nasal passages (sensorimotor) , tactile stimulation of swallow reflex under voluntary control (sensory).
Pharyngeal stage Swallow reflex, pharyngeal peristlasis, larynx closes, tongue tip retracts and lowers, Velum elevates (to seal off the nasopharynx to prevent nasal regurgitation)
Organic voice etiologies caused by some physical condition that has impacted the structure and/or function of the larynx.
Functional voice etiologies result of particular compensatory behaviors a person is doing, or a reaction to some traumatic event. Mass and tension changes of TVCs cause change in pitch, loudness, effort.
Swallowing etiologies Degenerative/cognitive impairment, surgery, neurologic, neuromotor, systemic, immunologic, developmental, head and neck cancer.
Degenerative/cognitive conditions Dementia, Parkinson's, cognitive impairment
Neurologic conditions Stroke, TBI, Cerebral Palsy, brain damage, brainstem damage, pharyngeal dysphagia (subcortical)
Immunologic conditions Multiple Sclerosis,
Goals of assessment (4) Identify disorder. Describe nature and severity. Prescribe treatment. Predict the course.
Created by: ashea01