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3.CD2-Voice/Swl
CommDis2 SLP405
| Term | Definition |
|---|---|
| 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