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Phases of Swallowing

4 phases of swallowing: oral prep, oral, pharyngeal, esophageal

Labial seal is key to the success of this phase oral prep.
This stage ends with the occurrence of an involuntary reflex oral
If this phase increases beyond its typical "less than one second" criterion, the risk of aspiration is greatly increased pharyngeal
This phase consists of four synchronized physiological actions pharyngeal
This phase has the goal of creating a cohesive bolus oral prep.
Relaxation of the cricopharyngeus muscle occurs at what phase pharyngeal
labial seal is key to the success of this phase oral prep
velar elevation, pharyngeal parystalsis and laryngeal elevation and cricopharyngeal (UES) opening are the four synchronized actions during the esophageal phase T/F False. Velar elevation, pharyngeal parystalsis and laryngeal elevation and cricopharyngeal (UES) opening are the four synchronized actions during the PHARYNGEAL phase
This phase is characterized by tongue elevation to the hard palate from anterior to posterior movement pattern oral
Rotary movement of tongue is most common in what phase? oral prep.
larynx and pharynx are at rest during this phase leaving airway open for breathing oral prep. and esophageal
Breathing stops during oral and pharyngeal phase
This phase is disordered if it takes longer then 20 seconds to occur esophageal
Phases characterized by paristaltic action mediated by CN X-Vagus esophageal Could also be pharyngeal because CN X does innervate constrictor muscles.
The bolus divides appropriately in this phase pharyngeal Bolus travels to UES via lateral channels, goes around sides of the epiglottis. Meets again at cricopharyngeus.
Decreased laryngeal elevation is likely to cause aspiration or penetration in what phase pharyngeal
A spastic cricopharyngeus muscle is likely to interfere with this phase esophageal and pharyngeal, esophageal because we won't get bolus in. UES opening is also sign of pharyngeal phase.
This phase will be most susceptible to disorder from disruption in the smooth motion that characterizes this phase. oral
Coordinated and anterior tongue motion is most important in this phase oral
chest pain is symptom of this phase esophageal, air bubbles in esophagus can cause pain as well as muscle spasms
Decreased salivation would affect this phase most oral prep
Abnormal epiglottic function will cause disruption of this phase, primarily pharyngeal
decreased laryngeal closure indicates disorder in this phase pharyngeal
premature spilling of bolus from oral cavity due to disordered velopharyngeal movement during this phase oral prep During oral prep velum causes posterior barrier by lowering velum often making complete contact with tongue base.
Inappropriate biting of the cheeks is an indicator of disorder of this phase oral prep, happens when buccal (cheek) muscle loses tongue due to neurology or surgery.
Nasal regurgitation is a symptom of disorder in this phase pharyngeal (this is when velum is supposed to lift) then parastaltic action will push bolus up.
A Zenker's diverticulum is most likely to affect this phase esophageal
Decreased tongue base retraction is typically going to be a symptom of dysphagia in this phase pharyngeal, when laryngeal elevation occurs tongue pushes posteriorly and cleans out vallecula-tongue base sweeps posteriorly over epiglottis
Vallecula residue is often sign of weak tongue base. True/False True, during phrayngeal phase when laryngeal elevation occurs, the tongue pushes posteriorly and cleans out vallecula-tongue base sweeps posteriorly over epiglottis
Aspiration occurs most often due to disorder of what phase pharyngeal, the most susceptible to aspiration
abnormal hold positions are disorders of this phase oral prep
limited mandibular movement are disorders of this phase oral prep
4 major muscles of mastication temporalis, masseter, internal and external pterygoids
Coating of the pharyngeal wall after swallow is disorder of what phase pharyngeal, caused by lack of pharyngeal parystalsis
Pyriform sinus residue is disorder of what phase pharyngeal, because of lack of laryngeal elevation that tips and empties
reflux affects what phase most esophageal, can slow esophageal phase, can cause pain
Incomplete tongue to palate contact affects what phase most oral
Inability to make bolus affects what stage oral prep
lack of teeth affects what stage oral prep
disturbed parystaltic (squeezing) action of tongue affects what stage oral
Parystaltic wave is created when you swallow T/F? T, parystaltic wave can be measured from mouth all the way to the anus, swallowing creates movement in the intestines
Increased duration of time to complete this phase are likely to cause aspiration or penetration BEFORE the swallow oral
Aspiration during the swallow is most likely caused during what phase Pharyngeal
Aspiration after the swallow is most likely caused during what phase esophageal
Piecemeal deglutition may be sign of premature occurrence of this phase pharyngeal, can also be sign of apraxia (incordination)
deglutition is another word for swallowing
Increased residue of pharynx pharyngeal
retraction and elevation of velum must occur during this phase pharyngeal
occurs with relaxation of cricopharyngeus esophageal
This phase ends with closing of distal sphincter esophageal- Distal sphincter (lower esophageal sphincter)
This phase begins at anterior faucial pillars pharyngeal, can also begin as far back as vallecula
This stage contains pharyngeal paristalsis pharyngeal
This phase contains stripping action oral
Three valves of vocal tract must provide airway closure during pharyngeal
metacognitive decision making processes are most active during this phase oral prep
It is not appropriate to have an open airway during this phase pharyngeal
A moment of apnea occurs during this phase pharyngeal
This phase requires the bolus to remain midline oral
This phase requires intact masseter and temporalis function oral prep
This phase is most likely to demonstrate defecits of velopharyngeal function pharyngeal phase
This phase most likely improves when downgraded to thick or thin liquids esophageal phase
This phase relies the most on cranial nerve XII oral phase
Relaxation of UES is hallmark of this phase Pharyngeal
Tongue to hard palate contact is critical for this phase oral
altering an eating utensil or cup is most likely to affect this phase oral prep
Retroflection of the epiglottis is typically seen during this phase pharyngeal
T/F. Upper Motor Neuron disorders are know to cause flacid muscle responses False. Upper motor neuron disorders are know to cause SPASTIC motor disorders, lower motor neuron disorders cause flacid musle repoonse.
Created by: shayc09



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