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CommDis2 SLP405

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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.  
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Oral prep stage - Sensory events   Taste, Smell, Temperature, Consistency of material  
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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).  
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Pharyngeal stage   Swallow reflex, pharyngeal peristlasis, larynx closes, tongue tip retracts and lowers, Velum elevates (to seal off the nasopharynx to prevent nasal regurgitation)  
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Organic voice etiologies   caused by some physical condition that has impacted the structure and/or function of the larynx.  
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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.  
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Swallowing etiologies   Degenerative/cognitive impairment, surgery, neurologic, neuromotor, systemic, immunologic, developmental, head and neck cancer.  
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Degenerative/cognitive conditions   Dementia, Parkinson's, cognitive impairment  
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Neurologic conditions   Stroke, TBI, Cerebral Palsy, brain damage, brainstem damage, pharyngeal dysphagia (subcortical)  
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Immunologic conditions   Multiple Sclerosis,  
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Goals of assessment (4)   Identify disorder. Describe nature and severity. Prescribe treatment. Predict the course.  
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