Disorders of the Oral Transport Phase of Deglutition

Delayed Oral Onset of Swallow: Significant delay in initiating the oral swallow when given a _______________
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Terms in this set (56)
Searching Tongue Movements: Apraxia of swallow often accompanies _______________________severe oral apraxiaSearching Tongue Movements: Symptoms of swallow apraxia- *Searching movements with tonguetongueSearching Tongue Movements: Symptoms of swallow apraxia- *Good range of motion but inability to organize front-to-back lingual and bolus movementfront-to-backSearching Tongue Movements: Symptoms of swallow apraxia- *Hold bolus without initiating any oral activitybolusSearching Tongue Movements: Increase sensory stimulationSearching Tongue Movements: Refrain from giving commandsSearching Tongue Movements: Allow patient to spoon feed selfTongue Moves Forward to Start Swallow: Tongue thrusts forward toward the central incisorsTongue Moves Forward to Start Swallow: Tongue thrusts forward toward the central incisorsTongue Moves Forward to Start Swallow: Usually preceded by an abnormal holdTongue Moves Forward to Start Swallow: Neurologic impairmentResidue in Anterior Sulcus: During initiation of oral transport, bolus lodges in lateral sulcusResidue in Anterior Sulcus: During initiation of oral transport, bolus lodges in lateral sulcusResidue in Anterior Sulcus: Reduced buccal musculature tension/toneResidue in Lateral Sulcus: Reduced buccal musculature tension/toneResidue on the Floor of the Mouth: Food falls onto the anterior or lateral floor of the mouthResidue on the Floor of the Mouth: Food falls onto the anterior or lateral floor of the mouthResidue on the Floor of the Mouth: Reduced ability to shape and coordinate the tongue around the bolusResidue on the Floor of the Mouth: Reduced ability to shape and coordinate the tongue around the bolusResidue on the Floor of the Mouth: Reduced contact of tongue tip and sides of the tongue to the alveolar ridgeResidue of Food on the Tongue: Poor range of tongue movement, food may sit on tongue surface or hard palateResidue of Food on the Tongue: Poor range of tongue movement, food may sit on tongue surface or hard palateResidue of Food on the Tongue: Occurs with thicker consistenciesResidue of Food on the Tongue: Indication of reduced tongue range of movementResidue of Food on the Tongue: Indication of reduced tongue range of movementResidue of Food on the Tongue: If residue increases with more viscous foods, then it indicates reduced tongue strengthResidue of Food on the Tongue: If residue increases with more viscous foods, then it indicates reduced tongue strengthDisturbed Lingual Contraction (Peristalsis): Normal sequential squeezing of the lingual midline against the hard palate becomes disorganizedDisturbed Lingual Contraction (Peristalsis): Normal sequential squeezing of the lingual midline against the hard palate becomes disorganizedDisturbed Lingual Contraction (Peristalsis): Tongue movements are more random and nonproductiveDisturbed Lingual Contraction (Peristalsis): Tongue movements are more random and nonproductiveDisturbed Lingual Contraction (Peristalsis): Affects the smooth anterior-posterior movementDisturbed Lingual Contraction (Peristalsis): Affects the smooth anterior-posterior movementIncomplete Tongue-Palate Contact: Reduced range of vertical tongue motionIncomplete Tongue-Palate Contact: Reduced range of vertical tongue motionIncomplete Tongue-Palate Contact: May affect lingual contractionIncomplete Tongue-Palate Contact: May affect lingual contractionIncomplete Tongue-Palate Contact: Bolus may be spread throughout the mouthResidue of Food on the Hard Palate: Food collecting on hard palate = reduced tongue elevationResidue of Food on the Hard Palate: More food left on the palate with more viscous food= reduced tongue strengthResidue of Food on the Hard Palate: More food left on the palate with more viscous food= reduced tongue strengthResidue of Food on the Hard Palate: Increased lingual pressure needed to propel thicker foodResidue of Food on the Hard Palate: Increased lingual pressure needed to propel thicker foodReduced Anterior-Posterior Tongue Movement: Front to back action interrupted or broken into multiple small movementsReduced Anterior-Posterior Tongue Movement: Normal range of motionReduced Anterior-Posterior Tongue Movement: Reduced lingual coordination