By Julie A. Y. Cichero, Bruce E. Murdoch
This ebook bargains a concise, readable clarification of the speculation of dysphagia and bridges that with fabric on medical software. overlaying either grownup and paediatric swallowing evaluate, therapy and administration, the booklet will supply clinicians with universal scientific shows of dysphagia and a framework for an issue dependent studying strategy.
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Extra info for Dysphagia: Foundation, Theory and Practice
By this time the soft palate has sealed off the nasopharynx, and the superior constrictors have begun their medialization of the lateral walls. The larynx is elevated and moved anteriorly in relation to the hyoid bone by the thyrohyoid (CN X). Stage 5: laryngeal closure While the larynx is being elevated, the vestibule closes and rises relative to the thyroid cartilage (cricothyroid and intrinsic laryngeal muscles, CN X). The apposition and elevation of the arytenoid cartilages provide the medial ‘curtains’ of the pyriform recesses.
1992) reported that swallowing begins to slow gradually some time after 45 years of age. By 70 years, swallowing was significantly slower than it was at age 45. , 1998). The way in which ageing affects each phase of the swallow is elaborated below. Anticipatory phase There is a reduction in the sense of smell and taste with age. This is because there is a loss of olfactory neurosensory cells in the olfactory epithelium that occurs with ageing (Moore and Dalley, 1999). In order to taste food, however, we rely on a sense of smell.
Coordinated lip, tongue, jaw movements. Chopped food Licking food off lips, biting and finger food of objects. g. biscuit/cracker). g. nuts) rotary chew pattern, jaw stability in cup drinking. Independence in selffeeding. Straw drinking. Feeding utensil Spoon, cup. Self finger feeding. Weaning from breast/bottle as cup drinking increases. Spoon, cup, fork. Self-feeding predominates. Source: adapted from Walter (1994), Arvedson and Brodsky (2002). THE AGEING SWALLOW The pattern of adult chewing and swallowing is discussed in Chapter 1 and Chapter 3.