Swallowing Function And Dysfunction, An Introduction To Oropharyngeal Dysphagia Rehabilitation .pptx
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This PowerPoint was presented during a webinar held by the neurology department of the faculty of physical therapy at Cairo University. The topic of this webinar was swallowing function and Dysfunction, an introduction to dysphagia rehabilitation.
Swallowing Function And Dysfunction, An Introduction To Oropharyngeal Dysphagia Rehabilitation .pptx
- 1. Swallowing Function And Dysfunction, An Introduction To Oropharyngeal Dysphagia Rehabilitation Dr. Heba El Saeid
- 2. Def, Different Types Of Dysphagia. Table of contents Backgrounds Physiology Dysphagia Complicatins of Dysphagia Anatomical Background for Swallowing. How Do We Swallow? (The Four Stages Of Swallowing). 01 02 04 05 Assessment Of Dysphagia Neural Control Management Of Dysphagia How The Swallowing Function Is Controlled. 03 06 Aspiration Vs Penetration
- 3. (1) Anatomy
- 4. The Oral Cavity 1. Lips 2. Teeth 3. Tongue 4. Salivary glands 5. Soft palate 6. Hard palate 7. Muscles of mastication 8. Facial muscles
- 5. The Tongue ? Mass of striated muscles covered by a mucous membrane. ? The most important articulator for speech production. ? The primary function of the tongue is to provide a sense of taste.
- 6. Muscles Of The Tongue Intrinsic Extrinsic
- 18. (2) Physiology
- 19. Four Stages Of Swallowing ? The Oral preparatory phase. ? The Oral propulsive phase. ? The Pharyngeal phase. ? The Esophageal phase.
- 25. (1) Sensory ? Trigeminal Nerve ? Facial Nerve ? Glossopharyngeal nerve ? Vagus
- 27. (2) Motor ? Trigeminal Nerve ? Facial Nerve ? Glossopharyngeal nerve ? Vagus Nerve ? Hypoglossal Nerve ? Accessory Nerve
- 30. (4) Dysphagia
- 31. Types Of Dysphagia Oropharyngeal Dysphagia Esophageal Dysphagia
- 32. Complications Of Dysphagia ? Aspiration Pneumonia. ? Malnutrition, dehydration ? Prolonged hospitalization
- 34. Interventions Vs Prevention ? Chest clearance and frequent re-eval. ? Respiratory exercises (expiratory muscle training). ? Re-education of protective mechanisms against aspiration. ? Dietary modifications. ? Increasing protein intake. ? Looking out for signs of dehydration.
- 35. Assessment
- 36. Assessment Methods 1. Fiberoptic endoscopic eval of swallowing (FEES). 2. Barium swallow or Video-fluoroscopy. 3. Bed Side Swallow Screen.
- 39. Remember 1. During assessment, the patient Must be in an upright position. 2. Testing the swallowing function is done by using the three consistencies of food which are: - Semi-Solid - Solid. - Liquids 3. The patient should be encouraged to take sips of fluid and teaspoons of the “pudding”. 4. Check the quality of the patient’s voice before and after the swallowing screen.
- 40. Interventions
- 41. Interventions 1. Tongue exercises, facial muscles exercises. 2. Shaker exercises. 3. Mandelson Maneuver. Exercises Compensatory Maneuvers 1. Masako Maneuvers. 2. Supraglottic swallow. 3. Super-supraglottic swallow. 4. Effortful swallow.