This is a summary of Dysphagia's lectures from Melissa Konings' lessons. This is a complete and very comprehensive summary written in English as the exam will take place in this language, making it easier to understand and study the terms.
Samenvatting Dysphagia
LA FASE 3 LOGOPEDIE (DOCENT: MELISSA KONINGS)
WRITTEN BY DEMI VERHOEVEN
,LECTURE 1: General framework and introduction
1. Frames of reference: ICF and EBP
2. Goalsetting: Smart and smarter
3. Definition and classification
a. What is dyspaghia
b. Classification: by age, by stage, by etiology
4. Prevalence
5. Consequences of dysphagia
a. Medical consequences
b. Psychosocial consequences
6. Team approach
7. Setting
8. Concept and keywords
9. Anatomy
LECTURE 2: physiology & pathophysiology
1. Anatomy and physiology: introduction
a. Structures: chambers and sphincters
b. Scheme transport: negative and positive pressure
2. Physiology of deglutition: phases + cranial nerves
a. Cranial nerves
b. 4 phases
i. Preparatory phase:
a. What is happening?
b. Function of structures
c. Importance of saliva
d. Neural control: preparatory phase and
cranial nerves
ii. Oral phase:
a. What is happening?
b. Function of structures
c. Neural control: preparatory phase & cranial
nerves
iii. Pharyngeal phase:
a. What is happening?
b. Airway protection
c. Transport pharynx
d. Opening UES
e. Neural control: scheme + explanation
iv. Esophageal phase:
a. What is happening?
b. Neural control
3. Pathophysiology
c. Successful swallow
d. Pathophysiology: preparatory and oral phase
e. Pathophysiology: pharyngeal phase
f. Pathophysiology: esophageal phase
g. Examples by etiology:
, i. Neurologic disorders: hemispheric stroke, brainstem
stroke, dementia, PD
ii. Structural: congenital/acquired
iii. Structural: therapy
iv. Iatrogenic
v. Presbyphagia
LECTURE 3: assessment: non-instrumental
1. Assessment: introduction
a. Sheme diagnostic process
b. Dysphagic symptoms
c. Population at risk
2. Screening
a. Introduction
b. Performed by + content + what’s a good screening?
c. A lot of choice: some examples
i. Water swallow test: e.g. Yale swallow protocol, Timed
test
ii. VVST
iii. TOR-BSST
d. Details water swallow test: Yale swallow protocol (Leder,
2014)
e. Details water swallow test: Timed test (Nathadwarawaka,
1992)
f. Screening not possible with only instruments
g. Difference between screening and CSE
3. Anamnesis & file study
a. Medical history and swallowing complaint
i. Introduction
ii. Past medical history: examples
iii. Chief complaint
b. Swallowing history
i. Method and schedule of eating or feeding
ii. Diet
1. FOIS (outcomescale, but you can use it to
describe a diet)
iii. Onset, description and variability of problem
1. Onset
2. Description in detail: context, cough or choke,
weight loss, localization/characterization, social or
emotional impact, variability of problem
iv. Compensations
4. Clinical swallow evaluation
a. Indications
b. Limitations
c. Basic terms
d. (head neck) physical examination
i. Indications
ii. Limitations
, iii. Examinations
1. Position
2. Examination of the face
3. Examination of the nose
4. Examination of the lips
5. Examination of the oral cavity
6. Examination of the oropharynx
7. Examination of the hypopharynx -> Only
possible with instruments
8. Palpation of the neck
9. Palpation of the larynx
e. General clinical observation
i. Overall conditioning, incl. cognition or
alertness/endurance
ii. Body tone, size, posture or positioning
iii. Airway
iv. Following instructions
v. Self-feeding potential?
f. Motor and sensory function -> cranial nerves
i. Oral phase:
1. Structures
2. Sensation
3. Reflexes and responses/nonvolitional
movements
4. Motor function: volitional movements + CN: jaw,
lips, tongue, velum
5. Oral sensorimotor integrity
6. Secretions
7. Articulation
8. Resonance
ii. Pharyngeal phase and larynx
1. Vocal quality or changes
2. Pitch control or range.
3. Breathing
4. Volitional cough or throat clear
5. Saliva swallow and laryngeal management
6. Liquid/food swallow -> voice quality,
cough/throat clear?
g. Functional observation swallow
i. Test swallow
ii. Possible signs
iii. Test criteria
iv. Standardized tests
1. MASA (Mann, 2002)
2. MISA (Lambert et al; 2003)
LECTURE 4: Assessment: instrumental
1. Assessment: introduction
a. CSE has limitations
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller verhoeven1999. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.89. You're not tied to anything after your purchase.
