SPA 6565 Swallowing Final – neurogenic (Already Passed!)

Cortical CVA correct answers - Reduction in tongue/lip strength, rate, ROM, & sensation - Delayed swallow reflex - risk of aspiration before/after the swallow Bilateral hemisphere CVA correct answers - decreased UES relaxation Left CVA correct answers - Aphasia - Apraxia: limb, oral, & speech Right CVA correct answers - have cognitive deficits that affect swallowing - impulsivity - impaired judgment - neglect Brainstem CVA correct answers - intact cognition - Dysphonia & Dysarthria - Decreased tongue/lip strength, rate, ROM, and sensation -Pharyngeal Stage deficits: 1. Absent/delayed swallow reflex 2. Reduced Hyolaryneal delayed swallow reflex ased pharyngeal peristalsis 4. impaired UES relaxation 5. risk of aspiration BEFORE, DURING, & AFTER swallow Dementia definition correct answers Collection of symptoms that include intellectual function that impacts your ability to perform normal daily functions Dementia correct answers - Oral 1. inability to recognize food visually 2. oral-tactile agnosia 3. swallowing and feeding apraxia 4. need cues to swallow 5. pockets food 6. difficulty with mastication - Pharyngeal 1. swallowing and feeding apraxia 2. delayed swallow trigger 3. premature spillage of food/liquids to the pharynx before swallow 4. Risk of aspiration 5. increased stasis - Progressive loss of appetite