Summary
Samenvatting Behandeling dysfagie 2e jaar HoGent
Institution
Hogeschool Gent (HoGent)
Samenvatting van het deel behandeling van dysfagie
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November 4, 2021
Number of pages
18
Written in
2020/2021
Type
Summary
behandeling
dysfagie
slikproblemen
Institution
Hogeschool Gent (HoGent)
Education
Logopedie Audiologie
Course
Neurogene Spraak- En Slikstoornissen
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BEHANDELING DYSFAGIE
Louise Vansteenkiste
HOGENT
,1 MEERWAARDE VAN DE LOGOPEDIST ......................................................................................... 3
2 HULPMIDDELEN ........................................................................................................................ 3
2.1 SLIKTEAM.................................................................................................................................. 3
3 THERAPIEOPTIES ....................................................................................................................... 4
3.1 GEASSOCIEERDE PROBLEMEN......................................................................................................... 4
3.1.1 MONDHYGIËNE............................................................................................................................... 4
3.1.2 DROOLING (SIALORHEA) ................................................................................................................... 6
3.2 PRINCIPES VAN NEURALE EN MUSCULAIRE PLASTICITEIT ....................................................................... 6
3.2.1 NEURALE PLASTICITEIT...................................................................................................................... 6
3.2.2 MUSCULAIRE PLASTICITEIT ................................................................................................................ 7
3.3 INDIRECTE THERAPIE .................................................................................................................... 8
3.3.1 VERBETEREN VAN DE OROFACIALE MOTORIEK ....................................................................................... 8
3.3.1.1 Oefeningen .............................................................................................................................. 8
3.3.1.2 Materiaal ................................................................................................................................. 8
3.3.2 SENSIBELE STIMULATIE ..................................................................................................................... 9
3.3.3 VERBETEREN VAN SMAAK- EN REUKFUNCTIE....................................................................................... 10
3.3.4 VERBETEREN VAN DE REFLEXEN ........................................................................................................ 10
3.3.5 AANLEREN VAN SPECIFIEKE SLIKTECHNIEKEN ....................................................................................... 10
3.3.5.1 Masako manoeuvre (tongue holdingmanoeuvre) ................................................................. 11
3.3.5.2 Mendelsohn manoeuvre ....................................................................................................... 11
3.3.5.3 Shaker head-lifting maneuvre (shaker-head-tilt) .................................................................. 11
3.3.5.4 Hawk Manoevre .................................................................................................................... 12
3.4 DIRECTE THERAPIE .................................................................................................................... 12
3.4.1 CONSISTENTIE VOEDSEL .................................................................................................................. 12
3.4.2 GEPASTE TEMPERATUUR................................................................................................................. 13
3.4.3 GESCHIKTE HOEVEELHEID ................................................................................................................ 13
3.4.4 OPTIMALISEREN VAN DE EETSITUATIE ................................................................................................ 13
3.4.5 STIMULEREN VAN DE SLIKREFLEX ...................................................................................................... 13
3.4.6 BESTE HOOFDPOSITIE TIJDENS SLIKKEN .............................................................................................. 13
3.4.6.1 Chin tuck posture................................................................................................................... 14
3.4.6.2 Hoofd in extensie ................................................................................................................... 14
3.4.6.3 Hoofd kantelen naar gezonde zijde ....................................................................................... 14
3.4.6.4 Hoofd draaien naar aangetaste zijde ..................................................................................... 15
3.4.6.5 Zijlig op de goede zijde .......................................................................................................... 15
3.4.7 TOEPASSEN VAN SLIKTECHNIEKEN ..................................................................................................... 15
3.4.7.1 Compenserende technieken .................................................................................................. 15
3.4.7.2 Revaliderende sliktechnieken ................................................................................................ 15
4 PROTHESEN EN CHIRURGIE...................................................................................................... 16
4.1 PROTHESEN ............................................................................................................................. 16
4.2 CHIRURGIE .............................................................................................................................. 16
5 HERSTEL EN PROGNOSE........................................................................................................... 16
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