Julie A. Y. Cichero, Bruce E. Murdoch's Dysphagia: Foundation, Theory and Practice PDF

Allied Health Services

By Julie A. Y. Cichero, Bruce E. Murdoch

This publication bargains a concise, readable clarification of the idea of dysphagia and bridges that with fabric on scientific software. overlaying either grownup and paediatric swallowing evaluate, remedy and administration, the publication will supply clinicians with universal medical shows of dysphagia and a framework for an issue dependent studying technique.

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Extra info for Dysphagia: Foundation, Theory and Practice

Sample text

New research has opened our eyes to the crucial role the cortex and other parts of the brain all play in execution of this task, while offering an insight into many clinical manifestations of dysphagia that until recently have been incorrectly explained. In addition, an appreciation of exactly where a swallow becomes automatic has been gained, increasing the need for a clinician to understand, for example, that residual pooling of material in the valleculae may in fact be normal (see Chapter 3).

Donner and Jones (1991) noted an increase in pharyngeal residue in older subjects. Rademaker et al. (1998) also noted that the percentage of pharyngeal residue post swallow increased as a function of age from 18% in young women to 38% in women over the age of 40 years. , 1989). It should not be surprising, then, to find then that there is also an increased rate of second (bolus free) swallows in older individuals. That is, it is normal for older individuals to employ a second ‘clearing swallow’ to cleanse the oral and pharyngeal cavities of residue, after their primary swallow of a spoonful of food or a mouthful of fluid.

In individuals who complain of a loss or alteration of taste, clinical studies often reveal that the perception of taste is not altered but the problem is with the olfactory system (Moore and Dalley, 1999). A reduction in the amount of saliva output has also been associated with ageing (Donner and Jones, 1991). A reduction in the pleasure of eating and drinking will probably have a detrimental effect on nutritional input. SWALLOWING FROM INFANCY TO OLD AGE 41 Oral phase Chewing itself does not change with age.

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