12/28/2023 0 Comments Chin tuck swallowing method![]() ![]() Clinical assessment is limited in its ability to identify structural abnormalities, evaluate kinematic events, and assess bolus clearance. However, when the possibility of oropharyngeal, laryngeal, or esophageal sensorimotor impairments affecting airway protection exist, instrumental testing is needed since many of these impairments are not observable at the bedside. In some cases, clinical assessments can adequately identify impairments and inform the examiner about how to alleviate them. Screening and clinical assessments are readily available because they involve little to no instrumentation and can be immediately implemented at the patient’s bedside. These clinical observations reveal the signs and symptoms of and potential imminent risk factors for adverse events associated with dysphagia, but cannot specify the physiological nature of the disorder. This includes the testing of associated communication, cognitive, and feeding behaviors. A “failed” dysphagia screen typically leads to a non-instrumental clinical or bedside evaluation of oral, facial, and pharyngeal sensorimotor function. Screening is a pass-fail level of testing that indicates whether it is likely that the patient has a swallowing disorder, and identifies the need for further examination. Assessment of swallowing function typically begins with screening. Dysphagia can lead to serious health complications including pneumonia, malnutrition, dehydration, and even death. Stroke is the most common cause, though physical trauma or other conditions such as Parkinson’s disease can also result in dysphagia. DYSPHAGIA is a term used to describe swallowing impairments that commonly develop as a component of neurological conditions. ![]()
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