Mattias is a 65-year-old man who experienced a right cerebrovascular accident resulting in left hemiplegia and dysphagia.During the occupational therapy assessment,Mattias had difficulties with chewing and swallowing of textured foods.He had frequent episodes of coughing and pocketing of food in the left cheek.He complains that he chokes on certain foods,including water.During the assessment Mattias's vocal quality was consistently clear,and no raspiness or gurgly quality was noted before,during,or after eating.These clinical signs indicate problems with which stages of the swallow?

Question

Quizplus · Accepted Answer

Mattias's difficulties with chewing and swallowing textured foods and episodes of coughing and pocketing of food in the left cheek indicate dysfunction in the oral preparatory and oral stages of the swallow. These stages involve manipulating and preparing food in the mouth before initiating the swallow. The fact that his vocal quality was clear and no raspiness or gurgly quality was noted before, during, or after eating indicates that there are no issues with the pharyngeal and esophageal stages of the swallow, which involve the movement of food through the back of the mouth and throat and into the esophagus. The fact that he chokes on certain foods, including water, implicates the oral stages specifically.

Mattias Is a 65-Year-Old Man Who Experienced a Right Cerebrovascular