Premium
A clinical perspective on lifelong deglutition: What do we do when it does not work?
Author(s) -
Skoretz Stacey A.
Publication year - 2019
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.2019.33.1_supplement.12.3
Subject(s) - swallowing , dysphagia , perspective (graphical) , psychology , physiology , neuroscience , cognitive science , medicine , computer science , dentistry , surgery , artificial intelligence
Swallowing and breathing are two vital processes necessary to sustain human life. These acts require precise coordination given their biomechanical interdependence as characterized by their shared anatomy, neurophysiological regulation and function (Miller, Bieger, & Conklin, 1997; Shaw & Martino, 2013). Whether or not a swallow is competent is governed not only by the integrity of its anatomy but also by multiple factors including those that are: systemically mediated, part of the external environment or any combination thereof. As a result, the traditional swallowing phases, as they evolve over the lifespan of an individual, are best understood by taking a cross‐systems perspective (Martin‐Harris, Brodsky, et al., 2005; Matsuo & Palmer, 2009). This approach is the cornerstone of innovative assessment and management techniques for oropharyngeal dysphagia (or disordered swallowing), which supports subdivisions of the swallowing phases. This modern perspective affords the opportunity to ascertain the subtleties of the swallow's anatomical symbiosis with other processes, its intricate physiology all while opening the door to novel dysphagia intervention. This session will: 1) outline the anatomical and physiological differences between reflexive and volitional swallows, 2) explore a cross‐systems approach to understanding swallowing anatomy and physiology across the lifespan, and 3) review clinical cases that highlight the importance of anatomical and biomechanical integrity during swallowing. This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal .