The Law of Functional Anatomy

Paradigm Shift for Future Tennis - Cognitive Systems Monographs ◽

10.1007/978-3-642-17095-9_3 ◽

2010 ◽

pp. 17-19

Author(s):

Tijana T. Ivancevic ◽

Bojan Jovanovic ◽

Sasa Jovanovic ◽

Milka Djukic ◽

Natalia Djukic ◽

...

Keyword(s):

Functional Anatomy ◽

The Law

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Functional Anatomy Underlying Pharyngeal Swallowing Mechanics and Swallowing Performance Goals

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig13-2018-0014 ◽

2019 ◽

Vol 4 (4) ◽

pp. 648-655

Author(s):

William G. Pearson ◽

Jacline V. Griffeth ◽

Alexis M. Ennis

Keyword(s):

Functional Anatomy ◽

Neuromuscular Control ◽

Upper Esophageal Sphincter ◽

Performance Goals ◽

Laryngeal Elevation ◽

Port Closure ◽

Swallowing Dysfunction ◽

Hyoid Movement ◽

Pharyngeal Swallowing ◽

Pharyngeal Constriction

Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.

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Ethical Challenges: Less About Moral Wrongdoing and More About Communication Breakdown

Perspectives on Gerontology ◽

10.1044/gero20.3.72 ◽

2015 ◽

Vol 20 (3) ◽

pp. 72-84 ◽

Cited By ~ 2

Author(s):

Paula Leslie ◽

Mary Casper

Keyword(s):

Ethical Challenges ◽

Speech Language Pathology ◽

Thickened Liquids ◽

Communication Breakdown ◽

Professional Duty ◽

Language Pathology ◽

The Law ◽

Personal Case

“My patient refuses thickened liquids, should I discharge them from my caseload?” A version of this question appears at least weekly on the American Speech-Language-Hearing Association's Community pages. People talk of respecting the patient's right to be non-compliant with speech-language pathology recommendations. We challenge use of the word “respect” and calling a patient “non-compliant” in the same sentence: does use of the latter term preclude the former? In this article we will share our reflections on why we are interested in these so called “ethical challenges” from a personal case level to what our professional duty requires of us. Our proposal is that the problems that we encounter are less to do with ethical or moral puzzles and usually due to inadequate communication. We will outline resources that clinicians may use to support their work from what seems to be a straightforward case to those that are mired in complexity. And we will tackle fears and facts regarding litigation and the law.

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