Feeding & Swallowing

Introduction to Feeding & Swallowing

Glossary (<-- Click to enter)

Feeding

  • Ideal posture: sit upright 90degree

Swallowing

  • A programmed motor behaviour
  • Oropharyngeal swallowing involves preparing or manipulating a bolus in the oral cavity, propelling it into the pharynx, and squeezing it through the pharynx to the esophagus without compromising the airway. 
  •  Food and liquid is transported to the stomach for adequate nutrition and hydration. 

4 phases of swallowing overlap considerably in a parallel processing paradigm:

Oral Preparatory Phase

Voluntary

Started before putting into the mouth
Food is masticated, Mixed with saliva to form smooth & cohesive bolus

Oral Phase

Voluntary

Bolus propelled from oral cavity to oropharynx

Pharyngeal Phase

Involuntary

Bolus transported from oropharynx to oesophagus

Oesophageal Phase

Involuntary

Bolus propelled through oesophagus (UES open) to stomach



References:

Humbert, I. A. (2011). Stimulating Swallowing: Essential Central and Peripheral Nervous System Targets. ASHA Leader, 16(9), 10-13. 

Rousseau, B., & Branski, R. (2018). Anatomy and physiology of speech and hearing. New York: Thieme. 

Standring, S. (2012). Studyguide for Grays Anatomy: The anatomical basis of clinical practice by Standring, Susan, ISBN: 9781478418030: Study guide. Amazon. Retrieved from https://www.amazon.com/Grays-Anatomy-Anatomical-Clinical-Practice/dp/0702052302


Next: Phases of Swallowing