1. VPI/A starts with ____ process then ____ follows, and then _____ is done to confirm and explain the perceptual findings?
    • diagnostic
    • clinical assessment
    • instrumental assessment
  2. Instrumental approaches?
    • Cephalometric radiography
    • videofluroscopy
    • videonasendoscopy
    • aerodynamic/pressure flow studies
    • nasometry
  3. Direct assessment includes?
    • Visual imaging
    • qualitative data
    • still radio graphs
    • videofloroscopy
    • videoendoscopy
    • tomorraphy (CT scans, ultasound, MRI)
  4. Indirect assessment includes?
    • Aerodynamic and acoustic outputs
    • Objective data
    • No direct visual imaging
    • Includes:
    • Pressure flow studies
    • Acoustic:
    • Nasometry
    • Spectrography
  5. Most commonly used approaches at CF Centers?
    • Videonasendoscopy
    • Videofluoroscopy
    • Pressure-flow studies
  6. Cephalometric x-ray:
    ____ views?
    ___ images are obtained: (3)?
    Gives good information on?
    low ___?
    • lateral and frontal
    • still:
    • during rest
    • during sustained phonation of /u,i/
    • during sustained production of /s/ or other oral fricative

    • Good info
    • tonsils, adenoid and T-A velum interaction
    • cervical spine anomalies
    • occlusion

    low radiation
  7. Videofluoroscopy:
    joint participation of?
    ____ can be used to outline soft tissue structures
    • SLP and radiologist
    • liquid barium
    • sagittal, frontal, base or superior)
  8. Videofluoscopy sagittal (___)view:
    Provides info on ____:

    Size and extent of ?

    velar movement, adenoid and tonsils

    • velar contact with PPW
    • velum-to adenoid contact
    • height (level) of VP closure/velar eminence
    • Passavant's ridge/activity in VP closure

    • palatine tonsils-
    • extension up and behind velum into nasopharynx
  9. Videofl: frontal (___) view:
    Provides info on ?
    • (A-P)
    • medial movement of LPWs

    • shows:
    • level of match between velum and LPWs
    • any asymmetry of LPWs
    • asymmetry of velar elevation
  10. in sagittal and frontal views patient is ?
    seated in the upright position
  11. Base or superior view:
    Only view that can show ____ and the ?
    but misses?
    • sphincteric closure
    • the interactive movements between tonsils, adenoid and velum

    • shows:
    • asymmetry of LPWs
    • asymmetry of velar movement
    • tonsillar poles that project up into the nasopharynx

    • Misses:
    • vertical data superior to inferior extent of adenoid, height of VP closure
  12. base view: taken from?
    below with patient in sphinx position
  13. VNE provides ___ view only?
    data on the following?
    superior view

    • sphincteric pattern of closure
    • velar and LPW symmetry in closure
    • occult SMCP (on dorsal surface of velum)
    • velum to adenoid contact
    • palatine tonsils
    • passavants ridge activity durign closure
    • presence of tortuous arteries (pose risk factor for surgery)
    • allows us to visualize anatomy better than VFL
  14. Mc Williams & Bradley
    Rates ___ reltaionship?
    developed when ?
    Not widely used today
    • velum to PPW
    • relied on lateral stills and lateral cines
  15. Skolnick & colleagues
    • the valving patterns (coronal, sagittal, circular, circular with passavants ridge)
    • by most centers and SLPs
  16. International Working Group-SLPs
    Rating system based on ___ and ____?
    Has ?
    extent of movement of velum and PWs relative to their rest postitions

    utility for both clinical and research applications
  17. Aerodynamic Studies Pressure flow technique
    based on a theory that states that the area of ______ can be determined by _____ and _____?
    an opening

    measuring the sirflow through and pressure drop across that opening
  18. Aerodynamic Studies Pressure flow technique
    As applied to VP function for speech: the mm extent of opening in the VP can be determined by measuring__?
    nasal airflow (thru a nostril) and the difference in air pressure between the mouth (oral pressure) and the other nostril (nasal pressure) as measured by a pressure-sensing tube.
  19. Pressure-flow-technique does not?
    • visulaize or describe VP movements
    • locate opening continuous speech
    • sample continuous speech
    • account for coproduced compensatory misarticulations which can affect oral and nasal pressures and flows
Card Set
Instrumental assessment of VP function mod 19