Muscleactivityduringswallowing吞咽过程的肌肉活动Oralstageswallowingproblems吞咽的口腔期问题•Fooddribblesoutofmouth食物从嘴里流出•Retention停滞-Tongue舌-Lateralsulci侧沟Musclesinvolvedinmastication咀嚼相关肌肉•Orbiculusoris口环状肌–Lipclosure闭唇•Buccinator颊肌–Cheeks脸颊•Masseter咬肌–Chewing咀嚼•Allmusclesinnervatedbyfacialnerve(N.VII)与面部神经相关的所有肌肉Pharyngealstageswallowingproblems吞咽咽期问题Pharyngealswallowingproblems吞咽咽期问题Foodgetsstuck食物卡住•Insufficientbaseoftongueaction舌活动不充分•Insufficientpharyngealcontraction咽收缩不充分•Insufficientcricopharyngealrelaxation环咽肌放松不充分Coughing咳嗽Choking窒息•Insufficientlaryngealclosure喉闭合不充分•Residueaspiratedafterswallowing吞咽后吸入残渣Pharyngealstageswallowingproblems吞咽咽期问题Pharyngealstageofswallowing吞咽的咽期Hyoid舌骨Pharynx咽M.Cricopharyngeus环咽肌Laryngealexcursion猴头移动Ftraction牵引力Larynx喉Floorofmouthmusculature口腔底部的肌肉组织甲状舌骨肌下颌舌骨肌二腹肌Infrahyoidandsuprahoiydmuscles舌骨下和舌骨上肌肉digastricus二腹肌Mylohyoid下颌舌骨肌Thyrohyoid甲状舌骨肌Omohyoid肩胛舌骨肌Importantmuscleactivity重要的肌肉活动Mylohyoid下颔舌骨肌Digastric二腹肌Thyrohyoid甲状舌骨肌Omohyoid肩胛舌骨肌Pharyngealstageofswallowing-2吞咽的咽期-2Pharyngealwall咽壁Baseoftongue舌根Exercise/palpation训练/触诊Mandibule下颌骨Larynx喉头•Thyroidcartilage甲状软骨•Cricoidcartilage环状软骨Hyoidbone舌骨