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lunes, 8 de febrero de 2016

DE LA COORDINACION RESPIRACION DEGLUCION

23 de julio de 2015 a las 11:15
Importancia del tallo, de la sincronía muscular y estructural durante el proceso deglutorio, relevancia del cierre glótico.

Coordination of respiration and swallowing.  Bonnie Martin-Harris, Ph.D



Respiration and swallowing are physiologic processes that demonstrate specialization in their neural networks and peripheral functions and yet exhibit a finely tuned partnership in the execution of their role in basic survival. It is well established that breathing and swallowing do not occur simultaneously in infant or adult animals and humans. These observations have led clinicians to assume that the functions are mutually exclusive. Recent studies, however, are clarifying this simplistic functional separation and highlight the complementary and overlapping nature of one function with another. The development of animal models and observations from clinical studies cited in this review has laid a foundation for this new thinking regarding the coordination between respiratory and swallowing function.
The term respiration, operationally defined as the process of moving and exchanging oxygen from inhaled air and releasing carbon dioxide via exhalation, and the central regulation of that process, is used synonymously with breathing in this review of the literature. This is done to avoid confusion with the multiple implications of respiration, such as cellular or metabolic respiration. The discussion is restricted to components of respiration that are most pertinent to breathing and swallowing coordination, that is, those necessary to avoid pulmonary contamination via aspiration and to ensure adequate ingestion and swallowing of secretions, liquids, and foods.


http://www.nature.com/gimo/contents/pt1/full/gimo10.html

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