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[Dysphagia] dysphagia therapy
As I see it, various and sundry "therapies" have been
proposed without any sound physiological basis and
completely forgetting the most important thing of all
- not all patients are alike. One has to identify the
cause of a problem before atempting to do anything
about it. Is it a sensory problem, a motor problem or
a combinations of the two? What is the real
impairment? For example, I have seen many therapists
doing "stimulation" on ALS patients - when ALS is a
motor neurone disease. There seems to me to be a
generalized lack of direction in identification of
individual problems and the nature of the hundreds of
diseases,conditions that cause swallowing problems.
The vast majority of stroke patients recover
spontaneously but they are in the minority of
dysphagic individuals and keeping them nourished and
hydrated in the recovery period is no easy task. The
majority of patients are either going to stay the same
or get worse so that one must know the bases of the
problem at different stages before deciding what, if
any intervention, may be helpful or would a referral
to another specialist be the proper approach. Is the
problem caused soley by a particular medication?
Frequent situation with relatively simple answer. Will
this patient benefit from adjusted consistency diet
and larger, heavier bolus because of limited hyoid
movement and so on .There is no cookbook approach
possible therefore no simple anser to your very valid
question.
Irene.
--- Rhonda Maudlin-Phillips
<rmaudlinphillips@hotmail.com> wrote:
> I have by lurking on the listserve for several
> weeks, and I have a question:
> What works in swallow therapy???
>
> It seems like every treatment approach is poo-poo'ed
> as not having enough
> research, or there is just going to be neurologic
> recovery so..why bother?
>
> Regards,
>
> Rhonda Maudlin-Phillips, M.A. CCC-SLP
> Private Practice
> Naperville, IL
>
>
>
>
>
>
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=====
Dr I Campbell-Taylor
Clinical Neuroscientist
Suite 209, 134 Lawton Blvd
Toronto, ON, M4V 2A4
416-932-1443
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