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[Dysphagia] spontaneous vs volitional cough
Hi Alice (and others!)
You ask good questions...he does not show evidence of
oral apraxia or verbal apraxia. But the fact that he
cannot cough upon request but does cough spontaneously
does seem to suggest some type of apraxia.
Can pts without a volitional cough due to apraxia be
trained to produce one? If so, how?
-Sandi
--- Alyce Schoenagel <atsslp@yahoo.com> wrote:
> Sandi,
> Is this patient apraxic? When I see
> folks who can not cough to command, but do spont,
> and have dysphonic vocal quality, I think motor
> planning/apraxia. I feel the volitional cough will
> reduce the choking risk. The spont cough can be
> important in therapy, to be used as a compensation
> based upon mbs.. ie: Does the pt need to cough post
> swallow to alleviate penetrated material ? Of
> course if the pt can learn to cough to command, it
> gives you some info about return of VF fx, motor
> planning, can be used as a tx tool, and may lessen
> choking risk as well.
>
> Alyce Schoenagel
> M.S. CCC-SLP
> Harford Memorial Hospital, MD
>
>
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=====
Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
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