[Dysphagia] Brainstem CVA

[dierbergerj at einstein.edu (Jennifer Dierberger)]

Have you tried DPNS- Deep Pharyngeal Neuromuscular Stimulation? I have
used these techniques in the past on severely dysphagic patients with
some success. It's worth exploring.

>>> Rachel Anderson <slp97ra@yahoo.com> 7/28/2005 12:59:53 PM >>>
I have a patient 2 years post brainstem stroke.  He has resulting
paralysis, dyspagia (PEG), aphonia and possible laryngeal spasms.  He
can volitionally produce a laugh but no other voicing and his swallow is
absent/severely delayed.  Oral motor movements are limited to mouth
opening and lip retraction.  Minimal tongue movement.  He has had e-stim
in the past.  Does anyone have ideas on therapeutic techniques to assist
this patient in achieving phonation or increased swallow initiation. 
I'm referring to the ENT to assess vocal cord function.
 
Thank you


		
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