[Dysphagia] Anarthria

[weebugga at charter.net (weebugga at charter.net)]

Does anyone have experience with anarthria and swallowing?  I have a patient who has no volitional oral motor movement.  Pt is s/p CVA.  She is able to open her mouth and produce voice with reflexive tasks such as yawning or laughing.  She is able to move her tongue with a TRACE amount of honey thick lemon water on the undersurface of a spoon (just enough to consider the spoon "wet") presented posteriorly on her tongue with some pressure.  She is able to trigger an audible, delayed swallow.  Any suggestions would be greatly appreciated!  She is young and has a great attitude.  Finding info about this disorder is VERY limited.

Thank you in advance,
JoAnne Lambert