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[Dysphagia] re: Ataxic pt.- P.S.
Oops - I forgot to give the website for info on
finding a local LSVT certified clinician...
http://lsvt.org/main_site.htm
-Sandi
--- Sandi Lancaster <swlslp@yahoo.com> wrote:
> Hello,
>
> Regarding the pt w/ ataxic dysarthria:
>
> I just got back yesterday from a certification
> seminar
> for LSVT (which was originally developed as a voice
> therapy for Parkinson patients).
>
> As we learned in the seminar, LSVT is now being
> explored with a variety of pts including pts with
> ataxic dysarthria, and including pts who don't
> present
> with dysphonia as the primary speech difficulty.
> There has been some success using LSVT with ataxic
> dysarthic pts who don't present with dysphonia as
> the
> primary difficulty.
>
> For this ataxic pt who wants to continue therapy, I
> would suggest finding an LSVT certified SLP in your
> area who can do a trial of LSVT to see whether it
> might help.
>
> By the way, for anyone who is interested in LSVT, I
> highly recommend the course! It was wonderful!
>
> -Sandi
>
>
>
>
>
> --- acellucc@bidmc.harvard.edu wrote:
>
> > Hi there, I am forwarding this to the listserve
> for
> > my colleague. I will
> > forward any feedback back to her. thanks in
> advance.
> >
> >
> > -----Original Message-----
> > Sent: Tuesday, November 30, 2004 3:07 PM
> > Subject:can you forward this?
> >
> >
> >
> > Alex-
> >
> > Will you please forward this message to the
> > Dysphagia list serve? Thanks.
> >
> >
> >
> > Hello, friends. This is not a swallowing
> question.
> >
> >
> >
> > I'm looking for an SLP in the Boston area who has
> > some experience in
> > treating ataxic dysarthria.
> >
> >
> >
> > My patient is a young man in his 30's with ataxic
> > dysarthria as a result of
> > several cerebellar infarcts during a cardiac
> > procedure. He is HIGHLY
> > MOTIVATED and probably the most compliant patient
> > I've ever had.
> >
> >
> >
> > I know that the literature does not support
> > behavioral speech therapy for
> > treatment of ataxic dysarthria, but I agreed to
> take
> > this patient on a trial
> > basis. His ataxia has diminished somewhat during
> > our course of therapy. Of
> > course, it is impossible to know if his
> improvement
> > is due to our exercises,
> > or due to spontaneous recovery.
> >
> >
> >
> > I've run out of ideas to try on him and am ready
> to
> > discharge him. The
> > exercises he's been doing, I think he can continue
> > to do independently
> > without my skilled intervention. The patient is
> > highly resistant to the
> > idea of discharge and wants to continue with
> > therapy.
> >
> >
> >
> > If there is anyone out there with experience with
> > this group, I'd love to
> > chat with you off-line to see if a referral to a
> new
> > SLP may be in order.
> > He truly is a great patient, but I don't think I
> can
> > ethically see him
> > anymore, as I've got nothing new to offer him.
> >
> >
> >
> > Joy Walsh, MS, CCC-SLP
> >
> > Beth Israel Deaconess Medical Center
> >
> > Boston, MA
> >
> > 617-632-7405
> >
> >
> >
> > _______________________________________________
> > Dysphagia mailing list
> > Dysphagia@b9.com
> > http://lists.b9.com/mailman/listinfo/dysphagia
> >
>
>
> =====
> Sandi Lancaster, M.A. CCC-SLP
> Speech-Language Pathologist
>
> __________________________________________________
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>
=====
Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
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