[Dysphagia] vital stim

[eripley at yahoo.com (Irene Campbell-Taylor)]

Behrndt Nancy R <Nancy.Behrndt@LonestarHealth.com> wrote:
Marcy Freed was kind enough to
come and inservice our department regarding vital stim and reviewed some of
our tapes. Of course, most of her recommendations were for patients to have
dilitation. 

*** Why? One would only perform dilatation if UES achalasia proven by manometry. Perhaps the stimulation was faiing to move the hyoid - as required for UES opening- therefore it seemed that dilatation might do the trick. This, of course, implicates failure of e-stim that is supposed to achieve this on its own - or so I would assume as UES opening/hyoid movement failure is the most common impairment. The original work, as I recall, involved both e-stim and dilatation making it impossible to know which had an effect. 



Dr I Campbell-Taylor
Clinical Neuroscientist
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