[Dysphagia] dermatomyositis

[bsonies at comcast.net (Barbara Sonies)]

Exercise is contraindicated-this must be medically managed for inflammatory
responses and muscle weakness. You can work on postures and dietary changes.
Barbara Sonies, PHD, BRS-S


On 12/21/06 10:25 PM, "g_brennantg at titan.sfasu.edu"
<g_brennantg at titan.sfasu.edu> wrote:

> This isn't really an exercise issue.  This needs to be treated with steroids
> etc.
> 
> Tom
> 
> 
> Tom Brennan  KD5VIJ, CCC-A/SLP
> web page http://titan.sfasu.edu/~g_brennantg/sonicpage.html
> 
> On Fri, 15 Dec 2006, Aviva Debinski wrote:
> 
>> Date: Fri, 15 Dec 2006 00:21:02 +1100
>> From: Aviva Debinski <adebin at bigpond.net.au>
>> To: dysphagia at b9.com
>> Subject: [Dysphagia] dermatomyositis
>> 
>> Can anyone offer suggestions for a 55yr old lady with a Dx 6months ago
>> of dermatomyositis. She presented with mild swallowing problems and I
>> asked her to do the Shaker exercises for pharyngeal strengthening. She
>> presneted again a few days ago with a severe worsening of her dysphagia
>> . VF showed a marked weakness in bolus driving force and pharyngeal
>> motility with severe stasis in her vall and pyriforms. Solids appeared
>> to stick in the oropharynx placing her at great risk. Is there a
>> contraindication for the Shaker exs in this population? Could that have
>> made her prob worse? She has now been admitted to hopsital for IV
>> intragam and infliximab which seems to be helping.. Any thoughts?
>> Aviva Debinski
>> Ph: +61 3 95762116
>> Fx: +61 3 95096021
>> Email: adebin at bigpond.net.au
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> 
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