[Dysphagia] RE: patient education

[GLevine at AugustaMed.com (Levine, Gary)]

I Don't have the exact issue off of the top of my head but our ASHA dysphagia special interest group publication had an interesting article noting a research study that used tongue depressor lingual resistive exercises with parkinsons patients and was able to demonstrate improved swallow function per mbs, though the mechanism for improvement was not fully understood by the researchers.

Gary Levine, MS,CCC-SLP

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Hummelbrunner, Jackie
Sent: Monday, June 26, 2006 2:54 PM
To: Velvet Balmer; dysphagia@b9.com
Subject: RE: [Dysphagia] RE: patient education


I confess, I am one of the bad SLP's.  I did think that I could enhance
oral motor strength through resistance exercises and Range of Motion
through movement exercises.  You challenged me to look for some
evidence, so I turned to my Jeri Logemann text and found a reference:
Jordan. K., (1979) Rehabilitation of the patients with Dysphagia.  Ear
Nose and Throat Journal, 58, 86-87.  This article apparently provides
support for resistance exercises to improve strength however I have not
yet read it.  

Please share any evidence re: oral motor exercises, although I do see
clinical improvements re: speech/swallowing, I would like to be better
informed of the evidence.

Sincerely,
Jackie Hummelbrunner, S-LP

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Velvet Balmer
Sent: Saturday, June 24, 2006 12:49 PM
To: dysphagia@b9.com
Subject: [Dysphagia] RE: patient education

>
Jeanne,
I agree with you and want to make it clear that I was not implying  
that this was limited to one profession.
In fact, I have seen my share of SLPs, OTs and MDs purporting it's  
use without evidence to back it up as well.  In my current situation  
I am encountering a well respected physical therapist in this area  
who simply will not back down on their opinion that OROM exercises  
will help this child be able to strengthen their tongue.  I want to  
have articles that can back up my statements that this is not an  
appropriate treatment in terminology that is not over the heads of  
someone who is not well versed in anatomy and physiology.
Velvet

> Date: Sat, 24 Jun 2006 10:27:41 -0700
> From: "Furstoss, Jeanne  ACMC" <jfurstoss@acmedctr.org>
> Subject: [Dysphagia] patient education
>
> *** It is important to seek evidence based article support if one  
> considers
> use of oral motor exercises.  In my experience, use of such exercises
> without perhaps firm reasoning or treatment goals, is not limited to
> professionals in one discipline, such as PT.
>
> Jeanne Furstoss OTR/L SWC
>
> Velvet wrote: "I am looking for articles or education materials to  
> provide
> to parents who have been told incorrectly that oral motor exercises  
> will
> strengthen and reduce low tone.  I find it sad and alarming that I am
> encountering PTs who are giving patients advice on doing oral motor
> exercises when they are not educated in this area and are giving false
> information about what doing oral motor exercises can do.  It is
> particularly difficult because the parents trust this PT entirely  
> and I
> while I don't want to overwhelm these parents with technical  
> jargon, but
> need to explain the differences in physiology between facial  
> muscles and
> skeletal muscles in a way that will make sense and be  
> authoritative.  Any
> suggestions?"
>
>
>
>
> ------------------------------
>
> Message: 4
> Date: Sat, 24 Jun 2006 13:32:25 -0400
> From: <sorriso@adelphia.net>
> Subject: Re: [Dysphagia] patient education
> To: Velvet Balmer <vbalmer@consolidated.net>
> Cc: dysphagia@b9.com
> Message-ID: <9578851.1151170345025.JavaMail.root@web22>
> Content-Type: text/plain; charset=utf-8
>
> If such a thing exists (!) please forward to the list.
>
> Thanks,
> Linda A. Zanchi, MA CCC-SLP
>
> ---- Velvet Balmer <vbalmer@consolidated.net> wrote:
>>
>> I am looking for articles or education materials to provide to
>> parents who have been told incorrectly that oral motor exercises will
>> strengthen and reduce low tone.  I find it sad and alarming that I am
>> encountering PTs who are giving patients advice on doing oral motor
>> exercises when they are not educated in this area and are giving
>> false information about what doing oral motor exercises can do.  It
>> is particularly difficult because the parents trust this PT entirely
>> and I while I don't want to overwhelm these parents with technical
>> jargon, but need to explain the differences in physiology between
>> facial muscles and skeletal muscles in a way that will make sense and
>> be authoritative.  Any suggestions?
>> Velvet
>>
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
>
> ------------------------------
>
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>
> End of Dysphagia Digest, Vol 31, Issue 19
> *****************************************

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