[Dysphagia] patient education

[browna1 at pccchealth.org (Brown, Audrey)]

I once presented to our local swallowing interest group about oral motor
exercises for speech and swallowing.  There is an excellent tutorial in
AJSLP, Vol. 12, Nov. 2003, p. 400-415 by Heather M. Clark: Neuromuscular
Treatments for Speech and Swallowing: A Tutorial.  It systematically looks
at the research in this area, and the relative lack of evidence for any of
it.  I fondly recall the sage words of my motor speech prof in school that,
in order to be effective to the same degree as skeletal muscle exercise, the
number of repetitions needed would send the patient screaming out the door.
I have stood firm on this - let's keep it meaningful and in context!

Audrey E. Brown, M.Sc., SLP
Speech-Language Pathologist, Reg. CASLPO
St. Mary's of the Lake Hospital, Kingston, ON

-----Original Message-----
From: Velvet Balmer [mailto:vbalmer@consolidated.net]
Sent: Saturday, June 24, 2006 12:10 PM
To: dysphagia@b9.com
Subject: [Dysphagia] patient education



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

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