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[Dysphagia] Off topic: labial paresis
Hello All
Quick question to anyone with lots of experience with oral motor exercises. I have a 58 y/o gentleman s/p Right carotid endarderectomy in mid June that now has right lower lip damage. Upon smile his right lower lip does not retract making his lower lip asymmetrical. Upper lip is fine. His strength of lips is very good and is learning to compensate with chewing as he is biting his lip all the time. All other articulators appear to be WNL. Reports minimal numbness to right cheek and right mandibular area.
Anyone have a good exercise I can give him as he is frustrated with chewing on his bottom lip??
Thanks in advance!
Jennifer Kress
________________________________
From: dysphagia-bounces at dysphagia.com on behalf of Irene Campbell-Taylor
Sent: Mon 8/20/2007 8:46 PM
To: dysphagia at b9.com
Subject: [Dysphagia] Off topic: aphasia
At a recent workshop I gave, one of the atendees told me of remarkable improvement ina patient, completely non-verbal six years post insult with LCVA?R hemiplegia until put on Aricept. Found the following of interest:
A more recent double-blind RCT by Berthier and colleagues9 cited by Lennihan, suggested that donepezil might be of value for stroke patients with chronic (ie, lasting 1 year or longer) aphasia. Greater improvements were seen in Western Aphasia Battery and Psycholinguistic Assessment of Language Processing in Aphasia scale scores in treated patients compared with controls (6.4 vs 3.5 and 4.6 vs 21.0, respectively). Patients only received 2 hours per week of standard language therapy in this study.
A randomized, placebo-controlled study of donepezil in poststroke aphasia NEUROLOGY 2006;67:1687-1689
M. L. Berthier, MD, PhD, C. Green, PhD, C. Higueras, PhD, I. Fern?ndez, PhD, J. Hinojosa, PhD and M. C. Mart?n, PhD
We studied 26 patients in a randomized, placebo-controlled, double-blind parallel trial to evaluate the efficacy and safety of donepezil in chronic poststroke aphasia. Donepezil (10 mg/day) improved aphasia severity at endpoint (week 16) relative to placebo (p = 0.037).
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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