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[Dysphagia] Logemann results
This entire debate continues to demonstrate unfortunately that there is
nothing concrete or consistent in our field. Research continues to
contradict itself, and when one method appears to work, a new study comes
out that disproves it. All patients are different and as we all know when
you do therapy its trial and error. And I agree, in terms of a VFSS, you
can't simulate an entire meal, and there is fatigue to consider as well as
the countless number of aspiration precautions that the patient needs
to follow, it puts the therapist in a very difficult situation sometimes.
Thickened liquids are not always the answer, and sometimes we have to be
aggressive in our approach when we are making the final decision between
thins and thicks; taking more of a holistic approach when making a final
diagnosis. Bottom line I think we have to do the best with what we can and
what our knowledge base is.
~Paula A. Garbin, M.S., CCC-SLP
On 5/9/07, Irene Campbell-Taylor <eripley at yahoo.com> wrote:
>
> These are the patients most often found in LTC ? and the Parkinson's with
> dementia is actually the parkinsonian stage of dementing illness. I don't
> believe anyone has made general statements about all dysphagic patients ?
> simply that, contrary to popular belief, thickened fluids are aspirated, the
> thicker more than the thinner (as Perlman proved years ago), and, as the
> authors say, it is probable that the lungs' ciliary motion cannot clear the
> gum-based thickener used. If so, this would apply to all since lung function
> is not affected by dementing illness.
> The importance of the findings is mainly to point out that the almost
> universl belief that thickening prevents aspiration is false and that
> dehydration is a constant danger.
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
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