[Maintenance of logopedic orientation in a patient with oropharyngeal dysphagia of neurogenic origin].
BACKGROUND
Speech therapy treatment on patients who have a neurogenically induced dysphagia begins at hospital, in the intensive rehabilitation units. This study shows some of the difficulties found dealing with and orienting the family and the patient from a therapy point of view, mainly during his return to home surroundings.


METHODS
To better understand the dysphagic situation, normal swallowing steps (oral, pharyngeal and esophageal) steps have been described. These were then related to the dysphagic problems, with their evaluation, classification and characteristics. Under dysphagia rehabilitation the therapeutic guidance should be lead by the appropriate nutritional demands, and prevent aspirations. Some of the therapeutic procedures for treating and controlling neurogenic dysphagia have been described (head posture control, tactile and thermal stimuli, etc.). The author questions the difficulties found controlling orientation and maintaining conduct outside the hospital environment, principally with patients at risk from aspirations.
Zambran-Toledo
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Clínica de fonoaudiología en Mogi das Cruzes, São Paulo, Brasil. zambrana@netmogi.com.br
D003680:Deglutition Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D005471:Fluoroscopy; D006801:Humans; D009960:Oropharynx / Q000503:physiopathology*; D010812:Physical Stimulation / Q000379:methods; D011187:Posture; D013070:Speech Therapy / Q000379:methods*; D013696:Temperature; D014110:Touch; D014743:Videotape Recording