Collaboration of a dentist and speech-language pathologist in the rehabilitation of a stroke patient with dysarthria: a case study.
OBJECTIVE
To elucidate the effectiveness of the collaboration of a dentist and speech-language pathologist (SLP) in the rehabilitation of a stroke patient with dysarthria.


METHODS
A clinical case report treated in the rehabilitation hospital and dental surgery.


METHODS
A 71-year-old Japanese man who was admitted to the rehabilitation hospital for speech rehabilitation 2 years and 5 months after a stroke.


METHODS
Provision of prosthesis (palatal lift prosthesis + palatal augmentation prosthesis) for improving velopharyngeal incompetence (VPI) and articulation by dentist, and speech behavioural management by SLP including self-monitoring and bio-feedback training using the See-Scape.


RESULTS
Speech behavioural management proved useful for promoting improvement in speech intelligibility to a functionally sufficient level after improving VPI by prosthesis.


CONCLUSIONS
The collaborative efforts of the dentist and SLP in the rehabilitation of post-stroke patients with velopharyngeal incompetence should be encouraged.
Ono
Takahiro
T
Division of Oromaxillofacial Regeneration, Osaka University Graduate School of Dentistry, Suita, Japan. ono@dent.osaka-u.ac.jp
Hamamura
Mari
M
Honda
Kosuke
K
Nokubi
Takashi
T
D000368:Aged; D001676:Biofeedback, Psychology; D003813:Dentistry; D003827:Denture, Complete, Upper; D004401:Dysarthria / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D010160:Palate, Soft / Q000503:physiopathology; D010348:Patient Care Team; D019736:Prostheses and Implants; D011474:Prosthesis Design; D013065:Speech Intelligibility; D013066:Speech-Language Pathology; D020521:Stroke / Q000150:complications*; D000071939:Stroke Rehabilitation; D014681:Velopharyngeal Insufficiency / Q000209:etiology / Q000534:rehabilitation*