Banović Silva, Sinanović Osman, Muftić Mirsad
Department of Speech and Language Pathology and Audiology, Faculty of Education and Rehabilitation, University of Tuzla, Tuzla, Bosnia and Herzegovina.
Medical Faculty, University of Tuzla, Tuzla, Bosnia and Herzegovina.
Acta Clin Croat. 2024 Apr;63(1):185-190. doi: 10.20471/acc.2024.63.01.22.
Inflammation, axonal loss and demyelinating plaques in the brain, which are the background of multiple sclerosis, very often cause changes in speech or dysarthria, in a range from mild to so severe that they impair comprehension of speech by the interlocutor. As a consequence of multiple sclerosis, dysphagia can also occur. The aim of this paper is to present the speech and swallowing difficulties that result from multiple sclerosis, and the importance of assessing the speech and swallowing in people with multiple sclerosis. This article is descriptive and provides a comprehensive overview of the literature dealing with this topic. Speech difficulties impede daily functioning and are often the first sign that other people notice. Swallowing difficulties not only complicate daily life but, if not given sufficient attention, are a possible life-threatening consequence of multiple sclerosis. Assessment of speech and swallowing difficulties should be part of the clinical assessment in each person with multiple sclerosis. As multiple sclerosis progresses, so do speech and swallowing difficulties, and it is of utmost importance to provide appropriate treatment that can alleviate these difficulties. Speech-language pathologists should be part of a team making the diagnosis and providing treatment for a person with multiple sclerosis.
大脑中的炎症、轴突损失和脱髓鞘斑块是多发性硬化症的病理基础，它们常常会引发言语变化或构音障碍，其程度从轻微到严重不等，严重时会影响对话者对言语的理解。多发性硬化症还可能导致吞咽困难。本文旨在阐述多发性硬化症引发的言语和吞咽困难，以及评估多发性硬化症患者言语和吞咽功能的重要性。本文是描述性的，全面综述了涉及该主题的文献。言语困难会妨碍日常功能，且往往是他人首先注意到的症状。吞咽困难不仅会使日常生活变得复杂，而且如果得不到足够重视，可能会成为多发性硬化症危及生命的后果。对言语和吞咽困难的评估应成为每位多发性硬化症患者临床评估的一部分。随着多发性硬化症病情的发展，言语和吞咽困难也会加剧，提供能够缓解这些困难的适当治疗至关重要。言语治疗师应成为为多发性硬化症患者进行诊断和治疗的团队成员之一。
