Kennedy G, Pring T, Fawcus R
Speech Therapy Department, Whittington Hospital, London, UK.
Eur J Disord Commun. 1993;28(2):213-26. doi: 10.3109/13682829309041467.
Speech and language therapists are increasingly being asked to treat dysphagic patients. Concern has been expressed and surveys have confirmed that radiological assessment procedures are rarely available. Consequently, patients must often be assessed and their treatment planned on the basis of bedside examinations. Despite evidence that swallowing disorders need not be related to problems of articulation, recommendations on the procedure of such examinations frequently include an evaluation of speech and non-speech articulatory movements. A study is reported of patients who exhibit both dysphagia and dysarthria as a result of either stroke or Parkinson's disease. Assessments of the intelligibility of their speech and of their swallowing problems were found to be unrelated. The implications of this finding for the assessment of dysphagia are discussed.
越来越多的言语和语言治疗师被要求治疗吞咽困难的患者。人们对此表示担忧，调查也证实，放射学评估程序很少可用。因此，患者常常必须在床边检查的基础上进行评估并制定治疗计划。尽管有证据表明吞咽障碍不一定与发音问题有关，但此类检查程序的建议通常包括对言语和非言语发音动作的评估。本文报道了一项针对因中风或帕金森病而同时出现吞咽困难和构音障碍的患者的研究。结果发现，对他们言语清晰度和吞咽问题的评估并无关联。本文讨论了这一发现对吞咽困难评估的意义。
