Dysphagia In Neuromuscular Diseases

Currently, there are very few resources that provide guidance for practicing clinicians in the area of neuromuscular diseases. Dysphagia in Neuromuscular Diseasesapproaches the subject in a unique manner, allowing clinicians to develop insights into diseases, syndromes, and neurological conditions that extend even beyond those specifically addressed in the text. Compared to competitive texts, this book uniquely provides in-depth coverage specific to dysphagia research with a much broader spectrum of neuromuscular diseases, and employs a physiologically based taxonomy. Recognizing there is no universally accepted methodology for classification of neuromuscular diseases, the authors have addressed this dilemma in three ways: (1) outlining the levels of the neuromuscular system, extending from the central nervous system to the muscle, with chapters devoted to diseases that are representative of pathologies at each level; (2) outlining normal respiratory physiology and airway defense mechanisms, with discussion of how these are altered by various neuromuscular disease processes and how this affects risk for secondary medical complications such as pneumonia; and (3) describing the neuromuscular conditions that are associated with the various diseases with discussion of approaches to evaluation, management and treatment that address the nature of the impairment. With over 50 years of combined clinical practice and extensive experience in working with patients diagnosed with various neuromuscular diseases, the authors offer practitioners the best available evidence to support treatment decisions.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

The Adult Dysphagia Pocket Guide: Neuroanatomy to Clinical Practice is a concise, easily portable reference guide designed specifically for the dysphagia clinician. It centers on the clinical application of normal and abnormal swallowing physiology as it relates to cranial nerves, muscles, and innervations. The text merges clinical neurophysiology of the swallow directly to assessment and treatment of dysphagia to provide quick access of key clinical information and solutions for clinicians as they are completing their swallowing assessments. A discussion of laboratory values and medications in chapters three and four and how they can impact dysphagia adds another layer of uniqueness to this guide. Recurring "clinician's note" and "research to practice" boxes are based on the current research and provide practical and useful tips for clinicians. The Adult Dysphagia Pocket Guide is a "quick reference" that answers the need for a practical guide that new clinicians, graduate students, and even seasoned clinicians can carry with them and readily access while they are completing their evaluations. It is a must-have resource for any speech-language pathologist treating dysphagia. KEY FEATURES: Compact, yet portable designSuccinct, yet thorough evidence based informationClinically relevant charts and tables make information easy to find

Now with videos! Dysphagia Following Stroke, Third Edition is a practical and easy-to-use resource for clinicians treating swallowing disorders in the stroke population. The authors bridge the gap between academic and clinical practice with up-to-date research and clinical case examples throughout. In addition to a thorough overview of dysphagia diagnosis and management, this text focuses heavily on evaluation and management of stroke. Key topics include neural underpinnings of normal and disordered swallowing, swallowing screening, the clinical swallowing examination including cough reflex testing, the expanding array of instrumental swallowing modalities, and the rehabilitation of swallowing including strength training, non-invasive brain stimulation, and skill training. While geared toward practicing clinicians, Dysphagia Following Stroke is also useful for students in professional training programs. New to the Third Edition: A third author, Kristin Gozdzikowska, bring a fresh perspective as a young clinician and researcher with particular expertise in high resolution manometry and various cutting-edge treatment techniquesNew larger 6" x 9" trim sizeUpdated chapters on assessment to include new and emerging instrumental technologies, including high resolution manometry, impedance, and ultrasoundUpdated chapters on management to include the newly described International Dysphagia Diet Standardization InitiativeNew and expanded framework for rehabilitation, with a shift from peripherally focused rehabilitation to neuromodulation of cortical swallowing controlNew and updated research and trends in clinical practice throughoutIncludes videos This thoroughly updated and enhanced edition of Dysphagia Following Stroke is sure to remain a valued resource for clinicians working with stroke patients in all settings. Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.

Numerous books have been written on various medical aspects of Parkinson's Disease. Until now, however, there has not been published a text which focuses specifically on the debilitating speech, cognitive-linguistic, and swallowing disorders associated with this disease. The current body of literature in the field of speech pathology pertaining to the description, assessment, and management of the communication and swallowing difficulties experienced by people with Parkinson's Disease is extensive. However, the majority of this literature is published in research journal article format, or as individual book chapters in various books. The first of its kind, Communication and Swallowing Disorders in Parkinson's Disease condenses and organizes this information into an accessible format in order to provide a comprehensive understanding of these disorders and their management in this clinical population.

The ability to communicate is critical for people with life-threatening conditions. With loss of communication, they can no longer control their health care, make necessary financial and legal arrangements, or remain close to the family and friends whose support they desperately need. The ability to eat safely is no less critical. When eating becomes so difficult that it loses all enjoyment, patients usually eat too little and their health rapidly declines. These two vital aspects of managing a degenerative disease are typically the responsibility of the speech-language pathologist. Yorkston, Miller, and Strand, speech-language pathologists at a neuromuscular speech and swallowing disorders clinic, set forth the state-of-the-art in compassionate and effective speech and swallowing intervention for four degenerative diseases: amyotrophic lateral sclerosis (ALS), Parkinson's disease, Huntington's disease, and multiple sclerosis (MS). Because restoration of normal speech is an unrealistic goal, the authors emphasize ways to preserve functional communication. They present compensatory techniques for the typical features of each dysarthria and illustrate how to introduce augmentative communication gradually to supplement natural speech, ensuring a smooth transition to nonvocal communication. The authors stress the importance of maintaining adequate hydration and caloric intake in the face of progressive dysphagia. For each stage of involvement, they suggest compensatory strategies and dietary modifications you can implement to allow the patient to eat as safely and independently as possible. You'll read about the different feeding tube options and the transition to supplementary tubefeedings, then to complete alimentation by tube. You'll find scales for rating the deterioration of speech and swallowing in ALS, Parkinson's disease, Huntington's disease, and MS, plus reproducible clinical interview and evaluation forms. The patient and family education section provides handouts about normal speech and swallowing, information about each of the four diseases, and compensatory techniques for speech and swallowing that you can customize for each individual. With Management of Speech and Swallowing in Degenerative Diseases, Yorkston, Miller, and Strand have made an important contribution to improving the quality of care and the quality of life for people living with progressive neuromuscular disease.

Neuromuscular Disorders presents a multi-disciplinary approach to the management and therapeutic treatment of the full range of neuromuscular disorders and resulting complications. Dr. Tulio Bertorini and a contributing team of the world’s leading authorities in the field provide the latest tools and strategies for minimizing disability and maximizing quality of life. Effectively treat your patients using the latest management tools and targeted therapeutic strategies. Manage all neuromuscular disorders as well as resulting complications through comprehensive coverage of diagnosis and evaluations, treatments, and outcomes. Apply the multi-disciplinary approach of an expert in clinical neuromuscular care and a team of world-renown contributors. Easily refer to tools for diagnosis, treatment algorithms, and drug tables included throughout the text.

Malnutrition and its related symptoms are both frequent and deleterious effects of cancer treatment. Despite the importance of targeted nutritional interventions in ameliorating these effects, however, publications providing up-to-date information on novel nutritional approaches and strategies are lacking. This book is intended to fill the void by describing and evaluating in detail the nutritional strategies that may be employed to alleviate a wide variety of cancer treatment effects. The guidance provided will help to improve the survival and quality of life of cancer patients, and has the potential to dramatically affect how evidence-based clinical practice is established and improved over the coming decade. The author is a distinguished expert in the field who has more than 25 years of experience in oncology nutrition and has been involved in establishing and implementing a Clinical Nutrition Oncology Program.