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Management of oral-pharyngeal dysphagia symptoms in amyotrophic lateral sclerosis
Authors:Edythe A. Strand PhD  Robert M. Miller PhD  Kathryn M. Yorkston PhD  Allen D. Hillel MD
Affiliation:(1) Department of Speech and Hearing Science, University of Washington, Seattle, Washington, USA;(2) Speech Pathology Services, Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA;(3) Department of Audiology and Speech Pathology, VA Medical Center, Seattle, Washington, USA;(4) Otolaryngology/Head & Neck Surgery, VA Medical Center, Seattle, Washington, USA
Abstract:Oral and pharyngeal dysphagia is a common symptom in patients with amyotrophic lateral sclerosis (ALS) and is the result of a progressive loss of function in bulbar and respiratory muscles. Clinicians involved in the management of ALS patients should be familiar with the common clinical findings and the usual patterns of temporal progression. The prevention of secondary complications, such as nutritional deficiency and dehydration that compound the deteriorating effects of the disease, requires careful monitoring of each patient's functional status and timely intervention with appropriate management techniques.
Keywords:Amyotrophic lateral sclerosis (ALS)  ALS management  ALS Severity Scale  Dysphagia management  Dysphagia and respiration  Deglutition  Deglutition disorders
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