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Collaboration of a dentist and speech‐language pathologist in the rehabilitation of a stroke patient with dysarthria: a case study
Author(s) -
Ono Takahiro,
Hamamura Mari,
Honda Kosuke,
Nokubi Takashi
Publication year - 2005
Publication title -
gerodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 54
eISSN - 1741-2358
pISSN - 0734-0664
DOI - 10.1111/j.1741-2358.2005.00057.x
Subject(s) - medicine , dysarthria , rehabilitation , speech language pathology , prosthesis , stroke (engine) , articulation (sociology) , physical therapy , otorhinolaryngology , physical medicine and rehabilitation , dentistry , audiology , surgery , mechanical engineering , politics , political science , law , engineering
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. Design: A clinical case report treated in the rehabilitation hospital and dental surgery. Subject: 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. Conclusion: The collaborative efforts of the dentist and SLP in the rehabilitation of post‐stroke patients with velopharyngeal incompetence should be encouraged.