The evaluation and intervention of persons with dysphagia represents a significant percentage of speech-language pathologists' caseloads in medical settings. Because of its overtly medical nature, there has been considerable focus dealing with the direct physical health aspects of dysphagia management. This article argues that the use of the World Health Organization's International Classificat...

Dysphagia clinicians are charged with improving strength, skill, and endurance in order to rehabilitate oropharyngeal swallowing. The obvious method is exercise training. Dysphagia clinicians often use trial-and-error and experience to develop effective regimens. This article is intended to invoke broader and more accurate perspectives from our colleagues in exercise science.

嚥下障害の臨床現場では,治療・リハビリテーション を行う根拠として,嚥下造影法(VF:videofluoroscopic swallow study),嚥下内視鏡(VE:videoendoscopic evaluation of swallowing)による機能的評価を用いるこ とが多い.さらに嚥下関連筋の効果を評価するために, 筋電図(EMG),嚥下圧測定も実用化されつつある.近 年では,延髄或いは脳神経を電気あるいは磁気刺激によ る筋電図を測定し,下位ニューロンの評価を行う誘発筋 電図も報告されている.嚥下運動の脳機能画像としては, ニューロンの電気活動そのものをみているMEGと, ニューロンの電気活動に伴う脳血流量を間接的に評価す る fMRI,PET,fNIRS に分類される.さらに,咳誘発 検査などの感覚効果器を評価するもの,嚥下障害アウト カムとしての誤嚥を評価するシンチ...

A case of 61-year-old man with a 2-year history of progressive difficulty in swallowing solid foods is presented. CT-scan and barium swallow test demonstrated an anterior osteophyte at C6. Resection of the osteophyte resolved the dysphagia. The rarity in the neurosurgical literature, the pathogenesis and the management of this condition are discussed.

Jacqueline M. Kruser and Hallie C. Prescott* Division of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan; and Health Services Research and Development Service Center of Innovation, Veterans Aff...

This study has explored the relation between dance achievement and alexithymia in a larger Swedish population sample (Swedish Twin Registry) with a study sample of 5431 individuals. Dance achievement (CAQ) was assessed in relation to Alexithymia (Toronto Alexithymia Scale, TAS-20) including the three subscales: Difficulty Identifying Feelings (DIF), Difficulty Describing Feelings (DDF), and Ext...

A 40 year old woman presented with dysphagia which was due to one of the forms of vascular ring. Her symptoms were relieved by relatively conservative surgery. The means of diagnosis and the surgical approach are discussed.