Neuromuscular Treatments for Speech and Swallowing: A Tutorial
- ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
- Heather Clark Ph.D., Associate Professor (Creator)
- Institution
- Appalachian State University (ASU )
- Web Site: https://library.appstate.edu/
Abstract: Despite the proliferation of oral motor
therapies, much controversy exists regarding
the application and benefit of neuromuscular
treatments (NMTs) such as strength training for
alleviating dysarthria and/or dysphagia. Not
only is limited empirical support available to
validate the use of NMTs, but clinicians may
also lack the foundational information needed
to judge the theoretical soundness of unstudied
treatment strategies. This tutorial reviews the
theoretical foundations for several NMTs,
including active exercises, passive exercises,
and physical modalities. It highlights how these
techniques have been used to address
neuromuscular impairments in the limb
musculature and explores potential applications
to the speech and swallowing musculature. Key
issues discussed in relation to active exercise
are the selection of treatment targets (e.g.,
strength, endurance, power, range of motion),
specificity of training, progression, and recovery.
Factors influencing the potential effectiveness
of passive exercises and physical modalities
are presented, along with discussion of
additional issues contributing to the controversy
surrounding oral motor therapies.
Neuromuscular Treatments for Speech and Swallowing: A Tutorial
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Created on 7/8/2011
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Additional Information
- Publication
- Clark, H. M. (2003). Neuromuscular treatments for speech and swallowing: A tutorial. American Journal of Speech-Language Pathology. (Nov 2003) 12(4), 400 – 415. Published by the American Speech-Language-Hearing Association (ISSN: 1058-0360).
- Language: English
- Date: 2003