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Collaboration of a dentist and speech-language pathologist in the rehabilitation of a stroke patient with dysarthria: a case study
Authors:Ono Takahiro  Hamamura Mari  Honda Kosuke  Nokubi Takashi
Affiliation:Division of Oromaxillofacial Regeneration, Osaka University Graduate School of Dentistry, Suita, Japan. ono@dent.osaka-u.ac.jp
Abstract: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.
Keywords:stroke  dysarthria  palatal lift prosthesis  palatal augmentation prosthesis
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