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Neurorehabilitation and Neural Repair
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Communication Disorders and Dysphagia

Pam Sorensen

Rocky Mountain Multiple Sclerosis Center, Englewoad, Colorado

Shirley Brown

Holy Name Hospital, Teaneck, New Jersey

Jeri Logemann

Northwestern University, Evanston, Illinois

Kim Wilson

Oregon Health Science Hospital, Portland, Oregon

Robert Herndon

Good Samaritan Hospital, Portland, Oregon

This article describes the process and findings of a subcommittee of speech-language pathologists formed by the Consortium of Multiple Sclerosis Centers. Its purpose was to study MS patient-care issues as they relate to communication disorders and dysphagia. To determine "What We Know," a literature review of eighty articles was performed about MS care as it relates to aphasia (5), auditory deficits (7), dysarthria (7), dysphonia (2), dysfluency (1), dysphagia (9), language disorders (5), and cognitive deficits (43). However, because of the lack of current studies, "What We Believe" was examined through the development of a practitioner survey. Thirty-six speech-language pathologists who provide MS care responded. Results were analyzed, gaps were identified, and questions were raised. This information was presented at the June 1993 CMSC: MS Care Conference in Denver, Colorado. To address "What We Do Not Know," this specialty group then met with an interdisciplinary group and a research panel to facilitate the formulation of two research proposals. The questions developed were: (1) What is the prevalence of language and communication disorders in multiple sclerosis? (2a) Is dysphagia therapy effective in reducing medical complications? and (2b) Which dysphagia treatment is more effective: restorative or compensatory?

Key Words: Communication Disorders • Cognitive-Language deficits • Auditory deficits • Dysarthia • Dysphonia • Dysphagia.

Neurorehabilitation and Neural Repair, Vol. 8, No. 3, 137-143 (1994)
DOI: 10.1177/136140969400800307
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