Food for Thought Therapeutic Exercise in Dysphagia Management: Philosophies, Practices, and Challenges Viewpoint
Viewpoint  |   June 01, 2005
Food for Thought
Author Affiliations & Notes
  • Heather M. Clark
    Appalachian State University, Boone, NC
Article Information
Swallowing, Dysphagia & Feeding Disorders / Food for Thought
Viewpoint   |   June 01, 2005
Food for Thought
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), June 2005, Vol. 14, 24-27. doi:10.1044/sasd14.2.24
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), June 2005, Vol. 14, 24-27. doi:10.1044/sasd14.2.24
In spite of the relatively long history therapeutic exercise has as a component of speech rehabilitation, the recent emphasis on evidence-based practice has made obvious the dearth of evidence documenting the benefit of therapeutic exercise in alleviating speech or swallowing disorders. Nonetheless, an apparent abundance of anecdotal support for these techniques continues to lead many clinicians to seek out information that will help them incorporate exercise into a comprehensive dysphagia rehabilitation program. Because of the paucity of empirical data obtained from controlled study of swallowing exercise, clinicians cannot rely solely on established evidence to identify exercise programs most appropriate for individual patients. Instead, practitioners also must consider established philosophies and principles of exercise that, although often empirically supported when applied in other contexts (e.g., Patten, Lexell, & Brown, 2004), have not yet been substantiated for swallowing rehabilitation.
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