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- Takahiro Ono, Mari Hamamura, Kosuke Honda, and Takashi Nokubi.
- Division of Oromaxillofacial Regeneration, Osaka University Graduate School of Dentistry, Suita, Japan. ono@dent.osaka-u.ac.jp
- Gerodontology. 2005 Jun 1;22(2):116-9.
ObjectiveTo elucidate the effectiveness of the collaboration of a dentist and speech-language pathologist (SLP) in the rehabilitation of a stroke patient with dysarthria.DesignA clinical case report treated in the rehabilitation hospital and dental surgery.SubjectA 71-year-old Japanese man who was admitted to the rehabilitation hospital for speech rehabilitation 2 years and 5 months after a stroke.MethodsProvision 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.ResultsSpeech behavioural management proved useful for promoting improvement in speech intelligibility to a functionally sufficient level after improving VPI by prosthesis.ConclusionThe collaborative efforts of the dentist and SLP in the rehabilitation of post-stroke patients with velopharyngeal incompetence should be encouraged.
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