Skip to main content
Log in

Management of oral-pharyngeal dysphagia symptoms in amyotrophic lateral sclerosis

  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

Oral and pharyngeal dysphagia is a common symptom in patients with amyotrophic lateral sclerosis (ALS) and is the result of a progressive loss of function in bulbar and respiratory muscles. Clinicians involved in the management of ALS patients should be familiar with the common clinical findings and the usual patterns of temporal progression. The prevention of secondary complications, such as nutritional deficiency and dehydration that compound the deteriorating effects of the disease, requires careful monitoring of each patient's functional status and timely intervention with appropriate management techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bonduelle M: Amyotrophic lateral sclerosis. In: Vinten PJ, Gruyn GW (eds.) Handbook of Clinical Neurology, Amsterdam: North Holland Publishers, 1975, pp. 281–338

    Google Scholar 

  2. Mulder DS: The Diagnosis and Treatment of Amyotrophic Lateral Sclerosis, Boston: Houghton Mifflin, 1980

    Google Scholar 

  3. Tandan R, Bradley WG: Amyotrophic lateral sclerosis: part 1: Clinical features, pathology, and ethical issues in management. Ann Neurol 18:271–280, 1985

    Google Scholar 

  4. Rosen AD: Amyotrophic lateral sclerosis: clinical features and prognosis. Arch Neurol 35:638–642, 1978

    Google Scholar 

  5. Rowland LP: Motor neuron diseases: the clinical syndromes. In: Mulder DW (ed.): The Diagnosis and Treatment of Amyotrophic Lateral Sclerosis. Boston: Houghton Mifflin, 1980, pp 7–33

    Google Scholar 

  6. Dworkin JP, Hartman D: Progressive speech deterioration and dysphagia in patients with amyotrophic lateral sclerosis: a case report. Arch Phys Med Rehabil 60:423–425, 1979

    Google Scholar 

  7. Darley F, Aronson A, Brown J: Differential diagnostic patterns of dysarthria. J Speech Hear Res 12:246–270, 1969a

    Google Scholar 

  8. Darley F, Aronson A, Brown J: Clusters of deviant speech dimensions in the dysarthrias. J Speech Hear Res 12:462–497, 1969b

    Google Scholar 

  9. Darley F, Aronson A, Brown J: Motor Speech Disorders, Philadelphia: WB Saunders, 1975

    Google Scholar 

  10. Carrow E, Rivera V, Mauldin M, Shamblin L: Deviant speech characteristics in motor neuron disease. Arch Otolaryngol 100:212–219, 1974

    Google Scholar 

  11. Caruso A, Burton E: Temporal acoustic measures of dysarthria associated with amyotrophic lateral sclerosis. J Speech Hear Res 30:80–87, 1987

    Google Scholar 

  12. Weismer G, Kent RD, Hodge M, Martin R: The acoustic signature for intelligibility test words. J Acoust Soc Am 84:1281–1291, 1988

    Google Scholar 

  13. Kent RD, Kent JF, Weismer G, Martin RE: Relationships between speech intelligibility and the slope of second-formant transitions in dysarthric subjects. Clin Ling Phonetics 3:347–358, 1989

    Google Scholar 

  14. Kent JF, Kent RD, Rosenbek J, Weismer G, Martin R, Sufit R, Brooks B: Quantitative description of the dysarthria in women with amyotrophic lateral sclerosis. J Speech Hear Res 35:723–733, 1992

    Google Scholar 

  15. Yorkston KM, Strand EA, Miller R, Hillel A, Smith K: Speech deterioration in amyotrophic lateral sclerosis: implications for the timing of intervention. J Med Speech-Lang Pathol 1:35–46, 1993

    Google Scholar 

  16. Ramig LO, Scherer RC, Klasner ER, Ttize IR, Horii Y: Acoustic analysis of voice in amyotrophic lateral sclerosis: a longitudinal case study. J Speech Hear Dis 55:2–14, 1990

    Google Scholar 

  17. Strand EA, Buder E, Yorkston KM, Ramig LO: Differential phonatory characteristics of four women with amyotrophic lateral sclerosis. J Voice (in press)

  18. Hughes JT: Pathology of amyotrophic lateral sclerosis. Adv Neurol 36:61, 1982

    Google Scholar 

  19. Fallatt RJ, Norris FH: Respiratory problems. In: Mulder DW (ed.): The Diagnosis and Treatment of Amyotrophic Lateral Sclerosis. Boston: Houghton Mifflin, 1980, pp 301–320

    Google Scholar 

  20. Bowman K, Meurman T: Prognosis of amyotrophic lateral sclerosis. Acta Neural Scand 43:489–498, 1967

    Google Scholar 

  21. Hillel AD, Miller RM, Yorkston KM, McDonald E, Norris FH, Konikow N: ALS Severity Scale. J Neuroepidemiol 8:142–150, 1989

    Google Scholar 

  22. Logemann JA: Evaluation and Treatment of Swallowing Disorders, San Diego, College-Hill Press, 1983

    Google Scholar 

  23. Groher M (ed.): Dysphagia: Diagnosis and Management, Boston: Butterworths, 1984

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Strand, E.A., Miller, R.M., Yorkston, K.M. et al. Management of oral-pharyngeal dysphagia symptoms in amyotrophic lateral sclerosis. Dysphagia 11, 129–139 (1996). https://doi.org/10.1007/BF00417903

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00417903

Key words

Navigation