Search Results

Journal: Logopedia Silesiana

Dysphagia in adults – a systematic review of the literature

Urszula Malina , Paulina Wójcik-Topór

Language: PL | Published: 30-06-2025 | Abstract | pp. 1-32

his article is an attempt to provide a systematic review of the Polish literature on dysphagia in adults. The International Classification of Functioning, Health, and Disability (ICF) highlights the impact of various types of disorders, including motor, communication, and primary function disorders, on the daily functioning of patients. Nowadays dysphagia is known as swallowing disorder is common in adults, especially after neurological incidents, but it can also have structural and muscular causes. Dysphagia certainly affects the quality of life of patients. Therefore, it is necessary to reflect on dysphagia and the possibilities of therapeutic measures that would allow speech therapists and neuro-speech therapists in Poland to contribute to current international diagnostic and therapeutic trends. A review of the scope of research was conducted to describe and summarize the state of research on dysphagia in adults. The research showed that in Poland the knowledge base is incomplete and fragmentary and most reports concern the sphere of medical treatment rather than therapy.

2025-06-30



Journal: Logopedia Silesiana

Motor speech disorders, dysphagia and aphasia in amyotrophic lateral sclerosis – diagnosis and management

Klaudia Kluj-Kozłowska , Emilia J. Sitek

Language: PL | Published: 30-06-2023 | Abstract | pp. 1-43

In this paper we present the role of speech and language therapist in the interdisciplinary team focused on the management of patients with amyotrophic lateral sclerosis (ALS; Latin sclerosis lateralis amyotrophica, SLA). Depending on the clinical variant of ALS, speech disturbances may be the first disease manifestation or appear later in the disease course. In the differential diagnosis, it is useful to assess the type of dysarthria as well as describe the severity and profile of other deficits, such as dysphagia and aphasia. Assessment performed by a speech and language therapist is an ancillary examination in the differential diagnosis of clinical syndromes from frontotemporal lobar degeneration spectrum. Moreover, it enables devising optimal communication strategies and individualized therapeutic programme, not only applicable at a given disease stage but also aiming to support communication and prevent dysphagia.

2023-06-30



Journal: Logopedia Silesiana

Assessment of the functioning of patients with dysphagia after total laryngectomy

Katarzyna Godlewska , Barbara Jamróz , Joanna Chmielewska-Walczak , Magdalena Milewska

Language: PL | Published: 27-10-2020 | Abstract | pp. 1-21

The aim of the study was to evaluate the functioning of patients with swallowing disorders after total laryngectomy. The study initially included 20 patients who were more than 6 months after total laryngectomy, requiring videofluoroscopy (VFSS) due to reported dysphagia. The final group consisted of 10 people (8 men and 2 women). The examination procedure included conducting an interview, performing a full VFSS examination and completing the MDADI questionnaire by the patient. The most common problems found in the group were the lack of contact of the base of tongue with the posterior wall of the throat, disturbances in bolus formation and pumping movements of the tongue. The patients assessed their quality of life as low. The presence or absence of nasal food regurgitation significantly influenced the functioning of patients. Patients’ reports of swallowing disorders and problems with the production of voice and substitute speech are indications for further diagnosis (e.g. VFSS). The choice of an effective therapeutic method may improve the quality of life of these people.

2020-10-27



Journal: Logopedia Silesiana

Aspekty diagnozy i terapii zaburzeń połykania w schorzeniach pozapiramidowych na przykładzie choroby Parkinsona

Tatiana Lewicka

Language: PL | Published: 01-01-2014 | Abstract

Aspects the diagnosis and the therapy of swallowing in extrapyramidal illnesses on the example of Parkinson disease In the article aspects of diagnosis and therapy of swallowing disorders in extrapyramidal illnesses on the example of Parkinson disease were presented. Parkinson disease belongs to neurodegenerative illnesses of the central nervous system. Its most characteristic manifestation is the socalled Parkinsonian triad i.e. muscular rigidity, slow down motions and passive tremor. Neurogenic dysphagia appears very offen in the Parkinson disease. That is why the specific opinion on swallowing makes up the basis to the introduction of rehabilitation methods conditioning improvement and reconstruction of correct function of swallowing. This article presents instrumental and noninstrumental methods of evaluating patients with Parkinson disease and dysphagia as well as therapy methods of swallowing disorders.

2014-01-01



Journal: Logopedia Silesiana

Neurological speech therapy for toddlers with vocal cord paralysis – a holistic approach: case studies

Magdalena Knapek , Paulina Wójcik-Topór

Language: PL | Published: 15-06-2022 | Abstract | pp. 1-33

The theoretical aspect of the article presents dysphagia and dysphonia in children with vocal fold paralysis caused by surgical interventions – the causes, symptoms, diagnostic possibilities, as well as initial therapeutic recommendations. In practical terms, the authors would like to show methods of examining the voice and swallowing disorders in toddler patients who participated in the experimental-clinical trial at the University Children’s Hospital in Krakow. The article discusses two case studies which were to be used to develop a standard of neurological therapy dedicated to this type of patients. The authors focused on presenting the relationship between the functional/ myofunctional diagnosis, and the diagnosis of the prelingual and linguistic skills in children in terms of the development of linguistic and communicative competence. In this approach, myotherapy is to form the basis of activities necessary in the framework of early therapeutic intervention, which are to stimulate the speech development in children. In conclusion, the article specifies the therapeutic recommendations that have been developed on the basis of the research procedures presented.

2022-06-15



Journal: Logopedia Silesiana

Preliminary Assessment of Voice Disorders Induced by COVID-19

Ewa Boksa , Renata Cuprych , Aneta Chrut , Oskar Kałuża , Michał Robak

Language: EN | Published: 30-06-2025 | Abstract | pp. 1-16

This study assessed discomfort symptoms in the vocal tract of 49 post-COVID-19 patients (41 females, 8 males; aged 19-82) referred to a speech therapy clinic for voice dysfunction. The aim was to identify dominant symptoms during vocal emission. Conducted in 2020-2021 at the Speech Therapy Clinic in Kielce, participants had no prior phoniatric issues. Vocal Tract Discomfort Scale (VTD) evaluated symptom intensity across normative to severe voice changes. COVID-19 voice disorders are transient. Common symptoms included throat/laryngeal pain, tension, dryness, irritation, and obstruction sensation. Three symptom groups emerged: rare (e.g., „lump in throat”), moderate (e.g., „tenderness”), and frequent (Group III: „dryness,” „scratchy throat,” „irritation”). Untreated phonatory/respiratory dysfunctions may worsen. Post-COVID residuals cause functional and paralytic voice issues (hoarseness, fatigue, dryness, voice loss, lump sensation, pain, cough). Speech therapy effectively improves phonation.

2025-06-30