Intervention Approach for Speech-Language Pathologist to Swallowing in Locked-In Syndrome
Abordaje Fonoaudiológico de la Deglución en el Síndrome de Enclaustramiento A case report.
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In the Locked-In Syndrome or LIS, the clinical manifestations are mainly related to the motor area. This situation requires the Speech and Hearing Therapist’s intervention, given the communicative involvement and the swallowing biomechanics in LIS is due to a sense and motor disconnection of the anatomical structure. This in turn alters the process ́s neuromotor and sensitive structures of the swallowing process, due to the pontine disconnection.
Given the multicenter characteristics of swallowing, the speech and hearing intervention must be realized in a timely manner, where the most important matter of the intervention must be the sequence of the neurophysiological processes; adopting as a basic strategy a consistency management for the strengthening of the sense and motor swallowing process. Upon intervention of the sensory and motor oral needs of the feeding and using as therapeutic strategies the modifying of consistencies, management of volume, posture, add-ons for food supplying and feeding time, the risks in the feeding process were minimized, and we were able to maintain an optimal nutritional and hydration state for the general physical recuperation. This process was developed side by side with better family interaction processes that have a positive impact in the quality of life.
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