Japanese

Three Cases Suspected "Swallowing Apraxia during Oral Stage" Akiko Nakano 1 , Sachiko Ootsuka 1 , Misao Nagasawa 2 , Eriko Yokoyama 2 , Tatsuo Shimomura 2 , Ichiro Sayama 2 1Division of Speech-Language-Hearing Therapy, Independent Administrative Institution Akita Prefectural Center for Rehabilitation and Psychiatric Medicine 2Department of Rehabilitation, Independent Administrative Institution Akita Prefectural Center for Rehabilitation and Psychiatric Medicine Keyword: 嚥下造影 , 口部顔面失行 , 発語失行 , 嚥下失行 , 口腔期 , videofluoroscopic examination of swallowing , buccofacial apraxia , speech apraxia , swallowing apraxia , oral stage pp.135-143
Published Date 2009/11/15
DOI https://doi.org/10.11477/mf.6001100212
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 We report on 3 patients who, although lacking pharyngeal dysphagia, presented apraxic movements during the oral stage of swallowing. All cases were right-handed and had left hemispheric lesions due to a cerebrovascular disease. They had a right facial paresis, buccofacial apraxia, and apraxia of speech, but had no paretic dysarthria. During a videofluoroscopic examination of swallowing bread, yogurt, and water, all 3 cases showed reduced and delayed movements, hesitation, clumsiness, and prolongation of the time required for swallowing. We concluded that this condition corresponds to "swallowing apraxia during the oral stage". As for intervention, we had the patients practice buccofacial movements, articulation, and the swallowing process in the oral stage, and also modified their environments during eating. As a result, problems in the oral stage improved in case 1, but remained in case 2, and case 3 eventually refused to eat and gave up oral intake all together. MRI or CT findings demonstrated left hemispheric lesions involving Broca's area and/or left anterior central gyrus to be common among the patients.


Copyright © 2009, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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