Swallowing and Dysphagia Rehabilitation: Translating Principles of Neural Plasticity Into Clinically Oriented Evidence

Robbins, JoAnne; Butler, Susan G.; Daniels, Stephanie K.; Gross, Roxann Diez; Langmore, Susan; Lazarus, Cathy L.; Martin-Harris, Bonnie; McCabe, Daniel; Musson, Nan; Rosenbek, John C.
February 2008
Journal of Speech, Language & Hearing Research;Feb2008, Vol. 51 Issue 1, pS276
Academic Journal
Purpose: This review presents the state of swallowing rehabilitation science as it relates to evidence for neural plastic changes in the brain. The case is made for essential collaboration between clinical and basic scientists to expand the positive influences of dysphagia rehabilitation in synergy with growth in technology and knowledge. The intent is to stimulate thought and propose potential research directions. Method: A working group of experts in swallowing and dysphagia reviews 10 principles of neural plasticity and integrates these advancing neural plastic concepts with swallowing and clinical dysphagia literature for translation into treatment paradigms. In this context, dysphagia refers to disordered swallowing associated with central and peripheral sensorimotor deficits associated with stroke, neurodegenerative disease, tumors of the head and neck, infection, or trauma. Results and Conclusions: The optimal treatment parameters emerging from increased understanding of neural plastic principles and concepts will contribute to evidence-based practice. Integrating these principles will improve dysphagia rehabilitation directions, strategies, and outcomes. A strategic plan is discussed, including several experimental paradigms for the translation of these principles and concepts of neural plasticity into the clinical science of rehabilitation for oropharyngeal swallowing disorders, ultimately providing the evidence to substantiate their translation into clinical practice.


Related Articles

  • Bringing Single-case Methodology into the Clinic to Enhance Evidence-based Practices. Tate, Robyn L.; Aird, Vanessa; Taylor, Christine // Brain Impairment;Dec2012, Vol. 13 Issue 3, p347 

    There are many challenges in incorporating an evidence-based approach into clinical practice and a large literature exists on various barriers and facilitators. Within this context, we have developed a framework to advocate an empirical approach to therapeutic interventions, using our Model to...

  • Evidence-Based Practice in the Provision of Rehabilitation Services. Fong Chan; Rosenthal, David A.; Pruett, Steven R. // Journal of Rehabilitation;Apr-Jun2008, Vol. 74 Issue 2, p3 

    The article discusses the factors that prevented the development evidence-based practice (EBP) in medicine and rehabilitation services in the U.S. The realization of the need for EBP in medicine and allied health disciplines has existed even in the 1950s but was hindered by effective...

  • The Evidence-Based Practice Movement in Healthcare: Implications for Rehabilitation. Chronister, Julie A.; Fong Chan; da Silva Cardoso, Elizabeth; Lynch, Ruth Torkelson; Rosenthal, David A. // Journal of Rehabilitation;Apr-Jun2008, Vol. 74 Issue 2, p6 

    The evidence-based practice (EBP) movement in medicine has permeated and affected a wide array of health and allied health care disciplines, and the field of rehabilitation is no exception. The purpose of this paper is to provide rehabilitation professionals up-to-date information about the...

  • COMMENTARIES. Skidmore, Elizabeth R. // International Journal of Therapy & Rehabilitation;Mar2007, Vol. 14 Issue 3, p128 

    The article reflects on the factors to consider in designing studies to control the aspects that influence rehabilitation practice. The author stresses that studies should have to be very large. However, such large scope is difficult to achieve in rehabilitation research. Thus, rehabilitation...

  • Prologue: Evidence-based Practice Research and Knowledge Translation in Rehabilitation Counseling. Leahy, Michael J.; Arokiasamy, Charles V. // Rehabilitation Education;2010, Vol. 24 Issue 3/4, p173 

    The article focuses on the approach towards the concepts of evidenced-based practice and knowledge translation in rehabilitation counseling. It states that the basic literature has emerged to assist researchers, practitioners, and scholars in determining the complex and controversial approaches...

  • Neuroplasticity and Rehabilitation Research for Speech, Language, and Swallowing Disorders. Gonzalez Rothi, Leslie J.; Musson, Nan; Rosenbek, John C.; Sapienza, Christine M. // Journal of Speech, Language & Hearing Research;Feb2008, Vol. 51 Issue 1, pS222 

    Purpose: This article introduces a collection of consensus statements regarding the application of neuroplasticity principles to rehabilitation of dysphagia, dysarthria, apraxia, and aphasia.

  • Hot Topics in Dysphagia. Swigert, Nancy B. // ASHA Leader;5/26/2009, Vol. 14 Issue 7, p10 

    The article discusses several evidence-based services for treating dysphagia. The three-ounce water swallow test by researchers Debra M. Suiter and Steven B. Leder was found to accurately identify people who aspirated thin liquids during a fiberoptic exam. The swallowing impairment tool by...

  • Editorial: Skill Set for the New Rehabilitation Environment. Lewis, Terri; Crimando, William // Journal of Rehabilitation Administration;2012, Vol. 36 Issue 1, p3 

    An introduction is presented in which the editor discusses various reports published within the issue on topics including the skill set required for the new rehabilitation environment, the effort in establishing evidence-based practice, and other issues of rehabilitation programs.

  • Towards evidence based medicine for paediatricians. Phillips, Bob // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Jul2010, Vol. 95 Issue 7, p17 

    The article encourages clinicians to provide evidence-based research.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics